HomeMy WebLinkAbout07100061 ApplicationCity of Carmel/Clay Township Permit #: cxo I
y RESIDENTIAL IlvIPROVEMENT LOCATION PERMIT APPLICATION
Nonrtaa.% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF PHONE: FAX:
( L-'FE I YIES S7 S Z3_ X aOb
RECORD: STREET ADDRESS: QTY:
q ( M WEL I.0 //-,,1 Sr STATE:
C P_Pka i iJ ZIP:
46032-
B ILDER'S EMAIL ADDRESS:
ENE' SHE ULVP; BEST METHOD OF CONTACT:
?_ TT) EmA(L
PROPERTY NAME: PHONE: FAX:
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION
& PROJECT LOT #: S?U-BBDIII ON NAME'
TP?F
?q c' " "' UPEFK
?
E SECTION:
I? ZONING: 3 1
+
INFO:
ADDRE i O TSTRUCnON:
. t
-I
S
?, \S?n I \ l 1
'a-{t '•-11' N 1 t' L' , (?
?J ?
SQUARE
SQUARE
•?/1 I
FOOTAGE:
2 / 1
SIEWER
PROVIDER LITY C1""`?L UTILITY
PROD ER: / /1.Q I.??
'
f
/B (EESTIMATED COST OF XCLUDING LAND VALOE'STRUCRON: _
BPW
DOCKET
/
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION j BZA
OR COUNTY WELL AND10R SEPTIC PERMIT x'S (IF APPLICABLE):
AND
BE
TAC
TE
S
NUM
RS;
DA
( );
J
FLOOD ZONE AREA DESIGNATION(S) tf l n ?O-7 I CQ00
FOR THIS PROPERTY: X TAX MAP PARCEL P:
f -to - 2
2
- O
-
ha _ -
-
n
TYPE OF CONSTRUCTION:
Co,-SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL(For
Additions. Remodels, Etc.)
Lot Split _Y t_ TYPE OF IMBR FOR
PROIECrINFORMATION:
Early Release
Permit: _Y N
?.Je EW ;TRUCTU pl
ROOS _ _ d
C-3
O r PnR O DODELF ""6))?
Basement FinisFj only9i
O ACCESSORY BUILDP'
DETACHED GARAG
? ATTACHED GARA(
O DEMOLITION
Manufactured (/
Trusses: Y_ N
Sump Pump: l%S_N
V Q? v
rch'bTdd§?aAes will be applied to th nstructi
enal.?esidential Code w/In ent
O Uniform Plumbing ll Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE?? O POST & _ BEAM -PIER
O SLAB GYBASEMENT(WALKOUT: Y N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuancedate. Class l
structure permits are subject to the General Administrative Rules of the State of Indiana (See 6751.AC 12) regarding expiration 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 Lithe use of laid or structures
requested by this application.vill comply with, and conform to, all applicable lays of the State of Indiana, and the "Zoning Ordinance of Cartel Indiana-1993' (Z-
269) and amendments, adopted underauthorit)• of I.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 tie sanitary sewer. I further certify that the construction will not be used or occupied until a CertL&cateof
Occ?has been i,?su??tharvnent Community Services, Carmel, Indiana. cif /A Iw?x?ou jX)AA OE S4i PREan ! M 5 0
mt&'f Owner or Autlwrizd Ailient Print Date
r*******************************************************.+ ** ***************«*
6EEEc"SE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections:/ .?® Charged Re-
v?t?r+r+"rry ower Fo g Under Slab Reviews
Cert. of Occupancy: ss ?U
ou Meter se Final Si
lid
Reviewed/Approved: Dept. of Community Services (Date)
S:Permi3/,sn'-a RES'.DE"L
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