HomeMy WebLinkAbout06030036-Application
City of Carmel/Clay Township It; Permit #: ()&!JJ..6tJ3?-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
575-013.
BEST METHOD OF CONTACT: .
&
PROPERTY
OWNER:
FAX
CITY
STATE
ZIP
LOCATION
8r. PROJECT
INFO:
ZONING:
SQUARE
FOOTAGE:
ATION TRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMIbY-" .--.
~WN HOME'/tl~
o TWO FAMIL y"l.-1-
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PLUMBI CONTRACTOR:
~,~~n~A' -
~!i$~~gf,'~_
~,. ~1~~I')PnPifa~1c:e ,app ~ction:
InUl~~.'!~~'!'~~~f'i6-libllegW~lll9ilga Amendments
--C./p 1i,Q'\~\1!!V~IQ1d.t~J1~iiiana Amendments
~.T-y. Qr-rU~l{"fll\',,1,M8J,r ns;ruCict,(d,:: trfiiliAV/CES
PROJECT INFORMATION: E!" '-""\ \AI
Early Release Manufactured A FOUN - - 1I,1l'llS~IY for the new
Permit: _Y -6 Trusses: ----L.:il. N ~onstr '" - ,
Lot Split: _y-l) Sump Pump: _Y ~ ~ PA~ ~ ~~~M&E~~M
Does any part of the property lie within a special Flood designation area Y ~ ((,>> WALKOUT: Y a
TYPE OF IMPROVEMENT:
:5k-i'JEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOUTION
For Single Family and Two Family dwellings, additions, remodels. and/or accessory S[ru ture this!I:lrmit is nw~ nly if construction commences
within 180 days of the date of issuance of the building permit, and must be complctcd crti catcCli:fkcup ~t%sued) within 18 months of thc
issuancc date. Class I structure permits arc subject to the General Administrative Rules the tate Idian ~_~75 lAC 12) regarding expiration
time frames for beginning and completing onst ctio ,'~.' ~I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or al ratio of a. cture 'Fr......al} change in the use of land or
structures requested by this application will comply with, and conform to, all applicable la\VS f rhe rate of Indiana tJriJ1J e ~Zoning Ordinance of Carmel
Indiana -199r (Z~ 289) and amendments, adopted under authority of I.c. 36~7 et seq, General ssem Idana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary ewer. klnher certifvjH~t the construction will not be
ed r occupied until Certificate OfOccllpancy has been issue the Department of . . ./ FI, Indiana.
. hO cJ I -2-/7" /~c.,
Date /0
~,.."
OFFICE USE ONLY: **** *** ******* *** *****.)***** ******** **** ***7****:11* *** ******************
o.1J./iling Fees: ~ 7 f-' 2/J '
INSPECTIONS REQUIRED: I> _ . --J /" '1 ~ /"l
~ r_ / ? ---.. Base Inspections: "" U _ ,\..-} U # Charged Re-
C upper Footr~ Lower Footing '\Intl..r Slab---1 5" / r n ReViews
Cert. of Occupancy: '- _, .......l-V
('Mi!ter~ ~I> Si!V P.R.I.F.: j?vfL.I.DO
TOTAL: 7-~5
~I
Additional Fees
Revlewed/ roved: Dept. of Community Services
S:Permits/Forms!ILP RESIDEmlAL