HomeMy WebLinkAbout06050043 Application
City of Carmel/ Clay Township lJ l:7' ~ Permit #OhlJC;-/X)~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
() 2) ,v, dill (Ii- 1''''
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
Y'l
SUBDIVISION NAME
SEWER UTILITY C'
PROVIDER: TIC l../t)
WATER UTlLm /" I'; " \'
PROVIDER: LA II"Mc~, '
PHONE
YLtb - 27r52FAA cY,/l-
STATE
L/.
C'
em
FAA
em
ZIP
STATE
SEmON
I
ZONING:
-.,2.
yo 66
SQUARE
FOOTAGE:
NAME OF UTlLm EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BP'QL,.~i'\C' COMM
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 \DtA,",L'Iae:~E): . '.'
0'-'1' '
TYPE O~ CONSTRUcnON:
cYSINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~W STRUaURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Plu
PROJECT INFORMATION:
Early Release c./' Manufactured /
Permit: Y N Trusses: Y N
, ~ - ~ 0 CI)b.WLSPACE g!;9ST & BEAM
Lot Split: Y =N Sump Pump: ~Y _N ~LAB ~ASEMENT
Does any part of the property lie within a special Flood designation area: _ Y _N WALKOlJT:_ Y ....,;-
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 structure, or any change in the use of land or
structures requested by this application will comply '.\lith, 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 l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further ccrtify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or pied until a Certificate of Occupancy has been issued by t artment of Community Services, Carmel, Indiana.
{, ... () c E 5""'- >~ rO-6
Si pri Date
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Filing Fees: '7 f~ (" 0
,
Base Inspections: c? '7 ') :>'0
Cert of Occupancy: ,,,- 3 ' sO
/ :2 & I (JD
# 38'
..5//
P.R,LF,:
# Charged Re'
Reviews
Additional Fees
Reviewed/Approved: Dept of Co
;;Permits/FormsfILP RESIDENTIAL
\
(Date)