HomeMy WebLinkAbout06040006 Application
\(;ity of Carmel/Clay Township !Dt/rl Permit #a.,04000",
\ESIDENTIAL IMPROVEMENT LO&ION PERMIT APPLICATION
for Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
~...LDER of NAME
RECORD:
BUILDER'S EMAlL ADDRESS
(!;Qj1ET1i03/ CO~ACT:
- &58t3
PROPERTY NAME PHONE FAX
OWNER: Ou
STREET ADDRESS
IDLo
LOCATION LOH ') Q ZONING: '\._
& PROJECT 0\ U ....J
INFO: ADDRESS OF CONSTRucnON ,'0138 SQUARE ,I
UJ FOOTAGE: , 0
SEWER UTILITY ,,'"P\iJ WATER UTILITY ESTlMATED COST OF CONSTRUcnON: , I,
PROVIDER: fiG --- PROVIDER: - (EXCLUDING LAND ,".ALUEL ~+)_ ,
" \ I r:. r(-...:.l. j' > i \\ 'j . :_J .... I
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ! I ,.\ LCe' ''...7 'e: II ,vi i I'"~ [::_' \
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): \J i _=-_,:::::::_',::::::_~...:= \ i I
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: ?fiUMBING CONT
kSINGLEFAMILY 0 NEWSTRUcrURE ~m+-
o TOWN HOME 0 ROOM ADDmON(S) Plumber's Indiana
o TWO FAMILY J f ::11 -h. er'
# of units: ~O PORCH ADDmON(S) CP I OOfJO 0 (J,U I ()
REMODEL
o MULTI-FAMILY ACCESSORY BUILDING W~I plumbing codes wiii be lied to the const'uction: '
# of Units: 0
O DETACHED GARAGE International Residential Code w/lndiana Amendments
RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 Uniform Plumbing Code w/lndlana Amendments
o DEMOLITION / (Multi-Family Construction COde)
PROJECT INFORMATION: /
EarlY.Release II Manufactured ~~~~~~.:;rvPE: (Check ail that apply for the new
Permit: _Y -LN Trusses: _Y _N .
V -" / 0 CRAWLSPACE O~ POST & BEAM
Lot Split: _Y IN Sump Pump: _Y ~ 0 SLAB BASEMENT
Does any part of the property lie within a special Flood designation area: Y N WALKOUT: Y N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this pennit is valid only if construction co mences
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 Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I. the undersigned, agree that any construction, reconstruction, enlargement, rdocacion, 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, 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, hath, and floor drams are connected to the samtary sewer, I further certify that the construt)~;
used r occupie,? until a ti/icate {Occupancy has been ISS the Depanment of Commumty Services, Carmel, Indiana.
J
f ner or A Date
Upper Footing
~ Meter Base