HomeMy WebLinkAbout06100050 Application
I
City of Carmel/Clay Township Permit#: !J& jOQOSO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
EM,4-1 L
PROPERTY
OWNER:
311-7D5-Z~
qJ3}
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
9-109
LOT # 7 SUBDMSIQN NAME
ADDRESS OF CONSTRUCTION
SECTION
ZONING:
SQUARE
FOOTAGE:
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
~ MULTI-FAMILY) I
# of Units:----=:!..--
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
l1Q NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured FOUNDATION TYPE: (Check all that apply for the new
V V construction area)
_Y..,LLN Trusses: ~Y_N
X V 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y ~N ~ SLAB
Does any part of the property lie within a special Flood designation area: _ Y XN
PROJECT INFORMATION:
Early Release
Permit:
o POST & BEAM
o BASEMENT
WALKOU1.'~~Y~N
_.--- .. ~- ..' ,,< ., . . '
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, ~ PerfmtJs\~d cf~lfif,cons~fuction comrnencf7S
within 180 days of the date of issuance of the building pennit, and must be com:el~ted (Certificate of O~P,~r!CY.iSStied)\vithin'I8 mOIlthS, o! t~~'~
issuance date. Class I sttUctUre ~~t!t.o~ 1@9NSi,fi\OO'ftlGll\l1les of the State of Indiima (See 675 lAC 12) regarding expitafipn
Subject to ~k~~IIDi'1!l~<lla~ting consttUction. \ l"" Z I . ~nnh. \ : i ';
I, the undersigned, agree that any consttuctio>>> f:em!stru~HOPM ~5:.lfelocation, or alteration of a struc~.', f~,qi; any ~e in th} use oHand~. f(
strucrures requested by this application vvill d9ln);J tH,I.lli~b t6, plicable laws of the State of lnd!#a,:~d the "Zo.ning Ordinance of C~el
Indiana - 1993" (Z-289) and amend9!mRTd@l"d ~iIlY.cSli- l{QJf;S,eral Assembly of the Stase of 'ndian~"!'.d aJl Acts amendatory
thereto. I further cert.:ify that onl~lr.aJ!cf::!lmttW~~ ~~,(:qJ!'thc.-~ sewer I funher ~ertify tluiftlie construction will not be
us r p,' u a ertiIMUorotJUPi1,'CY~'{;tffl~~1\l1:~~y~;~mumtYsetviL.~~~a:'_~V51Dip"
~~ ~ I
EONLY:*********************************************~)***~********************
Filing Fees: I~:> /.... ()O
INSPECTIONS RE. QUI RED: . '6. - 'r) ,() ;'r; # Ch 'ed R _
.r --::----. Base Inspections: . "U 0 ,,'v arg, e
~er Footinv Lower Footing nder Slab '7/ L / 00 ReViews
Cert, of Occupancy: <::>" 'L
.~ ~a~ P.R.J.F.: -.5 t1) LjLf tJo
'13/5. dO
Of
/Q '/0 C9{p
Additional Fees
ity Services
(Date)