HomeMy WebLinkAbout06040018 Application
City of Carmel/Clay Township d/t11 Permit 1Jbo400Ja
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
If 13 (U/I:>/-"'- c 1(0r1
STREET ADDR~S ) / CITY
-.L-'1J'60 !eg..H....!-
PHONE
FAX
--
NAME
PROPERTY
OWNER:
~
NAME
FAX
----
LOT #
d!- 'fJI -27 b}
STREET ADDRESS Y V ~ UJ," q
ZIP
LOCATION
& PROJECT
INFO:
SUBDIVI~IpN NAME
ocdhttVeh
ADDRESS OF CONSTRUCTION
(
~
SECTION
ZONING:
5/
SEWER UTILITY TER UTILITY, _ I \ I
PROVIDER' ROVIDER, vv e- ~
NAME OF UTIUTY EXCAVATION CONTRACToR;-elA'N COMMISSION I BZA f BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR C9~~~~~~t-~~ lOR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCJIl)rt:"'~!j " OF IMPROVEMENT:
o SINGLE:~EY\:~ ,,\ EW STRUcrURE-n!.,~
o T? \HO''''' ,
o ~ ~ IL Y O~H A~g~~~~~i)
M#U': , :IL Ii.,<{~ ODEL
o # 'f' ACCESSORY BUILDING Which plumbing codes will be applied to the constr
rJ RESI n r DETACHED GARAGE Q-tntemational Residential Code wI Indiana A
....J ATTACHED GARAGE
~ 7 Additio s, Remodel DEMOLITION 0 Uniform Plumbing Code w/lndiana Amendmen -" 'JI!,'.
(Multi-Family Construction Code) J b . ,,~
P ~-V
~ Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the~. ..
"Permit: Trusses: _Y _N .....s!11S~uction area) '/,
I . "rM CRAWLSPACE 0 POST & BEAM
Lot Split: Sump Pump: _Y _N 0 SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y _N WALKOUT:_Y_N
SQUARE
FOOTAGE:
'IIo
ESTIMATED COST OF CONSTRumON
(EXCLUDING LAND VALUE)
~diJv.(J"
- '}"},-t~70
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 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, relocation, or alteration of a strucrure, or any change in the use of land or
structures requested by this application will comply \vith, and conform to le-l I' of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under author' .c. 36~7 et seq, General As. bly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor InS are connected to the sanitary sewer. urther certify that the construction will not be
used or oc upied until a Ce ti{jcate of Occupancy h een issued by the Department of Communit Services, Carmel, Indiana.
;;: . . [. {,..(..O cE (/~>~~cJf.
Signature of OWner 0 uthorized gent Date
INSPECTIONS REQUIRED:
Upper Footing Lower Footing uWI5f.lGED FO~~ , CTION
Subject t ~ta~u~1ion"
itef State and,.,Lflc.ai Codes.
EPT OF cOiJ!fv\:1i'kfY SEFNlCE
CITY OF CARMEL / GLAY_- ~ IIII?
~EN~Rt. of Community servicCONO'lFDIANA ,~
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Additional Fees