HomeMy WebLinkAbout06050212 Application
City of Carmel/Clay Township U)b~ Permit#: OCe-0502\d.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
~ ~-y)D\
STAT~ -4tC6l(W
PROPERTY
OWNER:
FAX
l<?- 'itr)
ZIP
4(cBl.d)
ZONIN~ \
SQUARE
FOOTAGE.
LOCATION
8r. PROJECT
INFO:
SEWER UTILITY WATER UTILITY (')
PROVIDER: ~ ~ PROVIDER: Q...~
NAME OF lJITUTY EXCAVATION CONTRAcrOR; PlAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE.
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: I
o SINGLE FAMILY ~~ ~ NEW STRUCTURE \Z.a--
l6 TOWN HOME k 0 ROOM ADDlTION(S) ~ #: 10
o TWO FAMILY 0 PORCH ADDlTIO~) r,c= n n-
# of units: 0 REMODEL ~~ r-~ ,,~
o MULTI-FAMILY 0 ACCESSORY B~~S Which plumbing codeswm _ iedtotheconstrua;o;rr----,
# of Units: <:" ~b1""n ~ - I
o RESIDENTIAL (For 6 DETACHED &RA~~ '10 <:'o*O~mational Resid '~' od'W.?n~ala ~;;;,~ndm ts
Additions, Remodels, Ete.) 0 ~~~L~P"\l,~OO! Stq/~!,nlf~ Plumbing fIndiana Itl'ne'n_
~ 0,.::- ~ c. ql) ~Pllllf~~constru Ion de
PROJECT INFORMATION: C O,z (1 ~/t. r;
Early Release X Manufactured \f. - :4J;>41~ . Check all that apply for the new
P t "" Y N' I ~o~ .~:s v/;'" ~ .- --
ermi ~ Y - N Trusses: J// - //lIDl:cS(aAA~t:DtrE ""OI),LJ POST & BEAM
Lot Spht: y.:1lN Sump Pump: ...:'L. Y _N .~ s!IJ\Ii01'j'~ 0 BASEMENT
Does any part of the property lie within a special Flood-designation area: _~ WALKOUT:_ Y_N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this perm t,is valid only if construction commences
within ISO 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 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 l.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 floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a enificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. k \ II . \~~ ~~r-e1l ~
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:**********************************************~************************
Filing Fees: t(; '211 . I'J ()
~. SPECTIONS REQUIRE~D: "'77. L'" 0
Base Inspections: ~ __,,;:) _
Upper ing Lower Footing . C2 .. ~ 0
Cert. of Occupancy: .:.J-~ ~
~ ....-f'IIIeterBge , 0
~... '-...:.:.;:. P.R.I.F.:
Ii/dL d-
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL
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