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HomeMy WebLinkAbout06040052 Application ~ j/.' , . ,+ ,,,0' City afCarmel/Clay Township O*', Permit #:~4WF);;L RESIDENTIAL IMPROVEMENT LOCATION PEnflT APPLICATION For Single Family, Multi-Family, a Two Family: New Structures, Additions, Remodels, a Accessory Structures /. OTY ) f~><-e. l(>..<J>>i.. NAME BUILDER of RECORD: PROPERTY OWNER: NAME STREET ADDRESS LOCATION lit PROJECT INFO: LOT#7t:. SUBDMSION NAME / / LI n e.~ rlLUl SEWER UTIUTY C" PROVIDER: ADDRESS OF CONSTRUCTION 2b- ;(cJ () o o ROVEMENT: UCTURE ROO ADDmON(S) P CH ADDmON(S) EMODEL ACCESSORY BUILDING DETACHED GARAGE ATTACHED GARAGE DEMOLmON PHONE 2 -~ c:; Q )~ - '7' /va FAX ,,20:>-- 1'1'(0 ZIP 6b(rj J '''''- c~ PHONE FAX OTY ZIP STATE /J,,<J If SECTION ZONING: Z- SQUARE FOOTAGE: )5'l7 Plu Early Release . / Manufactured./ FOUND~TIONTYPE: (Check all that apply for the new Permit: _Y -.:::::N Trusses: 0. N cons~ction area) , '" ~-1zj' c;.RAWLSPACE 0 fiST & BEAM Lot Split: _Y L-N Sump Pump: _Y _N CO/SLAB g' BASEMENT Does any p;li!fortlie:Pi:i:iPeA:YJlie wltliiiBITfIlel@ll@H designation area: _Y ~ WALKOLrr:_Y ~ For Single a:Dill~:tid fiva~yJrilliVcf$elliX~J.rld1Ii o. iR~~andJor accessory structures, this permit is valid only if construction commences within 180 qays of th2dati.-:tot~llfJelof1ili~h::'~nnit. and must be completed (Certificate of Occupancy issued) within 18 months of the issuance dateOOa;srrst!U:ctttEefE~~Jt!C~dministratiVe Rules of the State of Indiana (See 675 lAC 12) regarding expiration ~ITv;~ t:AI=l~r.>=1 I"" \il{lF 'ngandcompletingconstruction. I, the undeMgrted., a'gRe that <11l"d:h'rstrutn~lhts , ent, relocation, or alteration of a structure, or any change in the use of land or structures requested by this applicaJ:NetA~ly 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 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 until a Certifica.te of Occupancy has been issued by t epartment of Community Services, Carmel, Indiana. Z ~ , 1- C~fu c;: Y -(<J'-o-(, SI re of Owner or Authoriz Pri t Date **********************************************~******************* Filing Fees: 4~ . '7() INSPECTIONS REQUI . ,,---0 Base Inspections: r--2 71. 2> # Charged Re- ReViews Cert. of Occupancy: .<> 3.<;" iJ P.R.I.F.: /.;2 C I {) rJ ~~~3/jrJ.7() Fee Received by: Site ) Reviewed/ Ap roved: Dept of Community Services S:PermIts/Forms/IlP RESIDENTIAL Additional Fees