HomeMy WebLinkAbout06060015 Application
City of Carmel/Clay Township u),(,-~ ' permit#()(p()f;tJO/!?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME j
III e 0e.,.&/rt.,chJ~
STREET ADDRESS
l'i'S'] yX",4,;.,h hi.
PHONE
"JI7-K'7,t-ge7 J
FAX
i'17-tff€- 3~~J'
cm
SJ1crfVe7"",
STATE
::;7~
ZIP
~"06r
BUILDER'S EMAIL ADDRESS .
,fl."".. €> ,At;>I'kC<J~s>ln, 4/",,-, ""d
BEST METHOD OF CONTACT:
3/7- 7/c-G'~'TJ>
PROPERTY
OWNER:
NAME
Rc6crr ;Jurl/"
STREET ADDRESS
NC"j<i f!_de" fJr
PHONE
<:'66- o;J,,s'1
FAX
cm
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STATE
~
ZIP
l/d"o $ 3
LOCATION
&. PROJECT
INFO:
LOT #
/63
SUBDIVISION NAME
CAerr C""",,,,/(C!".rre; k5"
SECTION
'3
ZONING:S
SQUARE .-,
FOOTAGE: ;,.... "7' c
ADDRESS OF CONSTRUCTION
l'fo9'? ,4",,;{'.,.,. ~y
,
Wr~ ;:h- 'L/Go3J
SEWER LfTIl
PROVIDER-
~ Cayl'ljej
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) / /,;t>oo
OR; PLAN COMMISSION / BZA I BPW DOCKET
ELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
R E
~ .A"arly Release
Y Permit:
FOUNDATION TYPE:
/ Ma n ufactu red .../,
Y vN y. . --N construction area)
Trusses: . .
- -/ - "'" 0 CRAWLSP~EE
Lot Split: _Y -LN Sump Pump: _Y _N 0 B
Does any part of the property lie within a special Flood designation r a ;; ~
F IMPROVEMENT: PLUMBING CONTRACTOR:
NEW_~ II/M';~
ROoaUID81 ~ FOR flt)mber's Indiana State License #:
PORCH A15 Slp/i NSTRU
;& Of State a aflce y,ith al/ r.T!ON
~nd L~I\.oTu~_ht8e.sWlll be applied to the construction:
(.;Ode ~"<JflS . .
MU/filJ!T1r~l!'A1onal Residential Code w/lndiana Amendments
ATTACHED GA INEL / OD\Y"mi. R'\((r.'~t;;;Gs.g Code w/lndiana Amendments
DEMOUTION DIANA (Multt:A'iI!1l\tSJll'Jj:S1JCtion Code)
(Check all that apply for the new
~
o
POST & BEAM
BASEMENT
WALKOUT:
Y~N
For Single Family and Two Family dwellings, additions, remodels, and/or accesso ctures, 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 \\ill 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 I.C. 36-7 ct 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 sev..'er. I further certify that the construction will not be
used or pled untIl a ertih te of Occupancy has been Issued by the Dep,arq:nent of Community ServIces, Carmel, Indiana
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OFFICE USE ONLY: *********************************************,.~************************
Filing Fees: Lft:z.. -;1 '=5 (')
> PECTIONS REQUIRED: ' / / /'. ../()
Base Inspections: L-b <52 J
Upper Footin lower Footin lab - J/'
Cert, of Occupancy: s3. .J l.I
# Charged Re-
Reviews
ReViewed/Approved: Dept. of Community SeNices (Date)
S:Permits/forms/IlP RESIDENTIAL
P,R,LF,: Additional Fees
~ TOTAL' ~ lo.,f' ;J,. 30
611LJ~ 17 L '~.A4
Fee Roceived b : V / J
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