Loading...
HomeMy WebLinkAbout06020038-Application City of Carmel/Clay Township ,.p- Permit #: f1lto:J-tfD?fI RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: BEST METHOD OF CONTACT: , L~ PROPERTY OWNER: FAX STATE ZIP LOCATION & PROJECT INFO: SEWER PROVID NAME OF lJTlUTY CA N CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): -- 1 r--'" ; "- ::=:::/ I TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: I ~ILY 1fi!U:1' .-XrOWN HOME"'1Y..(er ") .,g-NEW STRUCTURE -c~! o ~~/;'~~~Y 0 ~g~FOP Plumber's Indiana ;:;e IC nse F<111 o RE et to enrn' " 'QII./ U U U I o M~;~0n~~:ILY 0 ACCESSORY~~~Wir!~,~;~~JiI,"}'lJ9tlafiDnw.:llbe'PPIi dtot ecol_uctiO .~, O 0 DE1ID~ E"., ""'''Il\ls~lona Residential C de Ind a Am ndme nts RESIDENTIAL (For 0 ~~ RA6f.!rVi,\ftU~'" ' ",,, i Additions Remodels Etc) ~/' ~ " ' , ~ ,ufi=hill!l Code wI ndia a A dme ts,:-, Ii, ", ,. 0 D r'1 I vARMEl/CLAf1u~trWN 'ii~ructlonCOd) UI:I;l PROJECT INFORMATION: INOI' ^' HIP r;- ~ I ' 1-1/1' UNDATION TYPE: (Ch k II t~ '~-th PEarlY.Rtelease Y /" TManufactured . /"V\y N construction area) e a 'pp \' o~...'e,.rew erml : .--LN' russeS: ----bY - h.l /.":"\ 0 jORAWLSPACE 0 POST & BEAM Lot Split: _Y ----l!:!/ Sump Pump: _Y ---!..!Y IB'SLAB 0 BASEMENT Does any part of the property lie within a special Flood designation area: _Y D WALKOUT:_ Y ~ 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, enlargemem, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application v,rill comply '\'\"ith, 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 LC. 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 Certificate of Occupan.cyhas been issued by the Department of Community Services. c:.acmel. Indiana. rIc qaVlIC:.Q ~U/rnOulC' ~/7 Ok, ure of Owne..- 0"- Authorized Agent rint Date r OFFICE USE ONLY: *****************************************************A****************** e- /Filing Fees: cg 7'i, ';t.-U INSPECTIONS REQUIRED: "\I~ ..::; /'-2 --1"\ """ ." Base Inspections: AJ..f'. ~ U # Charged Re. Lower Footing <llilder SI~~ ,P; I, ~O ReViews Cert. of Occupancy: '--'- _ '-' ( c:.<Meter B~ ~I ~ P.R.I.F.: I :ZJoJ, 0 V :1.5 ReviewedjA d: Dept. of Community Services S:PermitsfForms/ILP RESIDENTIAL Additional Fees