HomeMy WebLinkAbout06040125 Application
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;"''1fCarmel/Clay Township ~ Permit #:~
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.JENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
.ngle Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
,t NAME
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PROPERTY NAME
OWNER:
STREET ADDRESS
PHONE
'Ie - 2(GL FAX }-'(0 -YZ'LY
ZIP
LfG LYQ
PHONE
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FAX
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STATE
ZIP
LOCATION
&. PROJECT
INFO:
lOT' f7
SUBDMSION NAME
FIe<- ,-j ;::J rA
-2-
SQUARE ,77' ,
FOOTAG? t;>
SEWER UTILITY
PROVIDER:
ADDRESS 9F CONSTRUCTION r /
- {'( )7<,... fC.J V'
C WATER UTILm{"
T (( rv () PROVIDER: ~Jt f'1 ~ I
~
SECl10N /
lONING:
ESTIMATED COST OF CONSTRUCl10N:
(EXClUDING lAND VALUE) "2 U 7 <.Juv. ~
NAME OF UTILm EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT ''$ (IF APPUCABLE):
TYPE OF CONSTRUCTION:
CQ/$rNGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
~
TYPE OF IMPROVEMENT: ,~'\~
EY'"'NEW STRUCTURE , -Go ,-<?,
o ROOM ADDmON(S). 'Go .0
o PORCH ADDmON(S) /cJ )' 9 f) 7' C."'ll \.
o REMODEL "J ~ ~
o ACCESSORY BUILDING Which PI~~~1IIIbe applied to the construction: ijt~
o DETA~HED , fO~ra'tl~'eWlm\,tlal COde w/lndiana Amendmentt
DATTA r r;>Gjl W\tn
o DEMO~ct to omp \a,ilL:~f~~e w/lndiana Amendments
0\ state an uIlkf '1..Code)
PROJECT INFORMATION: f COMMU \ \ 1 It'
M . ct d DE-Pi 0 ,,^ 0 : (Check all that apply for the new
Early Release r /' anu,a ure "'--nf f"'ARwl 'on area)
Permit: Y ~ Trusses: GP-1~',! 'f\I' ..,
. - ~ ~ - II.. U c;IlAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: _Y _N CY"'SLAB ./ IQ/ijASEMENT""'-:::::-
.",....-:. ....--: r-'\~
Does any part of the property lie within a special Flood designation area: _Y _N ....._WAQ(OUT% \CY~N
~___ n "II. \___.... \\ ,,,
For Single Family and Two Family dwellings. additions, remodels, and/or accessory struc~res. ~:~ €ahd~ly1:c'(;~ctibh c~\hmences
within ISO days of the date of issuance of the building permit, and must be completed (Certifi<\ttc:.of\Q~pi6(;Y-iS;;ed) within 18 ~~thsiof the
issuance date. Class I structure permits are subject to the General Administrative Rules of the Stat~\r^ . ana (See 675 lAC ~:;z..N:r2:ardiri.g ~~iration
time frames for beginning and completing constructtC?nJ ') \ . Ll.j\J\J~ \ \ \:../ \
It the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ark '5~ re, ~~clf:1nge in the u~'and Of\
structures requested by this application will comply with, and conform to, all applicable laws of the State ~ a, and the "ZonJ!1g.Grd1iiance of Cannel
Indiana - 1993" (Z-289) and amendments, adopted undcr authority one. 36-7 et seq, General Assembly oft e of I . , and all Acts amen_datory'
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I fu r ce y that the construction'Will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community 5 . ces, Cannel ~
sig';tf:2e~~ p,;? L - C:t <J ~ D:!. - 21-0 t,
OFFICE USE ONLY: *********************************************J-'j"**?********************
Filing Fees: . / 6~ ':50
INSPECTIONS RE, QUIRED: . "/7,/} /0 # Ol ed R
~~ _ c;- __.~:.. Base Inspections: . / -+- L, ;; arg e-
'Upper Footing ~g Under Slab 0-,;.. ::0 ReVIews
" '"..-;::: Cert. of Occupancy: S, -' ,
~Meter ~ ,,--Final Site"") P.R.I.F.: ) ;2 0 /. rJO Addibonal Fees
'.~~ iJJj/
--roved: Dept. of Community Services (Dale)
'. RESIDENTIAL