HomeMy WebLinkAbout07020147 Application
City of Carmel/Clay Township Permit #: () 7()'J.. eJr11
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
,
,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
STREET ADDRESS:
LOT #:
I1Y:
STATE:
ZIP:
0/
ZONING:
/
WATER lJT1LITY
PROVIDER:
. SQUAREI)'5o.h<,
FOOTAGE: 0(. ~
IL-/S ceo
ADDRESS OF CONSTRUCT10N: 87 if
SEWER UTIlITY fl fl. eI
PROVIDER: ~r m
NAME OF UTIlITY EXCAVATION CONTRACTOR; PIJ\N COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRU ON:
INGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
yV:
yL/;;
Lot Split:
AI S'
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT:
_~EW STRUCTURE ~~
o ROOM ADOITION(S) oS'V.L ber 5 Indigjna ta(Jit ic
o PORCH ADDITION(S) ~& & '0
o DECKADDITION(S) b~ C'tto ~D;f ~ ~~
o REMOBDEL t F" "C~'1' Q,j,;,.~~",~es will be applied to the construction: I
_ asemen InIS ~~~;.., l0. _ ._u. 1
o ACCESSORY BUILDING :t:" ,",~I~:"'1i~8liJ.~Sidential, ~de w/lndiana Amendments
o DETACHED GARAGE C4Jo ~~ 'il<</oS'k.:' 'Ii d' dm ts7
o ATTACHED GARAGE "'?'-1i~V1j";"ll!.'t,/ ~ ~'V.;-r;n I~ t~nL '-!lv,
o DEMOLITION ~D~'''''~ .
=- v, ~ 1 ~ ~~~;-;;:ili'~;:
Sump Pump: _Y N P(SLAB -~.sl~~~T(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 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 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.
1, 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 I.c. 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 used or occupied until a Certilicate of
Oecu ancyhas ~en issu hy the Deparnnent 01 Community Sernces, Cannel, Indiana. ;;h:;;/ D 1
Print
o.te
LY:******************************~~*************************~**~*CJ***************
~SPECTIONS REQUIRED: FIling Fees: ftJ 1/ -I-~
~ing Lower Footin der Base Inspections: ;2/l-~', ~ # c~:~re~sRe~
~' Cert, of Occupancy: __
Rou In_CM~se, (. "'0
_ P.R.I.F.: . v Additional Fees
"3
ept. of Community Services (Date)
S:Pefmlts/FormsjILP RESIDENTIAL
Fee Received by:
Date