HomeMy WebLinkAbout06040057 Application
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: 0& o~7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX
58;)- CJ '-15
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ZIP
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NAME J
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STREET ADDRESS
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PHONE
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FAX
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STATE
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CITY
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ZIP
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LOT# 5"
SECTION
ZONING:
SUBDIVISION NAME
.!_J {) CO
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SQUARE s:
FOOTAGE: J ~ '
ESTIMATEO COST OF CONSTRUCTlON: _dj V ~ '
(EXCLUDING LAND VALUE) 'it ~ ("80BO'
}I1et"Y'itr CVI\Tr"c:\-i ~
NAME OF UTll CAVATlON CONTRACTO PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE R SEPTIC PERMIT #'5 (IF APPLICABLE):
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F ON R (' ~' TY E OF IMPROVEMENT: PLUMBING CONTRACTOR:
SINGLE FAM1jILY , ~ -;:. NEW STRUCTURE .l ^ /Y/ec ht'1 An/rc< /
TOWN HOME "'\5"'" 0 ROOM ADDI"TI,ON(S), Plumber's Indiana State License #:
TWO FAMILY / q 0 PORCH AijO)JJON(S) f)/1 Pi ~ <<:'/0
# of units: // 0 REMODEL"'C;ll.~ASqD rL- /0 (0 / .')
o MULTI-FAMI Y 0 ACCESSr&~i;rni>i" FQ1ifc~ril':l.I.""'1Tt!t_.~. IJltl~Plied to the construction:
# of Units' ~::!l> . ,....."'.r:tomp/i<>/:i :T~'9~ 'l~ Ul
O RESIDENTIA'L 0 DETACHED GARA~ State ~16J''fIlt\!llt/a~~ en I Code wI Indiana Amendments
o ATTACH_ItAE6-'\" aild LO~' r ens
Additions, Remodels, Etc.) 0 DEMOfl'HAflI," '-'I::, 90~1l/1'1 'n\1lfjjliltibing Code w/Indiana Amendments
PROJECT INFORMATION: ....Il~ C?F CAF1Mf;L i~ ~:rtilI~fflJlfCz?i~ Code)
Early Release Manufactured \I IN.~Ip:heCk all that apply for the new
Permit: _Y ~N Trusses: ---,,-V N '. "
" V - 0 ERAWLSPACE--' 0 POST & BEAM
Lot Split: _Y -LLN Sump Pump: ,~l~NO SLAB CXf BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y LN WALKOlfT:_ Y LN
TYPE
g
o
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 Genera11dministrative Rules of the State of lndiana (See 675 lAC 12) regarding expiration
. time frames for begin "A~lrl'.:"'llT.!lU I' ~ '
I, the underSigned, agree that any construction, reconstructIOn, enlarg e , ti:or~:;:'9P:~.~e~*laN?,f ,~'~l'ft . any change In the use of land or
structures requested by this application will comply with, and conform, alllM~.RJfoth~...sdiQ10E0) , 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
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 cupied until a Certificate of Occupancy has been issued by the Depart em of Community Services, Carmel, Indiana.
j '3 /30 lOb
Date . ,
************~**********************~**iC*~~*************
FIling Fees: ,1. (j
UIRED: ~ ___/I
Base Inspections: . '2 '7 r7 " ) V # Charged Re-
O . . Reviews
Cert. of Occupancy: , ';-3. ,)(5
/.) r: I CJ 0
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Under Slab
Site
P.R.I.F.:
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsfFormsfILP RESIDENTIAL
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