HomeMy WebLinkAbout06060228 Application
City of Carmel/Clay Township vJ -~ Permit #: OLl 0 '-tD ~(
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
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VL Lt-,~
PHONE
In-77~.!)rsS~
STREET ADiJ't13 LJ;s
BUILDER'S EMAIL ADDRESS
CITY
STAT
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BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME
E-/JG RHClJVtSIPOP.;, H
PHONE
$?'fLf:-
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c~
FAX
LOCATION
& PROJECT
INFO:
STREET ADDRESS
s<i><o SH':>N&
LOT # SUBDIVISION NAME
\1 Vv (.1r<. ;c.,
tlr
ZIP
't;- 5'3 7--
SEmON
ZONING:
SEWER UTILITY
PROVIDER:
.Pb 1tJt:
WATER UTILITY
PROVIDER:
~
SQUARE ().
FOOTAGE' \"1
ESTIMATED COST OF CONSTRumoN'32 2 7_a.
(EXCLUDING LAND VALUE) ~r.1
ADDRESS OF CONSTRUcnON
NAME OF lITlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMEN1Svb(~~UMBl:NG, C~TRACTOR:
o SINGLE FAMILY 0- NEWSTRUCTUR~ '1ec't.~E:D~bjV.
o TOWN HOME 0 ROOM ADDI~!'I(~.,. Of ~mliana State License #:
o TWO FAMILY 10 <1t. <11) vU,y
# of units: 0 PORCH ADD ,;::-~e <11) Ce k<' S.,.",
o REMODEL ';::- C 0 'II, B ~~
o MULTI-FAMILY 0 ACCESSORY BUILDING ~"'~'C I~o"~ ~'t"ll " to the construction:
O # of Units: 0 DETACHED GARAGE f.u9'lIi''Y(~.Rl?'~en~~ e w/lndiana Amendments
RESIDENTIAL (For 0 ATTACHED GARAGE '/)/_~'I o::,'f::'''~ '
Additions, Remodeis, Etc,) 0 'lXI\l; Itl.~ w/lnd.ana Amendments
DEMOL~T~ON ~} (Mut~miIY . e)
PROJECT INFORMATION: S b-Iz::;-v:'\ ~ ~ SlY
'fl Manufactured /l1'1i. v ()Jv~ OUND~TION TYPE: (~Ck all that apply for the new
Early Release Y N T ...,0"y \ construct.on area) ~
Permit: russes: i ..1
- e - - 0 CRAWLSPACE POST & BEAM ,
Lot Split: _Y Sump Pump: _Y ~N 0 SLAB 'BASEMENT
Does any part of the P perty lie within a special Flood designation area: _ Y _N WALKOUT:_ Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO 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 will comply \vith, 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 l.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 connecred to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana,
CD & IUZ., C L- D rP G 0J lJ&'-r-( f/
6,.-2%-46.
Print
Date
OFFICE USE ONLY: ** ******************* *********** ******** *********:53""'f!t::'JI'**?'*.*"?'*"'r*":.. *-*M_.
Filing Fees: I /.JtJ/ ~I 2.J.-/lSr-
INSPECTIONS REQUIRED:
Base Inspections: # Cha~ged Re-
Reviews
Cert, of Occupancy:
Rough.l!1
!iJ~ ~ MY
Lower Footing Under Slab
Meter Base Final ~
Upper Footing
Reviewed/Approved: Dept. of Community Services (Date)
S:Perm;ts}FormsfllP RES1DENTIAL