HomeMy WebLinkAbout06020081 Application
Cltyoj'CarmellClay Township cB Permit #fYc{tJ>~ l
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY NAME
OWNER: tiRE
Su.; TE ~DO
STREET ADDRESS
APo/:s
STATE
IN
ZIP
L/ft,Q 11
BEST MElliOD OF CONTACT:
LOCATION
&. PROJECT
INFO:
FAX
(.31
~
SEmON ZONING:
~
SQUARE ~<6
FOOTAGE:
SEWER UTIlITY
PROVIDER: C: C
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WE~L ".~DfOR SEPTIC PERMIT #'S (IF APPUCABLE): J 'I
TYPE OF CONSTRUcnON:/'-:1 \'~:~ \).\ MPROVEMENT: PLUMBING CONTRACTOR:
-./ /- ,,~.l\ v
lYJ SINGLE FAM~LY/(4':>\\/Y , STRUCTURE fAu.1 E S",,;rH
o TOWN HOME'~ \/;/ ~
o TWO fAMltY,'~~:Z/ ~1(,10~ M ADDmON(S) Plumber's Indiana State License #:
i;6{;url~\':/ <0 ~ 0 R ADDmON(S)
, \ REMEL
o MUL~:f~'IILY <.<:.c.,~ SSORY BUILDING p 9 d ction:
# of Units:\ , DETACHED GARAGE S 'fnU~BIJ1.Pa\ii~iia.l":i~~'l!~if.l:w~Ul6~~a Amendments
o RESIDEN1;V>.~~ or ATTACHED GARAGE OT ~Iate ail(] Local Looes,
Additions\Remo DEMOLmON D'EP81~F' 'l~!rJll,~!!Jfl'l'I'Co~f.,~I!I.~rv~S'd~ents
\\) (Mw6~FamIIY I...Unsrructlon oe
PR CTIN 0' MATI CITY F CARMEL I Cl.AY OWNSHIP
Early Release / Manufactured /' FOU~~~T10ftiRfJl.~I)l!:CheCk all that apply for the new
Permit: Y=2 Trusses: ~ N,v- COnS narea)-'
. - - - 0 CRAWLSPACE OMST & BEAM
LotSpht: _Y N Sump Pump: Y _N 0 SLAB /' rn BASEMENT /'
Does any part of the property lie within a special Flood designation area: _y.,LN WALKOlJT:_ Y ~N
ESllMATED COST OF CONS]JumON:
(EXCLUDING LAND VALUE) 11 J
-.:IF (){:{);J.,OC77
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 6751AC 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
used or occupied until a Certif}cate of Occupancy has been issued by the Department of Community Services, Carmel. Indiana.
. 0.. '-.' L(lIl.', A.&';lthSD~-JlHd;t>JF: :l1JL///)~
Signature of Owner or Authoriz Agent Print Date
(
OFFICE USE ONLY: ** * ***** *********** ****** *.* ***** ** ** *** * ** **1 *J!.*!f!** *********** ***** * **
Filing Fees: <<IY :J-{).
INSPECTIONS REQUIRED: I .:J I
~ - Base Inspections: G 7 SO # Charged Re-
Upper Foiit~~ower Footin9 Under Slab :) i 50 Reviews
Cert. of Occupancy: . .
/ ~ ~ /1 () ()
/
TOTAL: (,:J. /, YO
~;tJ
Cinal
~
P,R.I.F.:
Additional Fees
t. of Community Services