HomeMy WebLinkAbout06050233 Application
City of Carmel/Clay Township /1Up Permit #{)btJ50::(33
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. AccesSory Structures
SEWER UTILITY
PROVIDER:
<;(
BUILDER of
RECORD:
PROPERTY
OWNER:
FAX
LOCATION
&. PROJECT
INFO:
ZIP
L/ to [Y7
RI
ZONING:
ADDRESS OF CONSTiuJ110N
3'755 rJF/900W
WATER UTILITY
~ PROVIDER:
NAME OF UTlLfTY EXCAVA N CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); A D/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
F N R CTION:
SINGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
~ PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured FOUNDATION TYPE: (Check all that apply for the new
Y \; N Trusses: _Y X-N construction are~a
- it \/ 0 CRAWLSPACE POST & BEAM
Lot Split: _ Y --4-N Sump Pump: _ Y +-N 0 SLAB 0 BASEMENT ~
Does any part of the property lie within a special Flood designation area: _ Y N WAlKOUT:_ Y ~N
PROJECT INFORMATION:
Early Release
Permit:
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 with, 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 that only kitchen, bath, and noor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Gcc ancy has been issued by the Department of Community Services, Carmel, Indiana.
Re.bea-q I2J3OuJ/er
, ~-.=V-{)b
Date I
*********************************************************
t" :Q~IAL / '7/ 90
INSPECTIONS REQUIREri!"Q N 0 ill ~" / &
~ se nspectlons: t; <; ()
er Footing Lower Footing Under Slab ' A
Cert, of Occupancy: :) 3 ~ '-!
~Hiit!>-,=-,..,.~
. L'L ,:>tu ~.eO NS.TRtJCTIOt{
() ""0''''9_',, w;"" '= ~
" J cITstatllllndEif"
~ :::::;T r, ;eO/oJiM -
t of Community servlc""j~..(9are~ r:'ARM ' '
v I , c.." v e~ TOWNSI;<)P
INDIANA ,",,,F/;,
. .
# Charged Re-
Reviews
\
Additional Fees
\viewedf Approved:
'ermils/forms/IlP RES1DfN
\
f'()
t#-d/-iJ (."