HomeMy WebLinkAbout06060075 Application
City of Carmel/Clay Township Vb~ Permit#: 060boo!fS-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
~ "'"
NAME ~..-w \. '-C-
:\ot>r' -&at..~
STREET ADDRESS f..'/~ 51 ZIP
19\.?Io~
L~ SUBDIVISION NAME ZONINS.~
;\'i'o.:,\~
BUILDER of
RECORD:
NA
\..t
STREr- tDDRESS
lolu\9(Y .
.::\t:"l/ro
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
/ BZA / BPW DOCKET
ERMIT #'S (IF APPLICABLE):
o
VEMENT:
STR CTURE
ROOM ITION(S)
ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
o
~Cu8
CITY
..L
STAT~
:DJ . Y iriS'[)
ZIP
\5
Whk,lumbi es will be applied to the ' "'"=/ _
~nternational Residentl3 Indiana Am I ~dments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release /: Manufactured /
Permit: Y ~ Trusses: ~ N
- - - 0 CRAWLSPACE
Lot Split: _Y N Sump Pump: _ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y .0
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~POST & BEAM
~ BASEMENT ~
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 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 undetsigned, 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 UZoning 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, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
or oc upied u i a Cer Ii ate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
J~L.h 7.....1~u-~ 5-~1 ~~/p
Print e Date
OFFICE USE ONLY: ******************************************** ****}***********************
t Filing Fees: 1 q I..L. 7fJ
~ECTIONS REQUIRED: 6 /I f"77 ...r':
~ ~ Base Inspections: tfv f ' 0 0 # Charged Re-
( UpperFo. ~erFo~ Under Slab . \ 53 ({'O Reviews
-~/. Cert. of Occupancy: '
(Roughj)i ~ . Final S~ I ' av
<---=--=::: _ P.R.I.F.:
M~ o,~~
Reviewed/Approved: Dept. of Community Services (Date)
S;Permlts/formS/llP RESIDENTIA.l