HomeMy WebLinkAbout07050094 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
City ofCarmel/C/ay Township Permit #: 07d5roct,Y
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX:
ZIP:
FAX:
ZIP:
SECTION: J
SQUARE, '}
FOOTAGEi::,.:::: M ,b
ESTIMATED.COSTOF CONSTRUCTION: ',~ ; ,
(EXCLUDI~&~Lf~~~YAf~), ; ~ ',' \,:' ..~
NAME OF UTIlITY EXCAVA N CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) J.i 'I
FOR THIS PROPERTY: I r j A
TYPE OF CONSTRUCTION:
Ji(' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY ,
# of units being
constructed at this
time:
o RESIDENTIAL(For
Additions. Remodels. Etc. J
_Y lLN
_Y AN
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE:
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WALKOUT;_Y1....N)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
L.Y _N
LY_N
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, this permit is valid only if construction commences wi~ 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 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.
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 Cannel Indiana - 1993" (Z'
289) and amendments, adopted under authority of l.C 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kite en, 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
Occ yhas been issued by e tment of Community Services C:rrmel, Indiana.
..lo! (Tf
OFFICEUSEONLY:******************************~~***********************(;*** ********************
INSPECTIONS REQUIRED: Filing Fees: "
~.1j> 1 )0
5:). "5"0
/ c2 b / ~ Additional Fees
. am f I~T~.L~ ~~~~~
~edbV: ~ Dat~1
Under Slab
Base Inspections:
# Charged Re.
Reviews
Cert. of Occupancy:
Site
P.R.I.F.:
Reviewed/Approved: Dept. of Community Services
S:Permits/Forms{ILP RESIDENTIAL
(Date)
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