HomeMy WebLinkAbout06080165 Application
,-
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
.~~"q~ tJJJUTY
PROVIDER:
City of Carmel/Clay Township Permit #: ()lPJYYllk-.5'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
ADDRESS OF CONSTRUCTION:
(p
SQUARE ~ I'
FOOTAGE: .;:) f&;> 0
4IPtJ 3?-
Or.
lAJ
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 27 C? \J(), ~
NAME OF UTILITY EXCAVATI N CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
Fl:99S zeu[ AReA B[SICtJA-TION(S)
FOR THIS PROPERTY:
e.."
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
./ time:
Jf{, RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
~ pDn"u:rT INfQRNATION: ~
Early Release ~ Manufactured X
Permit: _Y N Trusses: _Y _N RAWLSPACE 0 POST&_BEAM_PIER
Lot Split: _Y N Sump Pum : STRU~ 0 BASEMENT (WALKOUT: Y N)
For Single Family and T5~~fJb+dtim~~d.dit1~iMinaJielP,QM1;bVqn~ssory structures, this pennit is valid only if construction commences wit'bin 180
days of the date of issuance'~r~~~,~OOW:6Cbi(t:8mPleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to tl}~G~iN . . t.H~ R\tles.~V~&f Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
DEPTOF C I'll I Y ;:,t:ld~21f~g,flll"truction-
I, the undersigned, agre;.t~ap:t'\~~tjq"Kft~s/r@t!5A '(nlfGWrN tDlDlltron, or alteration of a structure, or any change in the use of land or structures
requested by this applic~rl will'e6lnpl1W\tJt: ah'a co~(oQV ~o, all applicable laws of the State of Indjana, and the ~Zoning Ordinance of Cannel Indiana - 1993n (Z~
289) and amendments, adopted under auth9rity bl\J.B~Nt\:eq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor .ns aren e 0 the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
cupancy has be n ue by t e De tIn nt of Conununity services'{armel, Indiana. .
---.l ~ CS1"O \.. C) .'
Print ~
~s.~
If>1 ij--Qb
Date
NLY.*********************************************************************************
. F-i' F / ;3'3, "10
INSPECTIONS REQUIRED: ling ees: '
Base Inspections; / / /. cJ (/
. {~3_" cJ
Cert. of Occupancy: 'J _ J
# Charged Re-
Reviews
Upper Footing Lower Footing Under Slab
~gh~eter Base @ Site
~~OTAL: ,,1c2fJ (j()
/~d~
Fee Received by:
Additional Fees
Clrt\..;
Reviewed/Appro ed: Dept. of Community Services
S;Perm!tsjFormsfILP RESIDENTIAL
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(Date)
Date