HomeMy WebLinkAbout06060241 Application
\ CityofCarme//Clay Township (}J.G. ~ permit#06{%Oc:z'f1
\RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
)/
BEST METHOD OF CONTACT":
C . ~~'A",-;I
PHONE
FAX
STATE
ZIP
CITY
SUBDIVISION NAME(~-
SECTlOy
ZONING:y --j
SQUARE
FOOTAGE: II J';>O
ADDRESS OF CONSTRUCTION
L
iNIAJ01<-e
.5~j.. f1t 0
SEWER UTILITY C WATER UTILITY /: .
PROVIOER: T;ew...t) PROVIOER: C 6!,cf"l e./
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TY~ONSTRUCTION:
INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o-NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release ./ ManufactuJ.$~ FOUNDATION TYPE: (Check all that apply for the new
.../ - ~l.Jb ,'/::" construction area)
Permit: _ Y _N Trusses: ~ -"'W--~
_ /. ..lil. r: Of:? ~ 2'l'WLSPACE 0 EOST & BEAM
Lot Split: _Y ~N Sump PU''a''t,o !:0JI-S~i~r/ C~1-~.B ~BASEMENT
Does any part of the property lie Withi.QP1Je . ~ ~1Ii!ijl ()tldW~r tl WAI,KOW: ~,- Y ~
For Single Family and Two Family dwellings, additions, re~1"9 ~ ,,~y~\ - ~k~~~\. rpiTt)s~~d~~y;if ~6I1S~~c'tion commences
within 180 days of the date of issuance of the building permit, an .. t~~9h{pt€ e;f[i~~:Q~tlplncy-.~ued) -Witlii!~ ~18 ~onths of the
issuance date. Class I structure permits are subject to the General ~msth\~~ e ~\ i ahfof Indiana (See 675 lAC 12) rfgar.cpng expiration
time frames for beginnin~~.2Pmple i@..s_n'f\f\\\\)<
I, the undersigned, agree that any construction, reconstruction, enlargement, relochtion, or aIt ~ .struc;t\tU<Noran~haQ~n th&L~se_'ofJand or
structures requested by this application will comply with, and conform to, all applicable lavis of the . ~ " f Inctla'i;a, and the UZoning O~c~ of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, General Asserp2IY:Q(the State .o!..b.Lcli,ana,...and-all-Atrs amepdatory
thereto I further certIfy that only kltchen bath and floor drams are connected to the samtary se'\ver I furtherccrtify that the construction WIll not be
used ur occu d unul a C" iheate of Oeeup;ney has been Issued by th/jartment. of commtmty serv]~:_S..:.~U!lc!<ana._-----:---'
;X {IC l {. ;to c IE:---- t - z <J-tJ~'
SI re of OWner or A:uthorlze Print Date
OFFICEUSEONLY:*************************************************:~********************
Filing Fees: J~ dO
SPECTIONS REQUIRED: --)(}
Base Inspections: 0< 77 5' # Charged Re-
U r Slab r ReViews
Cert. of Occupancy: J 3 5"0
P.R.I.F.:_ /.-02 C,j {J 0 Additional Fees
~L~O~
Site
(Date)
Reviewed/Approved: Dept. of Community Services
S:PermitsjForms/IlP RESIDENTIAL
Fee Received by:
./
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