HomeMy WebLinkAbout05120019-ApplicationRECORD:
CF~R~NPERTY
ER:
City of Carmel/Clay Tmenship Permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & AccessoW Structures
NAME ~ HON ~ FAX ~
- ///3
BUILD~'S EMMLADDRESS .~
_
LOCATION LO~ # SUBDMSION NAME
m PRO3ECT ~
INFO: A~DRESS OF CONSTRUCTION
g631 ld. i~/ ~
~ROVIDER: PROVIDER:
PHONE
~7 ~753.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING L~ND VALUE)
NAME OF UTIUTY EXCAVATiON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
-- --_ - -l- ; = -N.: - E = :-- i:
[] SINGLE FAMILY [] NEW STRUCTURE
[] TOWN HOME ~ ROOM
C~ TWO FAMILY
# of unitS: ~ PORCH ADDITION(S)
REMODEL
[] MULTI-FA,M.!LY
# of Un ts: [] ACCESSORY BUILDING
~ RESIDENT~L (For [] DETACHED GARAGE
Remodels, E~c,) [][] AITACHEDDEMOLiTioNGARAGE
Pc- - -;'-- RTl- .'
Early Release
Permit: Y V/
Lot Split: i__y~
Manufactured ~
Trusses: Y
Sump Pump: Y v/N
SQUARE
Which plumbing codes will be applied to the construction:
ti-Family .¢~nstr~io7 ~de)
[] CRAWLSPACE I,i:~ /,~,~ ~ dJ~/
[] ~a~-.. C~ ~
Does any pa~t of the property lie within a special Flood designation area: Y u/l~ WALKOUT: Y
For S~gle F?ily and Two Family dwellings, additions, remodels, and/or accessory structur ~,~, ~ ~ngruction commences
w~thh1180 da~s of the date of isauamce of the building permit, and mu~t be com~~' 18 month~ of the
issuance date. Cla~ I structm'e permiu are subject to the General Admin~trative ~ g ex~iratinn
time frames for beginning and compl~g eonsm~ction.
I, the undersigned, agree t~ar a~.? c~nsr~u.c.t~on, recon~traction, erdargement, l:elocation, or alteration of a smlctu~e, or any cha~ge in the a~e of land or
st~..¢t~re~ ~ested by this application will comply w~th, and conform to, all applicable laws of the State of Indiana, and the 'Zorfi~g ~ce of Carmel
Indiana -_ lgg3 (Z-28~) and amen .d?e~. ts, adopted under authotity of LC. 364 et seq, General Assembly of the State of Indiana, and all Acts amen&tory
~hex~. to. I fuz~ ce~.. that o~y kitchen, bath, and floor drafi~ are cmmected to the sanita~ sewer. 1 further cert~ that the ennstruction will not be
~ed or oc~pled iratil a C~,rit~cace o£Occapa~cyha~ been Lssued by the Department of Community Services, Carmel, Indiana.
OFFIC£ U$fi ONLY: *************************--**************************--****
~Filing Fees.
~,EQUIRED: / ~ ~ ~,~ -- --
IMse Inspections: ~ (c~ C/, ~> u # Charged Re-
Undar Slab Reviews
Meter Base
cert. of Occul~ncy: ,Lff/~ 0
P.R.I.F.: AddiUon~ Fees
C~/./~/TOTAL: ,,/~'7 ~ G/~ ;L. ,~ ,3~