HomeMy WebLinkAbout04120019 Application
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City of Carmel! Clay Township \.0 \ OP 92Sc~~7~ .. er~it~
RESIDENTIAL IMPROVEMEN~8~i."tION E T APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME '4\
RECORD:
PHONh,
C}-llo-8Q10'd
FAXCjL\lo_ LjdCi-'-I
STREET ADDRESS
qWS ~. ?\''v-e-\ Q..d
CfTY
T
I:::,
STATE
"I,---.
ZIP
'-\LadSG
BUILDER'S EMAIL ADDRESS
l"0en lord @.. r
'I\-y-....
BEST METHOD OF CONTACT:
<2nu!\
PROPERTY
OWNER:
NAME
~.
PHONE
LD - &C1 L.z'd-
FAX
8}-H..o - q~o.L\-
TYPE OF CONSTRUCTION:
czs...... SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y ~N
_Y~N
CITY
I
STATE
In
ZIP
~lC2
LOCATION
&. PROJECT
INFO:
LOT #
\
SECTION
~
I
50
ZONING: s-- \
SQUARE L\' \<q
FOOTAGE: .'--\ l.Q
ESTIMATED COST OF CON~)L.CTION:
(EXCLUDING LAND VALUE)". d L\ I ,8:)0
~ 8 -\ ~u "',lor
HIPPLUMBING CONTRACTOR:
? /0-\ \ G('O..,-\
Plumber's Indiana State License #:
~""
Manufactured
Trusses:
ST & BEAM
BASEMENT
WALKOUT:_Y~N
For Single Family and Two Family dwellings. additions. remodels, and/or accessory struc
within 180 days of the date of issuance of the building permit, and must be completed (Cere:
issuance date. Class I structure permits are subject to the General Administrative Rules of the Stat
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, rdocation, or alteration of a struc~re, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmd
Indiana -1993" (Z~289) and amendments, adopted under authority of l.c. 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
use or occupied until a Certi/icate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
-TO(\j \'A- GrllC'Q.
Print
valid only if construction commences
pancy issued) within 18 months of the
lana (See 675 lAC 12) regarding expiration
I'd- 3~0--I
Oate
OFFICEUSEONLY:************************************************~**********************
Filing Fees: <g I -~. (8()
INSPECTIONS REQUIRED: . '1 I . nO # Ch ed R
.~"-::'-:~.;l Base Inspections: ^' 4'._ D _ arg e-
'. ,~er F~y U ,"-1"1 . tJ 0 ReVIews
Cert, of Occupancy: ,2lL _ _
~ter B.aase Final A:'" 00
l. .... -"" . P,R,LF,: U /dOditiOnal Fees /
~J~-/' '. /(PJJ. ~ V
~ ~Led/ApprOved: iJePt of Community Services (Date)
Il. ~1t'IFonn"ILP RESlDENT1AI.