HomeMy WebLinkAbout06050221 Application
City of Carmel! Clay Township .?-~ Permit #: (jpX)50 2:2. \
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
N
PHON~L10 -C{S)I
I
FAX ~ I ~ -tjCJ1
ST:JJN 4 ZIP (cD
PROPERTY
OWNER:
~1~-Y)m0
4toaPltD
LOCATION
&. PROJECT
INFO:
..
,
PE OF IMPROVEMENT: P 'f,,~ (P)~
if tn\ "\. .
M- NEW STRUCTURE 'If' ..
i5 ROOM ADDITION(S) ..." ~
o PORCH ADDITION(S) ~ "~
o REMODEL '. ... ........-.....-c-.-,---.--.-..---..-.' ~
o ACCESSORY BUILDING Which plumblngcodes..'wiWbe applied to.tlieoonstr.J:q;ibn:
o DETACHED GARAGE 0 Intem1~lo~~fR~siire'~tj~ic~de\~/i~d~~a\l~endments
o ATIACHED GARAGE . Ii Lill 1111' II
o DEMOLITION ~ Unital"\') !p'~.rbinll. ~!,de wI Indiana Aml'f' '11ents
(Multi-F~,!,il~l~onsiMl4Y,n 6oct) 2006 It i I
PROJECT INFORMATION: III I I II "
Early Release \h Manufactured FOUNDATION TYPEU~~~k all t!!~!..iIi>PIY tor the new
Permit: Y~N Trusses: ~Y N constructi~," area) J
- \r. - 0 CRAl.vkSPAGf-.-Q-POs:r-&-BIOAM
Lot Split: _Y ~ Sump Pump: ~Y _N ~ SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y _N WALKOUT:_ Y_N
o
o
For Single.Family.a.Ild.T~2 lam. ilY,~.~llin~'J!qqW~lfJIl,Qde~.....apd/or accessory structures, this permit is valid only if construction commences
within 180 days 15[1Dk~~lfrOOf\liUi)ltztih~i~,11JdNnllSt be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. ClaSll~em:~., ~ij<!lJlGslWittltaJthtegtrlati.bftSniniStrativc Rules of the State of Indiana (See 675 lAC 12) regarding expiration
o'fStiite and Loe~e~~or beginning and completing construction.
I, the undersigned,~Hlta~~\.Uftil?rlJ;..enOj\Ji>P11fpq.q~ ~~ent, relocation, or alteration of a structure, or any change in the use of land or
structures requeswj.,gS:dlH aHiIlc-~MIW~t wTt~MJ!effft~, all applicable la\'/s of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" ('OflI?tilr@jlh~Ef9~@~ ~IP-7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
>0 thereto. I furt~er certi~y that o~y kitchl~'IQ..ll floor drai~s are connected to the sanitary sewer. I further. certify that the ~onstruction will not be
. used cup' until a CertIficate oMJtw, as been Issue'J)) Department of Community ServIces, Carmel, Indiana. /_ h. J ) ^( _.
' \', ~ l\Wffi\' ~
Signature of Owner or Authoriz Agent Print Date
OFFICEUSEONLY:*******************************************1**~***********************
Filing Fees: U' JfJ " (") C)
_INSPECTIONS REQUIRED: _~ r) t-fN 11 leQ
, Base Inspections: ~ --1---'= -:1-_
Cupper Footi~Lower Fo~ti~~ Cert. of Occupancy: 5~ ~ . 60
~ C Met~rs;;;;:5 ~ ~ '7
~." (~_ P,RU,: ^
# Charged Re-
Reviews
Additional Fees
ReviewedfAppr ved: Dept. of Community Services
S;PermitsjFormsjILP RESIDENTIAL