HomeMy WebLinkAbout06030104 Application
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City of Carmel/Clay Township lJ}{P,~ Permit ~6():70 / oj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Early Release /"'\ Manufactured ~ FOUNDATION TYPE: (Check all that ap~IY for the n -..,
Permit: Y -6!Y Trusses: Y N construction area)
Lot Split: _Y AG'\ Sump Pump: Y N 00 SCLARABWLSPACE ~ POST & BEA ~
-e...; BASEMENT ?:'\
Does any part of the property lie within a special Flood designation area: _ Y -V 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 pennit, 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 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 - 1991" (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
occupied until weate of Occupancy has been i by the Department of Community Services, Cannel, Indiana.
, , sk3/0Ct>
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
A110 C crOR; PLAN COMMISSION / BZA / BPW OOCKET
COUNTY WELL AND/OR SEPI1C PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~GLE FAMILY
1:5 TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
.orr::JEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GAP' ---
o ATTACHED G
o DEMOLIllOI
-;O-~I
PHONE
FAX
CITY
srATE
ZIP
SECTION
ZONING:
-::51
SQUARE
FOOTAGE:~
ESTIMATED COST. ,-Of." \C. 9.N.,~. .~~.--.:'.r ....,\..n -;T~~: ;-::~ j
LUDING LA~R VN-~:.L ':':c2~l fl.5 Ji~~ ,I
iii)) #tJ
I
Plu ber's Indian State Licen~
C!/ / I'JCI()() 1 t) /
.
Which plumbing codes will be applied to the construction:
~tematiOnal Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w /Indiana Amendments
(Multi-Family Construction Code)
re of Owner or Authorized Agent
Date
o ICE USE ONLY: *******************************************?.***************************
Filing Fees: '-1 ^ / .. 70
INSPECTIONS REQUIRED: ..., I 7 ~o Ch ed R
~ Base Inspections: & (.P ' -:J ( # arg e.
"Upper FootiilgClower FOO~ Under Slab ~I 4:'"0 Reviews
Cert. of Occupancy: a' ;.j
C Ilough I~eter B~ C ";:'''1 S~ . ! ;:< fR I. 0 0 Additionai Fees
MI1. ~#JJf e./ TOTAL:;;'#' ~i5"OI. 70
Reviewed/Approved: D'ept. of Community Services (Dale) t/ ~ J/k/L_-
S:PermIts!FormsjIlP RESIDENTIAL Fee Received by: /"