HomeMy WebLinkAbout06070100 Application
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City of Carmel/Clay Township Permit #: Ofoor'? 0/ IDO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. "&nfe!l'~ Structures, A~~!~~_S, Remodels, &. Accessory Structures
BUILDER of NAME nnon InshoW'HONE i) 1\') 11 . ,., ~''''-"-F:''l<'':~:c-,_~
RECORD: Ii / ) r" ,-, f:;-::::-J
STREET ADDRESS ; "')< I STATE';Zlf ! il'
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PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
& PROJECT
INFO:
lOT #
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CITY
STATE
ZIP
SUBDIVISION NAME
( i I
WATER UTILITY /7 Il u YV-> A ;J (;) \;1
PROVIDER: LW-U I ~
ZONING: 0 - .1
SQUARE if /L -
FOOTAGE: I. \? SJ
E A COST OF CONSTRUCTlON:Jj J 3 0 ,3 S' LL
(EXCLUDING LAND VALUE) I' I
Wdl M{!O-UlLh/Y7
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_v Y _N construction area)
Trusses: ,....
v 0 CRAWLSPACE
Lot Split: _Y LN Sump Pump: ...6....Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y -AN
SEWER UTILITY
PROVIDER:
o R
SINGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y LN
TYPE OF IMPROVEMENT:
ri NEW STRUCTURE
i5 ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
o
~
POST & BEAM
BASEMENT ~
WALKOUT:_ Y-.C:::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 completcd (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 with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -1993'" (Z~ 289) and amendments, adopted under authority of r.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 connected to the sanitary sewer. I further certify that the construction will not be
use or occupied until Cenifjcate,ofOccupancyhas been issued by the Department of Community Services, Carmel, Indiana.
d'll/JA./AlOIt! /lrNJI--/4/AI 1-/4-{)u
OFFICEUSEONLY:**************************~*******************~**~~*~~***************
Filing Fees: ~ r;~ J U
~ECTIONS REQUIRED: -. 14. <--I)
~ /' "_~ Base Inspections: =' _ L- ;, (..
'-- Upper F. lower F~ Under Slab _
Cert. of Occupancy: .J 3. s-o
c"""'~"~" cg.re ppc ~. ,00 ;-~ G~~ i -~""-
te~ ~'~c.t~~5~'-O
Fee Received by:
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Date
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