HomeMy WebLinkAbout06070146 Application
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City of Carmel/Clay Township Permit #: ()DO rto IJf(P
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
WATER UTILITY /J /1 I, n,--. , J
PROVIDER: C. Gl/l,/ / U-L
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMIL~J), 116 NEW STRUCTURE
511 TOWN HOME ~ BROOM ADDITION(S)
e TWO FAMILY 0 PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
CITY
'4^J. -3.389
10 STATE . A _Z.I~ ~
I v .TN 't"..d
~_cJ!bi!t e....... ....;.;.,.::"
1l3m~e with all R"i:l0l3t;ons
<>f'St3t" ll.,,lAl(.OCl'lI, ;0 ,Els, " . :.
, F COMMtlN1TVSERYIC.>S, }
'0'" "'.........Ei:.! 'W ,0
CiTy...............' .'
, INDIA~
SECTION
-/
ZONING:
SQUARE I) I) 1'4
FOOTAGE: tllillLP
II~ 5/4
fr:!lj!.MafrO~
P~~NG CONTRACTOR:
/~i
Plumber's In iana State License #:
/ /):).. O/JUS'7
Which plumbing codes will be applied to the construction:
~ ~n:i::::ti::::i:~dJr:~~~~:::i:~:a:n~:?:~J~ent$~.
(Multi-Family Construdio'n .~ode)
't'" 1
\'1 i'" I .' q " '1('\(\h
Manufactured FOUNDATION TYPEi': \(Ch~ck '!!IJhatiapply,fo,<the
_Y LN Trusses: Ly _N construction area) tU \\\ I
o CRAWLSPACE i a LpOST-&ilEAM
Lot Split: _Y jLN Sump Pump: _Y LN jI{J SLAB . .~ 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y LN '--'--WALKOOT:-' Y_N
PROJECT INFORMATION:
Early Release
Permit:
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.
1. 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 LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
used r occupied until a er :ficace of Occupancy has been issued ~ the Department of C~mmunity S~rvices, Carmel, Indiana.
/- J/lRA/A/tJ/J ffINJfffJw 7-/q-Q0
Sign ture 0 Owner 0 Authoriz Print Date
OFFICEUSEONLY:*************************************************~**********************
Filing Fees: (;1.). 4/c
INSPECTIONS REQUIRED: __, 77. <()
Base Inspections: ='. J I
ZUpper FO~ Lower Footing .-"IJnder SlaG> c3 :)-1
- ~ Cert. of Occupancy: _ r.;
~ ~e (!inal Si~ P.R.I.F.: :5'",7,00
- /Y;lJ,
# Charged Re.
Reviews
Additional Fees
ReviewedjA ved: Dept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL