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--'" ;
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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