HomeMy WebLinkAbout06030218 Application
City of Carmel/Clay Township ~ -I/LY Permit #: D003J~g>
RESIDENTIAL IMPROVEMENT Lo6ifioN PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
lY;lE OF CONSTRUCTION: lYPE OF IMPROVEMENT:
-f\5
SINGLE FAMILY 1/9' O...-NEW STRUCTURE
o TOWN HOME /} I fj) . rJO ROOM ADDmON(S)
o TWO FAMILY 'V. ./ ---' 0 PORCH ADDmON(S)
# of Unlts:----."I":.~ te'^ 0 REMODEL
o MULTI-FAMILY ~ 0 ACCESSORY BUILDING
# of Units: f, \~O DETACHED GARAGE
o RESIDENTIAL (For . cP 0 ATTACHED GARAGE
Additions, Remodeis, Etc.) t 0 DEMOLmON
PROJECT INFORMATION: / /
Early Release .../ Manufactured
Permit: Y N Trusses: _Y_N
Lot Split: Y ~sumpPump: _Y c/N 0 SLAB
Does any part of the property lie within a special Flood designation area:
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 oE 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 -1993" (Z~289) and amendments, ado ted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I her that 0 y kite en, h, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or u ca of upancy has been issued by the partment of Community Services, Carmel, Indiana.
~,~ 3-3:9-oc;
OFFICE USE ONLY- ********~~if'illi:l<rr!!Aftll'fl"l1"**************;!,~*********************
- Vvnu l\t=ifl~n... ~<;'L 91
ONS REQUIRED: Be' : .. _ . ) ~(J. >0 # Charged Re-
U per Footing L er Footing UncJltEtI!lASED F~~ ~CiION, 5: (J Reviews
_ ~b'ectto oorn;9.00;-,;~f\Q~~laltons ,"-/.
au h In Meter Base inal Slte of StG.tGp:R~'1 .F=pDI (;O;:S. Additional Fees
DEPT OF Cm,1i'vbN!TY ~,ERVIC
CITY OF CARMEL~CLA; T(Ji / HIP
INDIAN
Reviewed!. roved: Dept. of Community Services (Date)
S:Permits/F RESIDENTIAl Fee Receive
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SEWER UTI
PROVIOER:
",'
I;,....',...,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW OOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
Signature of Owner or Authorl:red Agent
Print
PHONE '3f7)?f).fdOO
STATE
J#1
BEST ETHOD OF COrITACT:tLJj'
PHONE 1>'13-/3 FAX
:J..()/-77/:L.
/
CITY
STATE
X
I
SECTION
SQUARE .-7('
FOOTAGE:~
ESTIMATED COST OF CONSTRU N:
_ (EXQ.UDING LAND VALUE)
PLUMBING CONTRACTOR:
--....-:..':\
Plumber's Indiana State Lice. nse-#,r;S'~ li\\
. tP \~_ ~~J \.s-..;> \\ \ ~
~i~:::::::~i~::,P~~;~~e~CO"rstt:~~\ents
o Unifonn PIJn." Co~~Indiana Amen nts \
'\., \ J
(Multi-Family \~~~ 'on Code)
FOUNDATION rrv ~ t.apJllV;;;;;e new
construction area
ST & BEAM
BASEM ENT
WALKOUT:_Y_N
Date