HomeMy WebLinkAbout06030006 Application
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City of Carmel/Clay Township \Y G'^)}~~~rm:t #: ora 0 '3 f)O()(P
RESIDENTIAL IMPROVEMENT LOCATION Pf'~T APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
WATER ~
PROVlDE'(g(
NAME OF lITILITY EXCAVATI CONTRACTOR; PLAN COMMISSION / BZA / BPW Doem
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): c-
lYPE OF CONSTRUCTION: lYPE OF IMPROVEMENT: PLUMBI CONTRACTOR:
~ SINGLE FAMILY . ~NtWSTRUCTURE cncib..vnl'Y1cJ~ns Tnc-
IOWN HOMElY je.( D. . ROOM AP.~~U laU8/18t1ber's Indiana State License #:
o 1WOFAMILY .. ._Q;;:~R\~o.,~!!l(l9)3gl.1 c..p lCOOd)O I
# of units: --ill:_I'@:~~Qfi)SLl: VI Codes- ~cc:,
o M~~~J;.~~:IL Y ~. '\i' ec\cID ~~~~R;Y;~~~?\I\~,@'mbing codes will be applied to the construction:
o RESIDENTIAL (For 5UI__C8Im~.Pi.. 'A - ~f~fiOIJ'J~matiOnal Residential Codew/lndiana Amendments
Additions, Remodels, Etc.) OE-?~f .. ,- N ~ 0 Unlfonn Plumbing Code w/lndiana Amendments
.-iN 6f' \;..\O\f\.~/lI. (Multi-Family Construction Code) _
PROJECT INFORMATION: Oil' \" ..
Early Release Manufactured JJ FOUND~TION TYPE: (Check all that apply for the new
P"t Y ~ T ' _N construction area)
erml : russes:
" - ;;:'" 0 CRAWLSPACE 0 POST & BEAM
LotSpht: _Y _ Sump Pump: _Y ~ 'ji[ SLAB 0 BASEMENT ~
Does any part of the property lie within a special Flood designation area: _ Y N WALKOUT:_ Y ~
BUILDER of
RECORD:
FAX
PROPERTY
OWNER:
ZIP
LOCATION
&. PROJECT
INFO:
6
ZONING:
SQUARE
a... FOOTAGE: ~9 d
ESTIMATED COST OF CONSTRUCTIQI{
- (EXCLUDING LAND VALUE) '--f I 37. ~CO
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 [ndiana (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 - 199r (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 Occupancy has been iss y the Department of Community Services, Carmel, Indiana. I
fYI,' etJ 1tnO U ,"( ~ /;;)/ j) r;:,
Date
OFFICE USE ONLY: ******** **** ** *** ******~*************** * *** **** ***!- 1************** ** * ** *
Filing Fees: (p 7 "t, -;l.. 0
INSP CTlONS REQUIRED: 31S .~ /_ 7 ~A h d R
~ Base Inspections: V'V ~ ,.,:) 1../ # C arge e-
pper Footing Lower Footing ~Slab ~ ~/ -So Reviews
- Cert. of Occupancy: v.
~t. Meter Fin P,R,I.F.: / ~ &..- ' () 0 Additional Fees
~5
Reviewed/Approved: Dept. of Community Services (Date)
S:PermltstFormS/ILP RESIDENTIAL
Fee Receive y:
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