HomeMy WebLinkAbout07010041 Application
City of Carmel/Clay Township Permit #:t?;::'O / C!'O"//
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
FAX:
~ 67:. -~/'I-
)
PROPERTY
OWNER:
FAX:
ZIP:
LOCATION
&. PROJECT
INFO:
QUARE
FOOTAGE:6sL'g'5
ESTIMATED COST OF CONSTRUeJON,:
LAND VALUE) cP
TYPE OF ONSTRUCTION:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.1
. 'I -.--..."
CTOR: i ! ;r---
~;i:-< f I!; !;,'
( ,I, 1/:
u ber's Indiana tate Lice" e, It: ; i j I
PORCH AODmON(S) ./? I 0'/"\"'" A j' :;.. II Vi. : U'I'
DECK ADDmON(S) C-r::.. _ bL~L/ _I (;!.I I, II' I
REMODEL " .-- j~ I
B F' 'h I Which plumbing codes will be applied to the construction: I
_ asement InIS 0" v ~ L
o ACCESSORY BUILDI'" ...... , 'lRtemational Residential coaew/Indlana Amendmen~
o DETACHED GARAG'. 0 U 'f PI b' C d II d' A d ts
o ATTACHED GARAG'- nl arm urn 1n9 0 e w n lana men men
PROJECT INFORMATION: 0 DEMOUTION "-) FOUNDATION TY : (Ch c all th t aR IY~i ?'1:9~ 7';
Early Release ~ M~.ufactured ~ construction area) ~~
Permit: _Y ~ ~f5!lS'::D Y N 0 CRAWLS ACE POST&_B M_PIER
Lot Split: _Y ~ ~YIJ'BbrnFi, N 0 SLAB~ASEMENT(WALKOUT:_y---Q:b
For Single Family and Two Family dw ~. 'Q~s~fanJi'dPa<$fM2fX.~gtJ.~ ~ this permit is valid only if construction commences within 180
days of the date of issuance of the ~ , arGl'tiWlsR ~~ cbfnpRiI@6Ci.if~ld.Qscupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to theG~Aefa1 ' ~~fft.ufekMihriutef..{ff'fRdiana(5e~67S lAC 12) regarding expiration time frames for beginning and
qrl/VI~L /,..qP'>J\.I[~.'on.
I, the undersigned, agree that any construction, reconstructOOA1I~Ye~~'o , , ion of a structure, or any change in the use of land or structures
requested by this application will comply with, and confonn.td!~H~~~ble )aJ.M ;jpdiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z'
289) and amendments, adopted under authority of I.C. 36,7 et seq, GeneGl Assembly of the /JP Indiana, and all Acts amendatory thereto, I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be used or occupied until a Certificate of
l:c pancyhas been issued by the Department of Community seIVly;;.' , et, Indiana.
, . _.,I(l.(JS+~(J .Ln() U /~, } /4-/o/>
gnature of 0 er or Authorized Agent Pr t ,. l . Date
TYPE OF IMPROVEMENT:
i\:r'NEw STRUCTURE
[f' ROOM ADDITION(S)
o
o
o
.-
NAME OF UTILITY EXCAV TION CO CTOR; PLAN COMMISSION / BZA / BPW DOCKET
DUNn WELL AND/OR SEPTIC PERMIT "5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
# Charged Re'
Reviews
P.R.LF.:
Additional Fees
Date