HomeMy WebLinkAbout06020017-Application
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City of Carmel/Clay Township ff) Permit #: 11.; O:J...O()/::[--
RESIDENTIAL IMPROVEMENT LOCATION ~iRMIT APPLICATION
For Single Family, Multi-Family, S. Two Family: New Structures, Additions, Remodels, S. Accessory Structures
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I ~ 71 /tf./;J;4~ Loo'VJ /1/./ ..r:-;.fe.. 100 c.r-.LI
BEST METHOD OF CONTACT: 3
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PHONE 3 tl d
(311') Ir-7Q/o
o International Residential Code wI Indiana Amendments
Q Uniform Plumbing Code wI Indiana Amendments
Ii IFt~AillUiIl:.. Construction Code)
PROJECT INFORMATION: SJJh", ,':;t:U F()R ,..
Early Release / Manufactured / FOlJ1\lt1A~~PEI,((l:H~1rIl!/u~apPIY for the new
Permit: Y V N Trusses: Y V N ~~UcticilS. I ~(jCG With ai' fON,'
. - - - - I UI Tco,w nd Loc~ 'rGn~'Ili9u.t
LotSpht: _Y vN Sump Pump: _Y ~ lei ~A~lJNI1f5r~qf1ENT
Does any part of the property lie within a special Flood designati.;n area: ~~ ~CLA ~Ui.\(bU'e""S.- Y A
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this per Aalid only i co on commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within-IS'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, enlargemem, relocation, or 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 -1993" (Z-289) and amendments, adopted under authority of J.c. 36-7 et seq, General Assembly of the State of [ndiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sev./er. I further certify that the construction will not be
use~cupied until a ertificace of Occu ancy has been issued by the Departm? Community Services. Carmel, Indiana.
j"'. P-i f.~-i4",_ 1"-... ~....V 2/6'.;06
Signature of Own 0 Print / Date
OFFICE USE ONLY: **************** *** ****** ***** *** **********. * "J&,;t.!-:7':""*-* ~/......~ ~** ***********
Filing Fees: _' LL/ () 7:./
INSPECTIONS REQUIRED: / /" .....,1 # Ch d R
_~ Base Inspections: / w- .) u arge e-
<1!fper Footll1J) Lower Footing Under Slab ' "I r 0 Reviews
Cert. of Occupancy: "" _ :L
Meter Base (final Site ~
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BUILDER of
RECORD:
NAME
STREET ADDRESS
BUILDER'S EMAIL ADDRESS
f(.".,sielt..-rl:.1 tJ~rrp,~
PROPERTY
OWNER:
NAME n
J/ov
/-JI.
STREET ADDR~ I
LOCATION
s. PROJECT
INFO:
LOT #
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION ~
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/ H Al6.-
SEWER UTILITY
PROVIDER: c... r......1
WATER UTILITY
PROVIDER: (e. ...... Q\
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S)i AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~PORCH ADDITION(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
~
Fee Received by:
~
Reviewed/Appro Dept. of Community Services
S:Permits/FormS/llP RESIDENTIAL
PHONE ~
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FAX
(317) 118' 031'\
STATE
::IIv'
ZIP
1732..
FAX
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STATE
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SECTION
ZONING: ., _
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SQUARE ,_ n '\
FOOTAGE: 0 U \J