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HomeMy WebLinkAbout06060232 Application City of Carmel/Clay Township Permit #:C:bDb023::L RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures BUILDER of RECORD: PROPERTY OWNER: LOCATION lk PROJECT INFO: SEWER LJTILITYC PROVIDER: -r1!I.J NAME c .~ Au> re/"lte t.- > h I ..:I:nc. STREET ADDRESS r-' --;-") /133<t tJedh"lrL n.v-i(.kk. BUlL ER'S EMAIl ADDRESS A,))I"~/\t.e.recl(.et NAMr;") . rt\ll Q....I.llen b.l'\oo ,un\.. PHO~ ~. lJ "t/:' .. ,,~DI FAX <n,- OJ./'~ STREET ADDRESS E f .;2..1:l2. . Ii)l, l s~. lOT # SUBDIVISION NAME iii CITY STATE I..I.... ZIP. I. 1 I..J1,l""+ ADD~S OF CON~RUCTlON l " .,L.1;2.:2.. L. I bt. ~ Vi L0\>H.(.~_jr/... BEST METHOD OF CONTACT: FAX CITY lI.r f\\el STATE Ir\ ZIP Ul.o :;:L. SECTION ZONING: tAI'I'>\~l ,..r..r-. SQUARE FOOTAGE: ?'5{o WATER UTILITY PROVIDER: ..I. WL lower Footing Under Slab ESTIMATED COST OF CONSTRUcnON..t'": (EXCLUDING LAND VALUE) ;.JD! ()1)V. LIi) NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "5 (IF APPLICABLE): TYPE OF CONSTRUCTION: (rfJ.,IlTYPE OF IMPROVEMENT: o SINGLE FAMIL Y g.,.tJ~ - t:.. 0 EW STRUCTURE o TOWN HOME ~\ ..J ROO ITION o TWO FAMILY PORCH ADDITION(S) # of units: "i,. 0 REMODEL o MULTI-FAMILY ., j P ACCESSORY BUILDING M # of Units: cfIJ leb" 0 DETACHED GARAGE 'f" RESIDENTIAL (For 0 ATTACHED GARAGE Additions, Remodels, Etc.) 0 DEMOLITION PROJECT INFORMATION: Early Release Manufactured FOUNDATION TYPE: Permit: Y XJN Trusses: _Y ~N const~uction area) . - X X t>( CRAWLSPACE lotSpht: _Y _N Sump Pump: _Y _N 0 SLAB Does any part of the property lie within a special Flood designation area: _Y ~N Which plumbing codes wi o International Resid (Check all that apply for the new o POST & BEAM o BASEMENT WALKOUT:_y-'xN For Single Fami~~~~l~.~ .iPi-. ;~<ld.cliti9ns. remodels. and/or accessory structures, this permit is valid only if construction commences within ISO day Ftn~~stiJr.S:;fowJw!N.S1ilillPS1GN must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. C "MktQrGtp~lia~t$.. ~ '" ,tati ~9.fre~ministrativc Rules of the State of Incliana (See 67NltC egarcling expiration . .' of State and LJ!l~ffle-ffiJs: for beginning and compHe . 'DmII2 I,theunderSlgne~~F!-~l(f\~INS{-wn\rf'TQ9S~WPle.w~ment,relocatlo rat, ' seoflanclor structures requc:rt t;liis ael?l1~~v~~h'tpl~ tvi~,~JWl'l~~o, all applicable ' - a ,an t e ~Zoning Ordinance of Carmel Indiana -19 3" ~ ,8 ~f'a~~ladp~elf~f..Hp36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. l,f ther certify that onlykitchf~rlj\d floor ctra-ins art connected to the sanitary sewer. I further certify that the construction will not be usC1~ ;;:nt=~:~YTh'Ni}Jilli} has been issued bY~ 1~~:T~: ~::::itY SetVices. Carmel. Indiana. ll~ lot Signature 0 Owner or Authorized Agent Print Date OFFICE USE ONLY: ** ******************* *** ********* ******* ********T********************* Filing Fees: Jr.: . 2.-~ INSPECTIONS REQUIRED: '...-; Base Inspections: / G t::. ~ 0 # Charged Re- / ReViews Upper Footing ),5_ SO Meter Base B Site P.R.i.F.: Cert. of Occupancy: Q vo...; ~ Ij/s: Q..,/' 7-6- Ob Reviewed/Apploved: Dept. of Community Services (Date) S;Permits/FormS/IlP RESIDENTIAL TOTAL: ~ t1 ;'.L.AlL Fee Received bv: Additional Fees !ff3g.Jj 22- ~ gP:J../rJf,