HomeMy WebLinkAbout06050142 Application
City of Carmel/Clay Township Permit #:OIoo5D'~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
STR
PHONE FAX 5117-731
or - 7!1JO I
CITY STATE ZIP 1(
BEST METHOD OF CONTACT:
FAX
BUILDER'S EMAIl ADDRESS
\
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
00
TOR:
M,~
. Plumber's Indiana State License #:
P H ADD ONeS) JOJ 777
'RE
A . ~fj~R C~~.i,~~reTodes will be applied to the construction:
ETA \\3iA'"~iJ,mce ~~Y;r,!l~tron~OOSidential Code wI Indiana Amendments
A"HjI(;tl.!;DqE~liEa d l ""l,/Ulatlons
\~ OIF CO n OI@1 tilili1O<:J11 Plumbing Code w/lndiana Amendments
8l1Y 01 MMUNIn<~~Il<.(:oll.struction Code)
. F CARMEL / C IA:::;
Manufactured lND FdMN~: (Check all that apply for the new
Y V;:;N T .-/ Y N IAN4nstructlon area)
_y russes: _y
- ~.\ V v - 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 ~
o !JifST & 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 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 ......ill comply 'Nith, 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 I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify thar y kirchen, barh, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or upied until a C jficate of Occupancy has been issued by t Depactment 0 mmUni;Y se?es. Carmel. IndianaC;J.! 41) V
te '
# Charged Re-
ReViews
Reviewed/Approved: Dept. of Community Services
S:Permits!forms!ILP RESIDENTIAL
(Date)
P.R.I.F.:
~dOTAL' 1/370< if t?J
Fee Received. . vlddf .) 51 ~
Additional Fees