HomeMy WebLinkAbout07030163 Application
~:'~o.,..{< "''''City of Carmel/Clay Township Permit #D~6'3DI0.
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,; :0 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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"0. 00 For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures .
BUILDER of
RECORD:
PHONE
..,
,
2..
STREET ADDRESS
PS-'L .:5:"
CITY
STATE
1.
ZIP
4~o3.
~l\~ T
BEST METHOD OF CONTACT:
v\uJl-\.....
PROPERTY
OWNER:
NAME
PHONE
FAA
- (13 S- "2.
LOCATION
&. PROJECT
INFO:
"I, -(ISO -).3;
CITY
STATE
ZIP
SEWER lmLITY
PROVIDER: U'
NAME OF lmLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL' AND/OR SEPTIC PE IT #'S (IF APPLICABLE):
SECTlON
1
nJ 1-6 03~
ZONING:
ADDRESS OF CONSTRUCTION
3;2..~
SQUARE c '4 I
FOOTAGE, JO t1
ESTIMATED COST OF CONSTRUCTlOft
(EXCLUDING LAND VALUE) f 4 50 I 000
G
'# 07Q30lb?-
',",,,"
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
< {~~'~':.;'0. '<:\\~
TYPE OF 1M T: //(. '/' . ',,,",' '-:~
_j ~ " ,.' \2
Cl'J ~~l':.uct~ 0,(: -' \ /:'. "'-e:'.:\ . ~")
is -;~:~~~-9 c!~p;~~I~~n3- 6::- LiA_.. t;;/ ~~ I')
o REMo6EI~a ~~~ t'e ~:s ' /) 1:/ / '\. v
o ACCESSOR l1<<.::! ~,..~~h l'.c....ing codes will be~ .P;;t~" ..{he cons6\,ction/.
~.-q/",,(,~~"'U;~ /,_,:;:// +
o DETACHED ~ 17 'V;" l><Q ~. I Residential CcX!e wI na Amendments
O ATTACHED "'E ("\ , i": '51. v;.... 101, :', \.\" / /'
:':h ,.<", ~fonf(~}'ilbing Code w/I,,-,"a~a Amendments
o DEMOLITION '. v",. J- in:~I.Famil~onstructlon Code} ~~" ,/ //
I a. c '\~~;v /
Manufactured FO ON TYPE: (Check all' that applY for the new
Y V N Trusses: Y XN constru area) "'-/
- ~, - 0 CRAWLSPACE g POST & BEAM
Lot Split: _ Y Y-=' Sump Pump: ..JL. Y _N 0 SLAB ~ BASEMENT
Does any part of the property lie within a special Flood designation area: / Y _N WALKOllT:1 Y_N
PROJECT INFORMATION:
Early Release
Permit:
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issmince of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding exp~ration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable Jaws of the State of Indiana, and the "'Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of I.e. 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 occupJed-until a Certifica~e of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~ ~ d-z.- 'y/-.1/11 Cj /v1,' '5/'72- '2 /01-
Signature of Owner or Authorized Agent Print..:..../ Date I
OFFICE USE ONLY: ************************************************~~*********************
Filing Fees: '/':73. 60
INSPECTIONS REQUIRED: :3 33 C(1- # Charg' ed Re.
~ Base Inspections: (/
p er' 00 g ~g r"3, "'0 Reviews
~ Cert. of Occupancy: v '. ~
R Site P.R.!.F.: / r.l' I jtJ AddiUonal Fees
~~OTA~~,6 0(/ /0
FeeR~~~
Revie ed/Approved: Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL
(Date)