HomeMy WebLinkAbout06060036 Application
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City of Carmel/Clay Township ~ Permit #D.ia.D..1aDf231
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PHONE J/v /
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FAX
crY( -'(22 Y
NAME
~
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BEST METHOD OF CONTACT:
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ZIP
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PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
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LOCATION
& PROJECT
INFO:
LOT #
y)
SUBDIVISION NAME c..f. ;:;~~___ ,~~~-il<,.i! '.
/ o.-~ ...",/-1 .;C.-
~ J~ ,V\ . _,_
SECTION J
ZONING:
-2
TYPE OF CONSTRUCTION:
Gl--SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI.FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
r.: r'~"'irJ
,
\
\
SQUARE .
FOOTAGE: J'7 Z L
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TYPE OF IMPROVEMENT:
G-NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release ..,.--/ Manufactured
Permit: _Y _N Trusses: ---"1"' _N
, ~ 0 CRAWLSPACE
Lot Split: _Y 1 Sump Pump: --= Y _N lSJ-5tAB
Does any part of the property lie within a special Flood designation area: _ Y "-1'f'"
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
8-1lASEMENT
WALKOLFr:_Y ~
For Single Family and Two Family dwellings, additions, remode:ls, 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 struc[Ure 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~et~ql!j.Qlhor~~ration of a structure, or any changc. in the use of land or
structures requested by this application will comply with, and c~Mti~s:n~lit:'<.&ll1atu6tolNSSrBLICD;1!I.@Nnd the ~Zomng Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments. adopted under autho~l3/ect te-rol!l1l~ll8/1looIWitfqrrobtF\HMlffil5n\J Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connGit$~lQ'M~' ~a.t'eo~i6~er ccrui}r that the construction WI'll not be
used or occupied until a Certificate of Occupancy has been if)E~ ~~15KWM ~1~UnlE~crvices, Carmel, Indiana.
. 7: CI - RVICES. (' ? - 0 /..
519 ure of Owner or Authorize P nt Date
# Charged Re.
Revlews
OFFICE USE ONLY: ********************************************* *
Filing Fees: '
Base Inspections:
Cert of Occupancy:
INSPECTIONS REQUIRED:
CUpp~r Fo~t~wer Foo~ Under Slab
<""~~
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
P,RJ.F.:
Additional Fees
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