HomeMy WebLinkAbout06010105-Application
City of Carmel/Clay Township ,k permit#OWIOIDS
RESIDENTIAL IMPROVEMENT LOCATIOJ'iJRMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
E-
PROPERTY
OWNER:
FAX
REICTr"t.\!:'.-i' r;<~ <,-",~~.):--. Sf:A'PE~ -.,'-'.,-....1 ZIP
L:Ct'_.. , ... , ,,'" "_' 'l
itn- ; -; ~'r r; 'J ,: ;~, t,'
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LOCATION
&. PROJECT
INFO:
ZONING:
5.'~
. ,
SEWER
PRQVID
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
e---sINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc)
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
F UNDATION TYPE:
onstruction area)
(Check all that apply for the ne,w
~1r~1
o POST & BEA f)IS~
~ASEMENT IU ~
WALKOUT:_Y
/"\ Manufactured /\
_Y ~ Trusses: ---L;tJ_N
~ ~ 0 CRAWLSPACE
Lot Split: _ Y -tl:Y Sump Pump: --u _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ 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, agree that any construction, reconstruction, enlargement, relocation, m 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 laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of r.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
or occupIed untIl a Certlllcate of Occupanc!: has been Issued by the Department of ~ommumty ServIces, C~rmel, Indtana L
. 'JVC( nQ V1' ('.p ~<-u ;tYlQ U I c: I aIel"') /D5
nature of Owner or Authorized Agent ~nt Date
OFFICE USE ONLY: **************************************************;1********************
Filing Fees: [15-7-,- I()
INSPECTIONS REQUIRED: ' >
~ ~ ~. Base Inspections: 0 / ~ 1. ) IJ
Upper Fo I Lower Foot, Under Slab ./j .-0\
Cert. of Occupancy: J _. ) (/
Rou h In~ enal ~ PKIF: I ) ~ I 00
{fill.
# Charged Re-
Reviews
f).S
Additional Fees
of Community Services
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