HomeMy WebLinkAbout06080140 Application
City of Carmel/Clay Township Permit #: ()l.oO~OIl-/O
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
SEWER~ \.
PROVIDER\...:... \ n~ D
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
lk PROJECT
INFO:
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
e.. SINGLE FAMILY
'P' TOWN HOME
o TWO FAMILY
# of units being
con!jitructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc,l
Early Release
Permit:
PROJECT INFORMATION:
_y"1-N
_Y':t-N
Lot Split:
F~17 ~R-0Dl4
ZIP: I
~ -4
FAX:ai -ryjJ
40~
ZO~U
~~
SQUARE
FOOTAGE: ,
WATER UTI
PROVIDER:
ESTIMATED COST OF CONSTR
(EXCLUDING LAND VALUE)
i-\e
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
~ NEWSTRUcrUR{/CLcASEtJ ~,ff-,\ ~~
o ROOM ADDITIO#i(S)jcct fO Phlmbef'ltIndia State License #:
o PORCH ADDmON(S) . CQrn' - ' 'c-
D DECK ADDIT~Oectp.,.. ~f State" e ,,' " ,:710 -",_
o REM~~:':-m~ :O!1y[ Co'(Jli,t~ ~F'\\61ng~,,_ . 'ed~oth~ construction: --
o ACCESSORY BUILD'1;J/i l.ARMi3LIntei){lltl6qjl~~kl.ential Code w/Indiana Amendments
o DETACHED GARAGE ~ / r,t A" _ V'\;ES
o ATTACHED GARAGE .{,. 'I!,~,ilpftri Plultil99?~1l1,w/Indiana Amendments
o DEMOLmON \U! 1P
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
x.. Y_N
~Y_N
o BASEMENT (WALKOUT:_Y_N)
o CRAWLSPACE
ex- SLAB
o POST &
BEAM _PIER
Sump Pump:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 r.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kit n, bath, and floor drains are connected to the sanitary sewer. I further certify that e c struction will not be used or occupied until a rti/icate of
o cu en issued by Department 0 Community Services, Carmel I di \0
.' \0
Signature of Owner or Authorized Agent
OFFICE USE ONLY: ***************************************************************:******************
INSPECTIONS REQUIRED' Filing Fees: (; (, 7, ~ 0
Base Inspections: .;) '71. 5'0
Lower Footing U . ./0
:!Ilf'i.if Cert. of Occupancy: J 3, L'
Met',\ \\,", l L, ,~:t /1 (,])0
~
Dept. of CommunitY Services (Date)
, !
~
S:PermitsjForms/IlP RESIDENTIAL
Date
Print
# Charged Re-
Reviews
Additional Fees
~