HomeMy WebLinkAbout06040033 Application
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT L
For Single Family, Multi-Family, &. Two Family:
BUILDER of
RECORD:
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTII}=q I WATER ~
PROVIDER: \..!..let.. PROVIDECQ
NAME OF UTIUTY EXCAVATION CO RACfOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~NGLE FAMILY
Li TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NCW STRUCTURE
ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDINr;
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Permit #Cbf)LJ0033
ATION PERMIT APPLICATION
ctures, Additions, Remodels, &. Accessory Structures
PHONE
FAX
675-c)3/
CITY
G
ZIP
'J:;U
63:)
BEST METHOD OF CONTAq:
FAX
CITY
STATE
ZIP
ZONING:
S
:::::, c....
Plumber's Indiana State LIcense
c...-f> I CX::OO / () I
~i:h~,umbing codes will be applied to the construction:
emational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
_Y 18, M f ct d FOUNDATION TYPE: (Check all that apply for the new
T anu a ure 2- construction area) r:::;-.,., I~~a
russes: Y N V fl, /
o CRAWLSPACE 0 POST & BEAM,~r t..O
Lot Split: _Y N Sump Pump: Y N 0 SLAB ,~ BASEMENT ~ ,
Does any part of the property lie within a special Flood designation area: Y WALKOUT: Y N
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 clate. 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 \vith, and conform [0, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993~ (Z~ 289) and amendments, adopted under authority of r.c. 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 a .Certificate of OcclIpancyhas been issue the Department of Community Services, Car~el, Indiana. , J
CL J' U I . <-1/& !o~
SI ature of Owner or Authorized Agent Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: CJ~;2 /()
I~SPECTIONS REQU~RED: RELEA~D EORe'Ci'1?J'l~l:R.UCTION ,:2 71.' fr)
~oot~e~ Under SIat/lbJ8Ct t9 ~m!J1iffilea w,m all'Q;;HUh:ltlul I~ /'
~ ,- ofctElttt[o1ilettl!qDahGe>~~~. 53 , 0 0
i"'............q er Bas Final EP Or; &;Ql\JIV1UNITY SEAVIC,ES I c2 ( / !J() Additional Fees
OF CARMEL! CLAY TOv\JI<l5H1.JJ JJ
IND~'A :TOTAL: ~~. /0
. ~ (,1A~1\ _ \_ I
FeeRece~:ed, :", '\: -.,," I v\\\''' \Obi;
ReviewedjApprov d:
S:Permits,lFormS/ILP RE
(Date)
# Charged Re-
ReVIews