HomeMy WebLinkAbout06020123-Application
City of Carmel/Clay Township Permit #06oQ.O/:x3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME C
'Q..rMeL
8", I Wer.:;
PHONE
Uf 3/7- 'fID-~/9S-
FAX
3/7- 57 (- 075'1
STREET ADDRESS
CITY
STATE
ZIP
L- -.:oJ, b 0 '33
BEST METHOD OF CONTACT:
i1. el lfC/o- 6/9)
BUILDER~AIL ADDRESS
t50bbe:t<"''''-.5
PROPERTY
OWNER:
NAME
~Me
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
'l
SUBDIVISION NAME
SEmON
ZONING:
1<-1
--rA Lon-
1/76
7?o..L-e-
ADDRESS OF CONSTRUCTION
A. LC7^- 7reel:- e f)i2-.
~t'-"'^~ L-
,>0
SEWER LfTlLITY
PROVlOER: Ccc.- .0" e L-
NAME OF UTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
g SINGLE FAMILY ~ii\' 0 NEW STRUCTURE
o TOWN HOME . 0 ROOM ADDITION(S)
o TWO FAMILY ~'r\i~Vt 0 PORCH ADDITION(S)
# of units: -\ ' Z REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
REfl}, International Residential Code w/Indiana Amendments
sUbtf.flriitj;!:Jnf,"I~bing Code wI Indiana Amendments
~eCt (JllultkFamily Cb~~iIlLl,\;ode)
PROJECT INFORMATION: ' '.vrnpl"..., .:" '" ;C), i"U
--- - -- - -- DE'P~Nj)AnON;tYplt: 2(~ecr,ar{G.It apply for the new
Early Release Y XN Manufactured y)< t"!/7y ,(:ltMtrLictl. '9~.areaJVc;al Ccc!"~e."'UlatjonSI.
Permit: ~ Trusses: r:T' UI-_r.". "!r'lf'."'" "'..
. - - - C'rra'i\AWlSPACE" Y' -:-q", P.OST & BEAM
Lot Split: _ Y LN Sump Pump: ~ Y _N 0 SLI)~ ';1:-< Ct.,,!;/ "'~' VB~NT
Does any part of the property lie within a special Flood designation area: "u'Y\~N '", VVi'iJiJFffI!!JT:_ Y ~N
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 issuance 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 expiration
time frames for beginning and completing construction.
I, the undersigned, agrcc that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any changc in the use of land or
structures requested by this application "vill comply with, and conform to, all applicable: laws of rhe Statc of Indiana, and the ~Zoning Ordinance of Cannel
lndiana -1993n (Z' 289) and amendments, adopted under authority of I.C 36-7 et scq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further ccrtify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel. Indiana.
_RrPJ w. f3~ ~'-I.v &,yteS
Signature of Owner or Authorized Agent
oaf? fob
Print
# Charged Re.
Reviews
Additional Fees
--'-
~
Reviewedl
S:Permits/Form
pro ed: Dept. of Community Services
LP SIDENTIAL