HomeMy WebLinkAbout06090170 Application
City of Carmel/Clay Township Permit #Ol:-f)q/) J '7D
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Sb-uctures
BUILDER of
RECORD:
C!>t.
STATE
~
NAME
FAX
BUILDER'S EMAIl ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME
..s
E
PHONE
FAX
STREET ADDRESS
cm
STATE
ZIP
TYPE OF CONSTRUcnON:
~ SINGLE FflM,Ibf:. " .
'6' TOWN HoME!?/
o TWO FAMIeY'
" .. ~/
# of uni~: /<}
o MULTI-FAMILY ':;:i'V
# of UnitS: 0-
o RESIDENnAI>~(f~r /
Additions, <R~Odels, Etc,)
PROJECT INFO~ATlo{
v
LOCATION
& PROJECT
INFO:
t:fJ/AJrc
SEmON
ZONING:
5/
SQUARE ;:; ,/ I
FooTAGE:,:J ?w
SEWER UTIUTY
PROVIOER:
../',
WATER UTIlffi
PROVIDER:
- "
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I
,..
Manufactured FOUNDATION TYPE: (Check all that apply for the new
-..x -i construction area)
Y ,Li-N Trusses: Y ..Ll.N
- V - 0 CRAWLSPACE
Lot Split: _ Y.,o-N Sump Pump: ~ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y -XN
Early Release
Permit:
o
~
POST & BEAM
BASEMENT
WALKOlfT:_ Y AN
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 IS months of the
issuance date. Class I structure permits arc 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 LC. 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 arc connected to the sanitary sewer. I further certify that the construction will not be
used or cupied until Cenific e Oee aney has been. eonyt epartment of Community Services, Carmel, Indiana.
e_
13.
Oa
# Charged Re-
Reviews
Reviewe Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL