HomeMy WebLinkAbout06040013 Application
City of Carmel/Clay Township Permit #: OW Lf DO J 3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
DYllle- Cav-meJ
BUILDER of
RECORD:
-
PROPERTY
OWNER:
IVe.-
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISION NAME
,-
SEWER UTILITY
PROVIDER:
3/'7 HONf.Jg3_33%
Ave-
ClL\\
F- /' _ _ P~qNE
o LO-J?Y'CA .::me.
G.~
FAX:3 -387
:rN Jfh:;l,~
STATE
1,5
00 OF CONTAcr: .
-pf;ohe-
37
.573 -57 '1/
ZIP
4-0D 3;;2
. ~ STATE
IN
SECTION
ZONING: B - 'g
vrneJ
.IN 4603~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) f$
SQUARE '
FOOTAGE:~5()c)
I r2 000
~
N W STRUCTURE
R M ADDITION(S)
CH ADDITION(S)
REMODEL
ACCESSORY BUILDING
o DETACHED GARAGE 0
, , ~O ATTACHED GARAGE . . .
Addition. erno Is, Etc.) REL ,QEMDLITION n.form Plumbing Code w/Indla
S b' Sea FOq (Multi-Family Construction Code)
PROJECT INFORMATION: U ~ect to co ,'CONSTRUe
~ St mp;'''ncG 'y:" cl n-otU'lDATION TYPE: (Check all that apply for the new
Early.Release Or1:ti.,. ur~d,""_'"'' '.,,,f.r09U1ali,mstruction area)
Permit: _Y L.PI- c:tru~: . LC"YJ~N.,o =
. ~1TY. UJlllV"..J':':'''~'' c."':>' 0 CRAWLSPACE
LotSpht: _Y _N ~EL., ~.'.~r1VJCESJ SLAB /
Does any part of the property lie within a SlNrnm~d\dJ~MtJv a: _y-.lLN
g.... POST & BEAM
~ BASEMENT
WALKOUT:_Y_N
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 ~he date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance clate. 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 -1993" (Z~289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thcret~1 further certify that only kitchenl bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used reupied until e"ifieate of Occup~ncy has been issued by the Depaccment of Community Services, Carmel, Indiana. /
&11'." # J..;- () ~
0- ignature of Print Date '
OFFICE USE ONLY: *********"'************************ ****
Filing Fees:
Base Inspections:
Cert. of Occupancy:
***~*****~*********************
P- 13:5- 5' tJ
-$ 100,00
INSPECTIONS REQUIRED:
Upper Footing
Lower Footing
Rough In
Meter Base
Final
A
# Charged Re-
Reviews
Additional Fees
,-~R.le., ~
") TOT: ~3, 51)
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