HomeMy WebLinkAbout06090067 Application
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City of Carmel/Clay Township Permit #: O{#f)9~&1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPL TIO
For Single Family, Town Home, l!r. Two Family: New Structures, Additions, Remodels, l!r. Ac
BUILDER
Of
RECORD:
PROPERTY
OWNER:
LOCATION
l!r. PROJECT
INfO:
NAME:
0<<.117
STREET ADDRESS:
PHONE:
\.
CITY:
BUILDER'S EMAIL ADDRESS:
\.
NAME:
LOT #:
Tr
,
CITY: -
.J/.
SUBDIVISION NAME:
SECTION:
ZONING:
ADDRESS OF CONSTRUCTION:
"SA#1.iZ ItS 8~cJE-
SQUARE
FOOTAGE: c1 / 60
SEWER UTILITY
PROVIDER: CLA wl/5r~
WATER mUTY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
"30 DTf)
v&t.-
NAME OF UTILITY EXCAVATION CONTRAITOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S).L /.
FOR THIS PROPERTY: '/I/-K.-
C/;t1SlJqo/tti
TAX MAP PARCEL #:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y X-N
_Y+N
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
o NEW STRUCTURE L E ISLEY f'JL-Um"g/!,/&
o ROOM ADDITION(S) Plumber's Indiana State License #:
o PORCH ADDmON(S) 0 / ' /
o DECKADDmON(S) () /OOcY 0"",
o REM~~:;me';~D F~h~,I~~ef1t5~PHed to the construction: .
o ACCESSORY Il!lJIIQ!!lll'to com,m'rfB~'W1~I!\.~al..Re~l!fintial Code w/Indiana Amendments
a DETACHED GAU~~ . ,:JM. ~ . re!!u a Ions. I
o ATTACHED GARAGE of Slatr, ~cMDifg~l.ng Code w/Ind,ana Amendments I
o DEMOLITION DEPT OF COM~dAA!;iTIiifilW~~heck all that apply for the new
Manufactured '~TY OF CARMEdooistOOAllhlliWNSHIP I
Trusses: Y _N INDIA~ CRAWLSPACE 0 POST & BEAM _PIER
_y)iN Ii'I SLAB
\
Sump Pump:
o BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of ~e State of Indiana (See 675 lAC 12) regarding expiration time frames for beginnlfg 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 applica S 0 the of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of LC. 36'7 et seq, Ge a Assembly of the Stat of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer further certify that the con truction will not be used or occupied until a Certificate of
Occupancy- has been issued by the Department of Conunu' Services, Carmel, Indiana.
9//'/~b
Date
OFFICE USE ONLY: ****************
Upper Footing Lower Footing
jO
# Charged Re-
ReViews
~
--- '7
,
Additional Fees
.75 3~ ")0
/0
'oved: Dept. of Community Services (Date)
~ RESIDENTIAL