HomeMy WebLinkAbout07040055 Application
City of Carmel/Clay Township Permit #: fY70400ES""
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
NAME:
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
. CDm l24..c I
PROPERTY
OWNER:
FAX:
'2OJY\jL
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
8< PROJECT
INFO:
LOT#:
Lv
SUBDIVISION NAME:
SECTlON: ZONING:
ADDRESS OF CONSTRUcnON:
L. \
SEWER UTILITY CT ~
PROVIDER: '~w \.J
WATER lJTIllTY
PROVIDER:
SQUARE , I
FOOTAGE: 33c9,'1
Lj
#'Q'2DJ:I-0053
NAME OF UTILITY EXCAVATION COI'ITRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAc DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCA
_yXN
_y:;LN
&2-
TYPE OF I 0 'J~Of>LUMBING CONT~,ctOR: .
)6 NEWSTRu~fe:oOIl)d\-l~~~n^,&:- I {)54g':li ","
o R;Ea9 :'1 ~ noe ~s.5Nliana tate License #:
o P QI{ ~nr:J( [nil' -;.""'// ---'
o D ~1fI8N/S: Iv{,W OCa/ ,YI Lr S
o REMOSOEL ~.RAilt:::"Iy'IJ!vr~/Wfi' ~~h1bing es will applied to the construction:
asement Flnls"'I'I"tKl C
o ACCESSORY BUIL~@)/,A ~ $ ~ Residential Code w/Indiana Amendments
o DETACHED GARAGE "!vA VMa.r.=.L' .
o ATTACHED GARAGE 0 Un, onIUfIfJln"IM9 Code w/Ind,ana Amendments
o DEMOUTION FOUNDATION TYPE: (Check all that apply for the new
construction area)
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::\ II;
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, . I
.._._..._ ,I !
._._.,.,_ i
TYPE OF CONSTRU
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc. J
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
Sump Pump:
1..Y_N
$-Y_N
o CRAWLSPACE 0 POST &_ BEAM PIER
o SlAB ~ BASEMENT (WALKOIJT:_y..J(N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory stru.ctures, 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 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 - 199J" (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 used or occupied until a Certificate of
Occu yhas, been issued by the p tmen~ of Community Services, Cannel, I~diana.
Signa
Print
s
~
~ Reviewed/Approved: Dept. of Community Services
~ \ S;PermltsfFormsfIlP RESIDENTIAL
\
OFFICE USE ONLY: ************* *****************~~****** *************~2**27)}******************
PEeTI IRED: FIling Fees: . :L.::>.. 't.tt
B I ct :;2 81 ~ # Charged Re-
t. F t' Under Slab ase nspe Ions: R .
00 'g ower 00 In /) eVlews
Cert. of Occupancy: .::;-~ 5' v
C. d
c2 3 1"4 -L./1
lJ'
P,R.I.F.:
Addiljonal Fees
(Date)