HomeMy WebLinkAbout06090153 Application
~ofcarmel/ClaY Township permit#:~3
~SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
"r Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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PROPERTY
OWNER:
STATE
LOCATION
& PROJECT
INFO: ~~
SEWER UTI'fI!...A
PROVlDER:~n~D
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SECTION
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FAX2{7
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FAX
311 ~jg--f)()IL.f
ZONING~ ,
SQUARE ')\) :t'l
FOOTAGE: ex 0 ~
ESTIMATED COST OF CONSTRUcn~ ~ I
(EXCLUDING LAND VALUE) ..:)::X
l..J,-~r,~\L: ..0U-\'€;'
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F ON R CTION:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE MENT: PLUMBING CONTRACTOR:
o Q;:Q M: riM\fri[-I/-~ {OR CO~ ~~~
~ 6 ROOM A, m~nce w,fl\! iil~a Sta e License #:
~~":" -' 8 ~~ . (:01\11'';' L()C,ill d ~i(1]j~3I,
\,UI-\-\' oC~~~WtI.^b~11~~I~ilSo~~odes will be applied to the construction:
.\-~ 0 DETACHED GA~~I CLA]' r'&WfI5~)i1~~Sidential Code w/Indiana Amendments
8 ~~~L~~~O~A fiJ ANA~ Unifonn Plumbing Code w/Indiana Amendments
KCMultl.Famlly Construction Code)
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PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply fo, the new
construction area)
,{ Manufactured --J
_Y ~N Trusses: ~Y _N
V V OC_~~
Lot Split: _ Y ---f'-N Sump Pump: .p,,- Y _N 'r5f. SLAB
Does any part of the property lie within a special Flood designation area: _y-1-N
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POST & 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 ofland 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 are connected to the sanitary sewer. I further certify that the construction will not be
use occu ied until a Certificate of Occupancy has been issue~ b~eG~~\jUnitY Services, Carmel, Indiana~
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ********************* ************************Y~***~******************
Filing Fees: 0 II' X, cL 0
INSPECTIONS REQUIRED: j-O
Base Inspections:
Cert. of Occupancy: ,~()
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0202. 6
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Lower Footing
P,R.LF,:
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,viewed/Approved: Dept. of Community Services (Date)
Permits/Forms/ILP RESIDENTIAL
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Fee Received by:
# Charged Re-
Reviews