HomeMy WebLinkAbout06100024 Application
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City of Carmell Clay Township Permit #: Of, / () () 0:2.. '-I-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
I
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TYPE OF CONSTRUcnON:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
~ STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
Basement Fini....
o ACCESSORY BUI'
o DETACHED GARi
o ATTACHED GARi
o DEMOLmON
PROJECT INFORMATION: FOUNDATION TYPE: (Check all that apply for the new
Early Release ~ Manufactured /::\ construction area) 0\\ UY'\\\YlI'&heCl ~ t
Permit: _Y ---1.d!) Trusses: ~N 0 CRAWLSPACE 0 POST & BEAM _PIER
Lot Split: EA~O~uCO~ST:RU~N 0 SLAB MENT (WALKOUT:_Y~
For Single Famil~~~ PilnGlyra~iwi.~~Ndtiibi1J! ;~~,l~I' accessory structures, this pennit is valid only if construction commences within ISO
days of the date of issuanCQPt3~l~~lpeI:wjt.~ be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permitt~e()~ rteTOff.t~6~S~~ St.ate of Indian~ (See 675 lAC 12) regarding expiration time frames for beginning and
~ ' , > c letlng construction.
I. the undersi~l"iVe@:Jf ~~rt ,€~rpcqr~ W f?relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application wiTI comply ,,"'lifl.1; ~ fRnform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z-
289) and amendments, adopted under a~ ~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 sewer. I further certify that the construction will not be used or occupied until a Certilicate of
Occupancy has been issued Department of Commu~ty seCVly"ces Carmel, Indiana . /
_ Yl I (1,J! ~/12I.J.->tn () '.n ( J 0 l....j Me,
P: t Date , , 1
FAX:
576-;;(3
BUILDER
OF
RECORD:
PROPERTY
OWNER:
CITY:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
SECTION:
ZONING:
S
SEWER
PROVIDE
I .xES.OO
41= O~/(jOO~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGljATION(S)
FOR THIS PROPERTY: tt r---.
OFFICE USE ONLY: ******************************~~******~***********............if I/.......~~:t**************
INSPECTIONS REQUIRED: FIling Fees. . '.-JlJ.I
U -.......n F t" '- U d SI b Base Inspections: ;;2 '17 ~o
pper ow...", wer 00 mg n er a
;.fa! Site) Cert, of Occupancy: S3. ') (J
FL/ ()O.
(>_~;Ct 111~/ /CJ-'J(J-Gf.
Reviewed/Approved: Dept. of Community Services (Dale)
S;Permits/FormS/llP RESIDENTIAL
# Charged Re-
ReViews
Additional Fees
Fee Rece!ved by: