HomeMy WebLinkAbout07050155 Application
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City of Carmel/Clay Township Permit #: OlOSo/ss-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
ADDRESS OF CONSTRUCTION
NAME OF LJTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
./ Manufactured ./
_Y ~ Trusses: ~/ , N
- - 0 CRAWLSPACE V 0 POST & BEAM
Lot Split: _ Y _N Sump Pump: _ Y _N 0 SLAB '0./ ~ BASEMENT
Does any part of the property lie within a special Flood designation area: Y VN - WALKOUT:
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT #
SEWER LfTILITY
PROVIDER:
twD
TYPE OF CONSTRUCTION:
.g SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
SUBDIVISION NAME
- c-:-;-=-~-:.~~-:-
:.: :! ,""-::'_>FAxC,-:':; II \'if Ie, I"
Ilj -- ~'I'
1 i -'< , .
III ! StATE MAY I 7'?JJo1 II I
I,i :1, , II!
u
L__~._.._ -.ZONlN
(
3~ Y)I) ooleDfo LMJJ
SQUARE~
FOOTAGE: '/1
WATER UTILITY
PROVIDER:
A\ i
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
91
Ol05orS-d)
TYPE F IMPROVEMENT: PLUMBING CONTRACTOR:
k ~~:"'-_ l{jf\2 (~~
o R ~,t{(5)JR COPlumber's Indian S e Li se #:
o ,('ORCH IW I 1!l(~ceJ tvSiRU
Q 41,= ale ana WI
cJJ;/ yCSQlNr, Oca/~6c~rillli\lll!!?lb'ii' es will be applied to the construction:
o D i-IEG1.~r8Nt7;~1!lernationafReSidential Code wi Indiana Amend.ments
00 ATTAOCHEDO~N"AJN Dn;/I CLA. \lq-r\~~~~bing Code wi Indiana Amendments
DEM LITI ANA \MI1I'I<VS1!jyponstruction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Y I
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 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 subjcn to the General Administrative Rules of the State of [ndiana (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 - 1993''' (Z~ 289) and amendments, adopted under authority of r.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatpry
thereto I further cernfy that y kitchen bath and floor drams are connected to the samtary sewer I further certIfy that the construUlOn WIll not be
used or/ cuplcd unnl a eer 1 cateof ccupancyhas been Issued by the Depactment of mmu ny Se ',ces, Carmel, Ind..na _ all b 7
Signature of Own. Pdnt oa3 ' /
I
OFFICE USE NLY: *********************************************~~*************************
Filing Fees: 'Lh '7./0
~.SPECTIO QUIRED: > R-9. _A
Base Inspections: c:><<- _{. ':>Y
U er g ower Foot Under Slab r-- ",..-. '" d
Cert. of Occupancy: --::;, J. '-'
~ --, /' I A,l
P.R.LF,: j 0/ h , I/U
~o ALj' i/2373,/c?
La.(fp ,/"
F e Received by: ., ,/
# Charged Re-
Reviews
Additional Fees
~
(Date)
Reviewed/Approved: Dept. of Community Services
S:PermitsfForms/ILP RESIDENTIAL