HomeMy WebLinkAbout06020040-Application
City of Carmel/Clay Township W Permit #: (J~{) J... tJV'-k7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME OF UTlUTY V 0 CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
.;?3'iS'
FPX
576 ,;)31
BUILDER of
RECORD:
ZIP
u
L~
PROPERTY
OWNER:
FPX
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
~
SEWER
PROVIDE
ESTIMATED COST OF CONSTRUCTION: ~
LUDING LAND VALUE) ;;
TYPE OF CONSTRUCTION:
o SINGLE FAMlb'l7r1:;o:;:>
~TOWN HOME..{4:tYJ
n TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT: PL~BING NTRACTOR: ______
@---NEw STRUCTURE ~(-T- ~ -I- ~
o ROOM ADDITION(S) Plumber's Indiana State License #:
o PORCH ADDITION(S) REI rffrfijE,OQ ) () /
o REMODEL S . v - f"1D
o ACCESSORY BUILDlN~ Ub~~:.;. bi,,!! c-'<@0N;I>e-a~lied to the construction:
',O'T!Q"'", Q 1;-[ /r'jf:>Ju
o DETACHED GARAGE 0 ',. W'~i~~a."Residen~,i'e~'ele ""'fdiana Amendments
is ATT~C~~DO GARAGbTYEPT~6n)J~iiJ',\j~fn!i Cd'lte,~!In~t~~mendments
DEM I N 0 F O)lt;\t'-F~ift4i.nsiiVFllon.CpQe)
PROJECT INFORMATION: HNkL I. ~ ",-cr-rVJCES
Early Release G Manufactured f_ /FOUND~J.m'{A . ~:7 &'Wf'J!-3J!-fMt apply for the new
Permit: _Y _;;) Trusses: l..i) N V constructIon a'fl!a}
Lot Split: _Y ----L0 Sump Pump: - Y W ~~~:LSPACE is ~~~M&E~~M
Does any part of the property lie within a special Flood designation area: _Y ~ 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 clate. 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, 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 I.c. 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
e r occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. .
O--n I c.e 'Sf e.U /t '-U' u ( "<: 'f:;. / tR Ie:; 6
ature of Owner or Authorized Agent
lAp roved: Dept: of Community Services
ms PRESIDENTIAL
OFFICE USE ONLY: *********************'Z********************
/ Filing Fees:
INSPECTIONS REQUIRED: 1>\0
/Ii ~ '\ Base Inspections:
'- Upper Foot~ Lower Footing
Cert. of Occupancy:
(~ (Meter R~
# Charged Re-
Reviews
P.R.LF.: