HomeMy WebLinkAbout06030033 Application
City of Carmel/Clay Township u),L. .'\ ~\&. Permit#: f)'pD3~
RESIDENTIAL IMPROVEMENT LO~N PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
. Manufactured
Y X N Trusses: X Y _N
Vy . 0 CRAWLSPACE
Lot Split: Y /I N Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y )(N
r""'" --.' ,-- p ,--, "-._'.,_ ,,,- "', . "'_'_h.
For Single Family and Two Family dwellings, aa.f~i~~em:Odel, .-~ ,ot:a', , b' _ c permit is valid only if construction commences
within 180 days of the date of issuance of the l$'~~tt~lfu~e ~HJiiP~ -," of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are sub~e~~ to, t~~ ~~~~~l~ciBlD~er the State o~ Indiana (See 675 lAC 12) regarding expiration
It the undersigned, agree that any construction, ~~~~{tft~:~fi'f.J~~.i'cture, or any change in the use of land or
structures requested by this application will comJll\'jlfi'lh.@)Ir c@.f'lf!\MGll.'\HllLa",':;m~diana. and the "Zoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of I.(;f\.~~ <<X f\Cfh. General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are conlle'Hid.'ro1tlfe'samtary sewer. I further certify that the construction . n be
used or cupied u~ti1 a C ca~e {occu~an has been issued by TonT~omr~ni?DC~ Carmel. Indiana. tJ 0
of Own/!r r Aut orized Agent Print J Date
LY:******************************************************2}****************
Filing Fees: ff / 3 , -Lf)
SPE QUIRED: .-, / 7. ./ ,\ OJ d R
Base Inspections: ....../ t:? ,J V # arge e-
v ..- ../0 Reviews
Cert. of Occupancy: :> /. :;,
/~ G
BUILDER of
RECORD:
NAME
m
STREET ADDRESS
BSaJ
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
8< PROJECT
INFO:
LOT # '7 J
SUBDMSION
ADDRESS OF CONSTRUCTION
SEWER UTILITY
PROVIDER:
GI!W
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DO
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANe,:OR SEPTIC PERMIT #'S (IF APPUCABLE):
.....-.
TYPE OF CONsrRUCTI~:...-~ n ~ ' \
)!S SINGLE F~~~\ I::, ~ ..
o T9Wll'~@ ,S9
o TV(\>;~ 'Y Rl
hfu. : 'l.. 'l..'\)~
o MULTI ILY\\~\\-
#Of~
o RESID f'l (For
Additio ~ e els, Etc.
P 0 IN R N:
Early Release
Permit:
P.R.I.F.:
Reviewed/Approved: Depl. of Communi
S:Petmlts/FonnS/ILP RESIDENTIAL
(Date)
PHONE t5l5:
<".f~4.~
PHONE
FAX
OTY
STATE
ZIP
SECTION
ZONING:
~*~E: 438,-/-
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
~ [) wo
R T fY}c{)Kl:J
PLUMBING CONTRACTOR:
PIluJ 6(YL{ fX.
Plumber's Indiana State License #:
iO/117
Which plumbing codes will be applied to the construction:
~ntematiOnal Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE:
construction area)
(Check all that apply for the new
-?~ 15
o POST & BEAM Ii>-.
'l;>( BASEMENT Cl/l is
. WALKOUT:_YA-N 'Y
lj,
~
?4
'po{.
r~/1
Additional Fees