HomeMy WebLinkAbout06040041 Application
CityofCarme//Clay Township ~ O~[?mXPOY /
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
FAX
317 3'41. 73j'i'
SlA;rE Joo
CITY
I~b;A
STATE
IN
BEST METliOD OF CONTACT:
ZIP
PROPERTY
OWNER:
PHONE
(31' 34'7-7300
FAX
.31'1
:JDD
STATE
j,s IN
SECTION
'I
ZIP
,-/1,,;;. fI
S
SQUARE
FOOTAGE: 70'13
LOCATION
&. PROJECT
INFO:
LOT #
15
ADDRESS OF CONSTRUcrrON
:1.5
ZONING:
TYPE .0F CONSTRUCTION:
f'i SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
SEWER UTIlITY
PROVIDER:
ESTIMATED COST OF CONSJIlUCTlON:
(EXCLUDING LAND VALUE) " J'I
\>i:
,
TYPE Of IMPROVEMENT:
rxf NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Whi.?1'lumbing . . e consb'uction:
(li( International Residential Code w IIndiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi.Family Construction Code)
PROJECT INFORMATION:
Early Release ./ Manufactured ./
Permit: Y 2 Trusses: ~ N
o CRAWLSPACE 0 fiOST & BEAM
Lot Split: ~Y N Sump Pump: _Y _N 0 SLAB / (2l" BASEMENT i/
Does any partof.thi! property lie within a ood designation area: _Y LN WALKOlJT:_yA..N
For Sin~ ~ I:... .' !\\Io FWDili cfW~JJiIl~~l'attm<l!lels, andlor accessory structures, this permit is valid only if consttuction commences
withing8Jb:!3:_oRlh6~~ldrt bMkifh"g permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. C~fSl$Ilalu~m\; . ~.t!\<;..,~gal Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
,1;:' nl= rnMMUNITY ~~ning and completing construction.
I, the und~~l a~ th':rt:\1!:Y~~ns~oR.,~~g5~ement, relocation, or alteration of a structure, or any change in the use of land or
structul'fS:~ennp~y6AJil~n' WiBleli?nply WttH', and co'rJorm to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -'1993" (Z-289) and am~~NIA?ted 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
used or occupied until a Certilicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
'a. ' .
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~
loll.; It. /?l;RbSoNG-J./EI\\ 1;"110
Print
Lj J. 'i/iZ,
Date
Un r Slab
Site
P,R.I.F.:
'C~~ 1-11?~A "I-{ {-c6
',eviewed/App ved: Dept. of Community SelVices (Date)
~lts/forms/ILP RESIDENTIAL