HomeMy WebLinkAbout06060031 Application
BUILDER of
RECORD:
City of Carmel/Clay Township 0c'~ permit#:0606003/
RESIDENTIAL :MElUMnaffiNT LOCATION PERMIT APPLICATION
For Single Family, MultO 0 RI'~y: New Structures, Additions, Remodels, &. Accessory Structures
8440 Allison Polnte Blvd. #1200 PHONE FAX
NAME
STREET ADDRESS , CITY
Phone 317-806-2941 Fax317-842-3389
STATE
ZIP
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
em
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEmON
ZONING: J-..2
SQUARE
FOOTAGE:
SEWER lfTILfTY
PROVIDER:
o
OF IMPROVEMENT:
EW STRUCTURE
R OM ADDITION(S)
PO H ADDITION(S)
MODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATIACHED GARAGE
DEMOLITION
Which plumbing codes will be applied to the construction:
b--International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
o
P
Manufactured FOUNDATION TYPE:
_Y LN Trusses: Xy _N construction area)
y V 0 CRAWLSPACE
lot Split: _ Y .....6..N Sump Pump: -p--- Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y --.X.-N
(Check all that apply for the new
o POST & BEAM
~ BASEMENT V
WALKOUT:_Y~N
Fo~ Si~gle Family and Two Fa~ily d~~~.~~~nF t:m~dels, and/or accessory structur~s. this permit is valid. only if co.ns~ruction commences
WJthm 180 days of the date of Issua ,1fl~Hdthg E:'rFlTI..H-l. and must be completed (Certificate of Occupancy Issued) wlthm 18 months of the
issuance date. Class I structure permi81,jb1edjt:6tW~~ki ~cj,ministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. tig(e!jt;(desaacb~..hg.al1? completing construction.
I, the undersigned, agree that any cons~~\m...p::[E~N-\ilnt, jclkation, or alteration of a structure, or any change in the use of land or
structures requested by this application \l.iI.khrrlpl 'dia'" foplPtp, ~ npp~W~'f of trf State of Indiana. and the ~Zoning Ordinance of Carmel
Indiana -1993~ (Z~ 289) and amendme~,,~ e, tl~I<lt1t\ .. eM ~~} et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitch~, bath, and floor dratN0'lAWAted to the sanitary sewer. I further certify that the construction will not be
use r occupied until a C ctficace of Occupancy has been Issued by the Department of Community Services, Carmel, Indiana.
, ~ JIIIJI.JJ!()N flMHf}W ,j-J,g-{)6
Sign ure 0 OWner or Authorize Agen Print Date
OFFICE USE ONLY: *************************************************Y;f**.
Filing Fees: (/ r
INSPECTIONS RE UIRED: ,.-, 1 /0
~PeFF~ Under Slab Base Inspections: c?2 :5-J 0 YO
~ Cert. of Occupancy:
Roug I _' Final Site A I'l
- P.R.I.F.:, V v:
tv $ ~L'---~----'--->--
Reviewed/Approved: Dept. of Community Services (Date) ?- '
S:PermitsjFOf"msJIlP RESIDENTIAL Fe
j~.
# Charged Re-
Reviews _____------
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