HomeMy WebLinkAbout06070019 Application
City of Carmel/Clay Township Permit #DfL,0700JCf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
NAME
FAX
@1(;{fzzrl'
r&aifl)
PROPERTY
OWNER:
NAME
FAX
STREET ADDRESS
cm
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISION NAME
SECTION
1
ZONING:
NAME OF UTILITY EXCAVATION CONTRA
NUMBERS; TAC DATE(S); ANDIOR C
11-/5
SQUARE ";:>1_
FOOTAGE: =~_pgg
~t1S caJ
~[)4DbD700)lf
ADDRESS OF CONSTRUCTION
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
o
UCTURE
DITION(S)
P ADDITION(S)
EMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Which plumbing codes will be applied to the construction:
~nternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
o
PROJECT INFORMA ON:
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
,./ Manufactured /
_Y XN Trusses: ~ _N
. /, 0 CRAWLSPACE
Lot Split: _Y -0 Sump Pump: -IL' _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y V N
o YOST & BEAM
~BASEMENT , ~
WALKOUT:_Y ~N
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 l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that ani kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or oce ied until.a Certi te of Occupancy has been Issued by the Department of Commumty Servlces, Carmel, Indiana
\ m \().... cq mGe (-l-(Jp
Pnnt '0 Date
OFFICE USE 0 Y: **********""'I!r:.I9'I."Sti')~A'I!..*********************~**ff**.J'i"*****************
Suh UH RIirl~~:UCTION ' / 5 '( , 0 0
INSPECTIONS REQUIRED!Bct to compliance With all rS..\julat\ons ~ 71 cO
, of State and l~ ~8~'sdons. --J
Upper Foot'" Lower Foot, gO OIv'M' "",' '~3 --'0
I ""-,,,mf~~M<!I'S J, .)
~ ~~OF~R ,t~lrTOWNSH'P 1.2,;,1 ()f) , Additional Fees
TOTAL: -1Zoz 3 l' f .,.jtJ
# Charged Re-
ReViews
(Date)
Fee Received by;
Reviewed/ Ap ro
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