HomeMy WebLinkAbout06030049 Application
.,..
C/IIl
CityofCarmellClay Township Permit #Ob:e()O Lfj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
LOCATION
&. PROJECT
INFO:
LOT #
5::2
FAX
82)> -57:5 -
ZIP
:5.9
/
PHONE FAX
CITY STATE ZIP
ZONING:
Sf
PROPERTY
OWNER:
STREET ADORESS
~ (!
TYPE OF IMPROVEMENT:
.ar-NEW STRUCTURE
l.ef ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
MA
.. OR:
Iii I ill
I: II
1l0!
AnON croR; PLAN COMMISSION I BZA I BPW DOCKET
); ANOIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABlE):
F CON UCTION:
NGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
..L
Plumber's Indiana ticense.#:-_
c-P / {)cOo I ~ !
Which plumbing codes will be applied to the construction:
~ntematiOnal Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w Ilndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ~ Manufactured FOUND~TION TYPE: (Check all that apply for the new .1. I
P"t Y 'N T ~ N construction area) n-.~&Jrl1q
erml : N! russes: CD ,U A )
" - ~ - 0 CRAWLSPACE 0 POST&BEAMUfl In/Shea
LotSpht: _Y ~ Sump Pump: Y_N 0 SLAB f:Io BASEMENT
Does any part of thlil!!l:!~;lijll~,i8 a s~c;c;ial Flood designation area: Y --1SJ' WALKOUT: Y N
For Single Family an iAf~y d~gs; !l~p.'hi~~s:'~lpq4eI~'. cessory structures. this permit is valid only if construction commences
. within180diysofthedateof~~u~~e.qf~e,~.uil~.~g.,p,e~:f~.}lmt.kDb:iPomPJeted~.. .. . ~thsOfth~
lSSUancedate. ,ClassI8EftPF~~fB~~i~~~~l.7c~.t~~~e~.~~.ministratiVeRu~es h t. '. . expiratIon
"' ~ I ....,!,....'\';tl1ne;fr:qn~f&P ~compleungc. .
I, the undersi~ed,lBPllltllatGH;c6!i~fR9Erec l~sfipj1, ~~~tion, or alteration of a structure, or any change in the use of land or
sttuctures requltsted by this application Will m'5l ~l[ c bIe laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993''-"(2)289) and amendments, a uthority 0 . - e s , General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and oar ains are connected to the sanitary sewer. I further certify that the construction will not be
occupied until a Certificate of Occupancy has been issued i)--tlie-Depanment of Community Services, Cannel, Indiana.
, St-~U \:sI8'/~
Date
OFFICE USE ONLY: ** * * ************** *** *** ******* ************)5,***:l'1'** *** * *** ************* *
Filing Fees: '-L .s ~ 9 0
INSPECTIONS REQUIRED: '::J IA 7. _J:--. # Charged Re-
Base Inspections: .:lIlg: _ _ ~ V
Under Slab L""/ . 60 ReViews
Cert. of Occupancy: =.
1/41 . aD
:z.53'-1.
:5 10 ~
Site
P,R,LF.:
Additional Fees
,
C'V'a."'iiaHh' ,.. 3--P,-06
Reviewed/Appro : Dept. of Community Services (Date)
S:PermIts/FonnS/ILP RESIDENTIAL