HomeMy WebLinkAbout06090061 Application
'City of Carmel/Clay Township Permit #:0 &()q 00 Lt I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICXTION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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FAX
BUILDER of
RECORD:
em
FiShe1l!S
STATE
IN
ZIP
0/'~0:37
_ CoIl-1
BEST METHOD OF CONTACT: ..
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BUILDER'S EMAIL ADDRESS
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PROPERTY
OWNER:
NAME
7 O~D ~c..ken<
STREET ADDRESS \ '
/ 0/''177 B~DttJ ~.f'.~j~ De.
PHONE
317-SoG.-S4Z!
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FAX
'5'7-~77- '280
STATE
:P-/
ZIP
t.!t,ot/O
ZONING: 5-.::1-
SQUARE {, /1'7
FOOTAGE: ~ J 3 _
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISION NAME
A-oo v~ ko4+
olUJ ~
SEmON
/
TYPE OF CONSTRUCTION:
MJ SINGLE FAMILY
/0 TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
)!? NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
.0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
1J..I
I./(,O~3
ADDRESS OF CONSTRUCTlON
/2..001
ESTIMATED COST OF CONSTRUCTION:
(EXCLUOING LANO VALUE) $I sa Ct:lO! 00
SEWERlJTlLm D I, ,"r---.
PROVIDER: G --r JC-W V
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
tu,i/f
PROJECT INFORMATION:
Early Release vi Manufactured ~
Permit: Y ~N Trusses: Y .,L'LN
( '0, Xl 0 CRAWLSPACE 0 POST & BEAM
Lot Split: - ~rn Cd~R'r1etl~Y _N 0 SLAB )lfJ BASEMENT
Doesan\lRE ~fffi~8m , ~~11'IIit~i:'l lifi~!lood designation area: _Y A2N WALKOUT:_yLN
For Single Family aah ~WJEI<~ ijQJeft!Jg~~tions, remodels, and/or accessory structures, this permit is valid only if construction commences
within l'lF!~~~ <e@#1iMt~n'qfqf'1hOO~it, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance.W\1+... }:1a..s.s..1 ~A~r Eiie ~~ ~bjerhWr~lW..Qg~6al.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
\.Ill Y Ur \...J tl~rrVa~~tdibcgmmng and completmg constructIOn.
I, the unaersigned, agree th ~APtAm, recohstruction, 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 Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of LC. 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 se\ver. I further certify that the construction will not be
used occupied til a Certificate of Occupanc has been issued by the Department of Community Services, Carmel, Indiana.
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Print Date
OFFICEUSEONLY:***********************************************~************************
t- Filing Fees: IOu a' . 'ill
INSPECTIONS RE UIRED: ~. / . 771'-ftJ
- ~- q IOBase Inspections: /'-' I' ,,," # Charged Re-
Lowe.LEooti,ng er Slab L" ~ ~ ReViews
Cert, of Occupancy: 'V ~. --..J 0
o
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Site
Additional Fees
.r
Fee Received by: