HomeMy WebLinkAbout06120005 Application
Permit, 0 ~ /?---~
City of Carmel/Clay Township ~" I'"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
STREETADD~ CITY
LOT # I L- SUBDIVISION NAME (fJ~k-dJk
O.9,},,~ ~ C~STRumON /
7~ CJ. (:I#<_.ve....
SEWER UTILITY '" WATER UTILITY /J _ tJ& 1/ 0,"5
PROVIDER: C7R-LAl~:v PROVIDER: t:#f-ruUl/(;
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR,COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
//'
TYPE OF IMPROVEMENT:
*0 ~EW STRUCTURE
'j/ .J 0 "ROOM ADDITION(S)
o dP PO~CH ADDITION(S)
-', 'CZl' REMODEL
" '''" DACCE?~ORY BUILDING
""p I;DET~GHED GARAGE
" -~ g "~yr/CHED GARAGE
VEMOLITION
Manufactured ,./
Y N Trusses: Y 7' N
- )( 7 - 0 CRAWLSPACE
Lot Split: _ Y N Sump Pump: r Y _N 0 SLAB .
Does any part of the property lie within a special Flood designation area: _ Y.L(N
BUILDER of
RECORD:
PROPERTY
OWNER:
A>
JI/H-v-o.
LOCATION
&. PROJECT
INFO:
TYPE OF CONSTRUcTION:1
~INGLE FAMiLY i I
o TOWN HOME
o TWO FAMILY
# of units: ....."
o MULTI-FAMILY',.,
# of Units: "'"
o RESIDENTIAL (For '....
Additions, Remodels, Etc.)
"
PROJECT INFORMATION:
Early Release
Permit:
PHONE
FAX
STATE
ZIP
r:;::; SEmON fI
raf(/{s' ~
ZONINGj:- (
SQUARE C'/ --J
FOOTAGE: l)"{ It?'-..
t
ESTIMATED COST OF CONSTRUJTION:
(EXCLUDING LAND VALUE) Lt;?f}(!'J..cbe>.. CJO
Which plumbing codes will be applied to the constru
o International Residential Code wI Indiana Amendments
rIi Uniform Plumbing Code wI Indiana Amendments
(Multi'Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o ...ROST & BEAM
(]J" BASEMENT ,.j
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 i ssu a nce. of the b~'I~' .. n must be completed (Certificate of Occupancy issued) v.rithin 18 months of the
issuance date. Class I st:t~~fJn". 4"'J . t . inistrative: RU~es of the Stat: of Indiana (See 675 lAC 12) regarding expiration
tl. l;~'~"lit I II. tUn 0 g mng and completmg constructIOn.
I, the undersigned, agre ,.J4siJb on, reconstruction, enlargemem, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will co ly with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, a (cd under authority of I..c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I rther certify t at only kitche ath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or cupied nnt' G .. a 0 ccupancy has been issued by the Department of Community Services, C el, Indiana.
< ~ 1f~z..I-(l b
Date
OFFICE USE ONLY: **********************************************
Filing Fees:
Base Inspections:
*************************
00, 0
~ :;.00
55.)0
P.R.I.F.: b. ()
~A" ~n!rlr;. 70
Fee ce've by: ~
INSPECTIONS RE UIRED:
~
B
# Charged Re-
Reviews
Cert. of Occupancy:
roved: Dept. of Community Services
.,sjILPRESIDENTlAL
Additional Fees