HomeMy WebLinkAbout06070094 Application
City of Carmel/Clay Township Permit #: ()&o'7oo iLf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
STREET ADDRESS
PROPERTY
OWNER:
NAME
STREET ADORES
LOCATION
&. PROJECT
INFO:
lOT #
, SEWER UTILITY _
PROVIDER: /1 ~t
NAME OF UTILITY
NUMBERS; TAC 0
~
FAX
CIlY
W87rtEUJ
STATE
//1/
t../.. BEST METH~OF CONTACT:
;/A#ca, ~ T~o#e-
PHONE
FAX
CIlY
STATE
ZIP
SECTlON
Z.ONING: - ="<([.=.-L
\ ...r:L---'
Cr.-
.2/6
SQUARE
FOOTAGE:
9S?:>
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
GOO
"...
'.-
VAT! CONTRACfOR; PLAN COMMISSION I BZA I BPW DOCKET
(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
)Cf SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
f!,D ROOM ADDIT10N(S)
M PORCH ADDIT10N(S) I
"l<>\, REMODEL ~11
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
o
o Uniform Plumb fndiamrAme
(Multi-Family Construction Code)
ts
PROJECT INFORMATION:
E I RIM f ct d ~ FOUNDATION TYPE: (Checkallthatapplyforthenew
ar y e ease r ~ anu a ure vnstruction area)
Permit: Y '-f-r" Trusses: Y N
- - - ~ 0 CRAWLSPACE 0 POST & BEAM .
Lot Split: _Y 4 Sump Pump: _Y _ 0 SLAB ~/BASEMENT .-
Does any part of the property lie within a special Flood designation area: _Y _~ WALKOLIT:_Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate~f. 0 ~~li>ued) within 18 months i?f the
issuance date. Class I structure permits are subject to the General Administrative Rul . .. . ; ~ lAC 12) regarding expiration
time frames for beginnin~~. 0 t
I, the undersigned, agree that any construction, reconstruction, enlargemen re.. i structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, - lic e aws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z- 289) and amendments, adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I rrher ce ify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or c ied to Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. ~
,;(013<=70/ h ZV'O-v4-t'{ / Ybr;
Print Date
L :*********************************************~~*'l***~~*A***************
Filing Fees: 2 Y:2) (j
INSP CTIONS REQUIRED: -4/ / ,'91) # Charged Re-
Base Inspections: ~ __
Upper Footing Lower Footing Under Slab ReViews
Cert. of Occupancy: ') 3. S ()
"':;:;ough ~ Meter Base ~. Site
'-=:;./ ~ P.R.I.F.:
.
c
I~
Reviewed/Appro ed: Oept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL
Additional Fees
TOTAL:
1# -:// d
CO
Fee Received by:
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