HomeMy WebLinkAbout060300127 Application
City of Carmel/Clay Township l;J~ '~ permit#061J30/:61
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
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BUILDER of NAME PHONE t
RECORD:
~
BUILOER'S EMAlL ADDRESS
- it:<
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PROPERTY NAME
OWNER:
STREET AODRESS
r.<,'1
FAX
ZIP
LOCATION
8< PROJECT
INFO:
LOH J. ~/ /
ADDRESS OF CONSTRUCTION l.; 0 y ~
SUBDMSION NAME
! ZONING:
il .
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!I ri:
! isdUARE
I i IFOOTAGE:
1'--' I
SEWER UTILITY
PROVIDER:
Cr'<''Vl?
WATER UTIUTY
PROVIDER:
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NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN CO
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/O
TYPE OF CONSTRUCTION:
KVSINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE:
_Y i../'N ~Y N construction area)
Trusses:
-;-/y -_N - / ~WLSPACE
Lot Split: _Y v'N Sump Pump: Vv ~LAB
Does any part of the property lie within a special Flood designation area: _Y VN
(Check all that apply for the new
o POST & BEAM
[9-"'"BASEMENT , ../
WALKOUT:_Y~
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199r (2,289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied u . a Certificate of Occupancy has been issued by e Depanment of Community Services, Cannel, Indiana.
L c..-fl I) "-Ii:
Print
5-F)~{l6
Date .
OFFICEUSEONLY:***************************************************'J********************
Filing Fees: r2h 9'(2
SPECTlONS REQUIRED: e2' I ,/;'
~_ Base Inspections: G 7 "') (J # Cha'l)ed Re-
~r Foo~ll Under Slab ~ - /{J ReVIews
Cert, of Occupancy: C::i /, :::.
(Rc;ugh IO>C Meter ~
( P,R,I.F.:
~ Reviewed/Approved: Dept 0
~ \ S:PennI"'Fonn'l'llP RESIDENTIAL
unity Services (Date)
Fee"