HomeMy WebLinkAbout06030115 Application
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City of Carmel/Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER'S EMAlL ADDRESS
o 8(2...
NAME r!.-ra))i-/Vri
STREET ADDRES~Ifrrl6-
SUBDMSI\l-N NAM
GU: I tor
ADDRESS OF CDNSTRucnON Ii'
("0 I St-o,ve , race...
SEWER UTIllTY /7 j. I WATER UTI~ _ ,
PROVIDER: G 1 v- .tv PROVIDER: J-IU i
NAME OF UTIllTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
Manufactured (/ ,
Y N Trusses: ,*-Y N
- - V" O;CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: _Y ~ ~-;;1'~' -:'\SlAB 0 BASEMENT " .,
Does any part of the property lie within a special F~od'~~f :~_ ca' , : \~\ Y -k ~OlJl;i~.:0\=-:\ N
'. .. ddi' /'>0 d'(l " \:.~'C,~ 1\ \~ hi . "~aJi'd 'j<if' '''' c- \.\..\.\L
Fo~ Sl?gle Family and Two Family dwellings, a . p:~ID:!~ ~'P,~, e _~:..an accessory s~ \ ~~\t ~-J?emllfl~-tv \ \. .~o~1- ,~~~: 101\ ~~Il~~nces
Wlthin 180 days of the date of issuance of the buil~l{l8 ~rput-; must be co~ed .', '~te8(-~c~P!Jlt:-Y.;~ea)'Wlt 18 mo~t'\ts ,?"the
issuance date. Class I structure permits are subject to ~he aJ. Ad~tr~vLN:ill1 of'~..stltte C?fIndiana- See 675 IA ) r~dirig ~iiation
timefr~'es begiN4l\llaIldcomp ~-"""srrucilp~:<\J \ ~f0r;)'O \\\]\\
I, the undersigned, agree that any construction, reconstnlctiQ,h\ ~~t, reloe . ;Or alteration~, s.\ .'. ' or ~ t1fe use of laDU.D'P'
structures requested by this application will comply with y \i c~onn to, all wp cable laws of .the"Sfate of~\U~~, ancli Zoning . ce.ef Carmel
Indiana -1993" (Z~289) and amendments, adopted under uiliimtY.' fJ.~ et seq, GeneralJ\Ssembly of tlielSt:ire f ana, ts am tory 1
., --- \\\ \'-
thereto. I ere' lhatonly kitchen, b . and floor , s are connected tQ.the sanitary sewer. I funher',c:eiti{E econstru~not'be
used 0 pie nril C. r' e of upanc has been Issued by theU1anmenr of Communiry snce~ ' e1.Indian.._
. . '-~OZoj,~f 7Sa/~~ 2,2-.;-ofo
ature of Owner or Authorized Agent Print . Date
OFFICE USE ONLY: **************************************** ********~1*}~*****************
Filing Fees: h 52 IT
INSPECTIONS REQUIRED: 7 -7 .....'jJ
~'. Base Inspections: ~ .6 /. ~ (/ # Charged Re-
~per ~ing Lower Footing nder Sla / / '0 ReVlews
_ Cert, of Occupancy: ,)1" ~ I
CRoughl~~se P.R,LF.: /.2. G/ 00
t(f~~ dlJl . C?D2.? 71J
Reviewed/APproved: Dept. of Community Services (Date) ~ 27. ~
S:Petmlts/forms/lLP RESIDENTIAL
BUILDER of
, RECORD:
NAME
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
rs.. TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
PHONE571_01)00 FAX 57?-to;;
;;-ry L',v ZIP, 'b~;>'L
CITY ~'u./k ? (J
BEST METHOD OF CONTACT:
~1Ma..I' UL 5~f-33t)o eel,
FAX ,6
- [rOO 0 S -eft) k
PHONE
;;
CI1Y
STATE
ZIP
vC-
d90N
ZONING:
SQUARE 1 od
FOOTAGE'ol 7 7 I
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
iJ tin, &IV
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Additional Fees