HomeMy WebLinkAbout06100046 Application
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City of Carmel/Clay Township Permit #Q1dOOtJ4Ip
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, l!r. Two Family: New Structures, Additions, Remodels, l!r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
l!r. PROJE9:.\
INFO: -'jW)
ZIP:
FAX:
ZIP:
0..33
ZONING: R J
SQUARE _ a..
FOOTAGE: 8'1"::'
,
EST1MATED'COST'OF'CON5TRU~ON: ~
(EXCLUDING LAND VALUE) "r' ~ a;O,
SEWER lfTIlIlY WATER lJTILITY __
PROVIDER: CtA.'f PROVIDER: ~ H fL.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDmON(S)
l"!I DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o AlTACHED GARAGE
o DEMOLITION
FLOOD ZONE AREA DESIGNATION(S). A I T\
FOR THIS PROPERTY: / V L/
X l(n~ho.da1. 11\1cl
TAX MAP PARCEL #:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
r$lf' RESIDENTIAL (For
Additions. Remodels, Etc.1
Early Release
Permit:
PROJECT INFORMATION:
~y4
~y 1N
Lot Split:
o
o
FOUNDATION TYPE:
construction area)
(Check all that apply for the new
~OST & ~EAM ~PIER
Manufactured
Trusses:
Sump Pump:
Y IN
y;h
o CRAWLSPACE
o
SLAB
o BASEMENT (WALKOUT:~Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within ISO
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within IS 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.
t, 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 - 199r (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
kitch ath, and floor drams are connected to the sanitary sewer I further certify that the constructlon Wlll not be used or occupIed until a Certificate of
Oc 'P cy, been."," eD artmentofCOmm"rntysemc~s:r:;~d'ft. S~o.t0 /rAb
9 re of OWner or A Print Da~
,
FleE USE ONLY: ******************************************************* ** *********** *************
Filing Fees:
Base Inspections:
INSPECTIONS REQUIRED:
Ci!pper Foot~Lower Footing Under Slab
Rough In Meter Basec;;;:;) Site
Reviewed/ Ap
(Date)
/1/,00
, 53, 6:0
P~OTAL' "/~,so-.,,~
~~M-d:
Fee Received by:
# Charged Re-
Reviews
Cert. of Occupancy:
Date