HomeMy WebLinkAbout06120086 Application
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y of Carmel/Clay Township Permit #:~I :l.&J/(l,.-
.ESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
/or Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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NAME:
'{D:
STREET ADDRB
V2J:
NAME:
R.OPERTY
DWNER:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
lOT #:
PHONE:
FAX:
y 1.- Yzz
r(-<(2(JO
STATE:
ZIP:
l 6 ZI tJ
BEST METHOO OF CONTACT:
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FAX:
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PHONE:
CITY:
STATE:
ZIP:
SECTION:
deL
ZONING:
17
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SQUARE
FOOTAGE: FJ ~
fA
SEWER unUTY
PROVIDER:
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L Ci<-/'>'l. <
9 li()
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LT/! VJt)
NAME OF unUTY EXCAVATION CONTRACTOR; PU>.N COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOO ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: //~\
TYPE OF CONSTRUCTION:/(\-:-(~\TYPE OF IMPROVEMENT:
- .L: /" \':./'\'\- \\\
Il.Y'SINGLE FAMIL Y;:( \\ "::'i ./ \ av.NEW STRUCTURE
o TOWN HO~E.-(\;",\~/' '0\ R,I?QM ADDITION(S)
o TWO FAMILY-j' .~ <\~ O\\PORCH ADDITION(S)
#o{WiitS'b~iiig "Gl" c:i~DeCK'ADDITION(S)
C'ccinstrUctedatthis'),. \ 0 REMODEL
\~~e:\\ tv / ---::::,Sasement Finish only
o RESI.DE~L (1'9 / O/ACCESSORY BUILDING
Addition~;,!te,models. Etc/1') DETACHED GARAGE
\\~ ~\// 0 ATTACHED GARAGE
PROJECT I~FORMATION: 0 DEMOLITION
Earty Release \ /' Manufactured
Permit: ~y _N Trusses:
Lot Split:
_Y_N
Sump Pump:
~_N
L~=-N
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING U>.ND VALUE)
"'('JLI1r. r-
/1)- ,-
Which p:lumbing codes will be applied to the constructio~_
~emational Residential Code wI Indiana Amend
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) I
o CRAWLSPACE 0 POST & BEAM, PIER
Q/SU>.B I9""BASEMENT (WALKOUT:_Y ~
For Single Family and Two Family dwellings, additions, re ~ ~?.r accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and m :f,.ol"l'i\ij.~ACertificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Ru W"6't~ st~ }if,kt~ana (See 675 lAC 12) regarding expiration time frames for beginning and
/)f:o- cPll'g,~ coftSli;b!,,<on.
I, the undersigned, agree that any construction, recons~ft:;~i<<e&t,IF):JB.~ or'm~~ of a structure, or any change in the use of land or structures
requested by this application will comply with, and conmlfJit~~ap~).e..TJ(iJ~t.bel.Sth~A.tY~it~J:d the ~Zoning Ordinance of Carmel Indiana - 1993n (2-
289) and amendments, adopted under authority of I.c. 36-7 et se~ l.irsi~M ~ctaWOfJnd)~^,,@l;'hll Acts amendatory thereto. 1 further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I ~J.KlY~ru{~h~~ used or occupied until a Certificate of
Occupancy has been issu by the Department of Community Services, ,I (:iU...'l'y O'eS CifJO~J
-;::; C. S' 's /2-2--1-,16
Date
# Charged Re-
ReVIews
Cert. of Occupancy:
P.R.I.F.:
/'
Rough Final Site
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Reviewed/Approved: Dept. of Community Services (Date)
S:PermIts/Forms{IlP RESIDENTIAL
Fee Received by:
Additional Fees
~/ ?, 50
Date