HomeMy WebLinkAbout06050213 Application
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City of Carmel/Clay Township ~- Permit #: Q(P,D O,;z I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
E
PHONE
<-B 051
FAX
~\ '6-~
TYPE OF CONSTRUCTION: TYPE
~ SINGLE FAMILY ~W~)
TOWN HOME ro-"<~
TWO FAMILY
# of units: ~
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
a
"
LOCATION
8r. PROJECT
INFO:
STATE
7\x .S,J) y.
SEcn'CoCO\
<i~-~4
-4~a(Ob
ZONING:
S\
PROPERTY
OWNER:
NAME OF lJT1LTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
F IMPROVEMENT: PLUMBING CO
NEW STRUCTURE ~,
o ROOM ADDITION(S) Plumber's Indiana State Licen
o PORCH ADDmON(S) -J On qQ9
o REMODEL ,---.--_____-------------~
o ACCESSORY BUILDING WhiO" mbi'~ "l"le. 1"lll bel' ap,~/liep.~thr.-CO\istruction:
6 ~~~~~~g g~~g~ ~o If) -W;n~J;.~ii~~~ J,Il ana Amendments
o DEMOLITION ~. Plumbing Code w/lndia a r endments
u amilMWl"st3'dJonZOO5'l I
M f ctG1~aEF~EO FO TION TYPE: (Check a, t apply for the new
_Y \//.N T anu a;'5Ubiect ~ FnR CO.4'RIl ruction area --
~r russes., ()~'''~ ,.-,
.' lC- .. '''''''nee wi
Lot Split: _Y ~N Sump P'fJl!Pr I{l~ LOCal ~tions 1:
Does any part of the property lie withllj"",,' IJd{j) .. _ Y ~N _ Y_N
For Single Family and Two Family dwellings, additions, remodelsrl~ -;~ ~. YPf-~N~'~ F~~ permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, ann ~WAmplete'(r('C"c!r~ibJ~~fM Occupancy issued) within 18 months of the
issuance date. Class I structure permits arc subject to the General Adminis~tafi"c 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 of
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
lndiana ~ 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 floor drains are connected to the sanitary sewer. I further certify that the construction will not be
use; or OCCUpi~d uutil ~~~c"has beeu iss~2;~me~1-1G:elr' Carmel, Indiana59- '1/ 1ft
Sign~Or Authorized Agent Pdnt Date
PROJECT INFORMATION:
Early Release
Permit:
M
OFFICEUSEONLY:**************************~********************!f^****~****************
Filing Fees: ~ 2Ch Qu
~PECTIONS REQUIRED' ()
'~ Base Inspections: /) ~] .'-~
Upper mg Lower Footing ~ ,r ~ 0
~ ~ - Cert, of Occupancy: ___'_
~ ( eter_ ~ ej n;'~ P,R,I.F.: J 7...(P~ I _ 00 Additional Fees
_(.;)~ ~ . ?--?~?,()O
Reviewed/Approved: Oept. of Community Services (Date) ';J
S:PefmitsjFormsjILP RESIDENTIAL
# Charged Re-
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