HomeMy WebLinkAbout05020098-ApplicationCity of Carmd/ Clay Township ~ permit #:~~>
~SiDENTIAL IMPROVE~NT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE F
bi'REEl' ADDRESS . , ~l-All~
PROPERTY ~"mE ~ P~ON~ ~x
OWNER: ~ ~ ST^T~ -- Zm
LOt, wr~ON LOT # SUBDM$ION ~. , ~ s~ON i zONING:
SEWER UTILITY NSTPtJJCTION:
PROVIDER'.~J ~ fi (EXCLUDING LAND VALUE) ~ ~g
NUMB~S; TAC DAVIS); AND/~ CO / 'S (IF APPLICABLE):
[5~ SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENT]AL (For
AddiUons, Remodels, Etc.)
{~ NEW STRUCTURE
[] ROOM ADDiTION(S) Plu
[~ PORCH ADDTI-ION(S) ~
[] REMODEL
odes will be,
[] DETACHED GARAGE
[] ATFACHED GARAGE [] Unifom
[] DEMOLITION (MulU-Family Construction Code)
__~y__ FOUNDATJ~ON TYPE:
Permit: Y ~ Trusses: N construction ama)
[~] CRAWLSPACE ~,4COST & BEAM
Lot Split: Y q Sump Pump: N [] SLAB F_~ BASEMENT
Does any part of the property lie within a special FIood designation area: Y __/N WALKOUT: Y ~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if constniction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance dase, Class I sr. tucture permits are subject to the Ganeral Administrative Rules of the Stare of Indiana (See 675 IAC 12) regaxting expiration
rime 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 ~r~.u. ested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the 'Zoning ordinance of Carmel
indiana- 1993 (Z-289)andamendmen~s~adop~edunderauthorityofLC~36~?e~seq~Genera~Assemb~yofthe~a~eof~nd~ana`andal~Ac~samendatory
Filing Fees:
Base ns ' · , .
Und~ASED ~O~[ C~ Tt Reviews
~ S(at~:~¢;?~;;800dSS. ~/ AddiUonal F~
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