HomeMy WebLinkAbout07050266 Application
City of Carmel/Clay Township Permit #~0701)(')~w~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
C"i+"1
PHONE
."'"J,:,i.',ri""!<
of State and Loc:N'coQ~.il!;'
.1 '.t';",},i'.
;>r__ .
NAME
PHONE
FAX
PROPERTY
OWNER:
STREET ADDRESS
em
CITY OF CAR~E/ CLAY;'f~i~NSHIP
LOCATION
& PROJECT
INFO:
LOT # ;:z 2] SUBDIVISION NAME C ~
ADDRESS OF CONSTRUcrrON
,
SECTlON .5
,"',"- ..
ZONING;'" )
SEWER lITIlITY WATER UTILTIY /'
PROVIDER: PROVIDER: L_ P,-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
SQUARE V
FOOTAGE' f Y 6 '2-
~
(.IUd.
TYPE OF CONSTRUCTION:
QJ..--"SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Ete)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
, ./ construction area)
_ Y _N Trusses: i../ Y N
- ~ 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: /Y _N ~LAB
Does any part of the property lie within a special Flood designation area: _ Y _N
o ~ST & BEAM
G1ASEMENT
WALKOur:_Y ~
Fat 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 hf 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 \vith, and conform to, all applicable Jaws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993~ (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 Cer Beate of Occupancy has been issued by the epartment of Community Services, Carmel, Indiana.
Sig
Pri
{J C,c
r- 2 j---"?
Date
OFFICEUSEONLY:************************************************************************
Filing Fees: t?SO ,;J d
INSPECTIONS RE UIRED: . - '" -0 -7 <"d
("" - __::J. Base Inspections: C>'" rr r .J
~pper F~ Under Slab
'"'- Cert. of Occupancy:
~eterB~inal . ~
# Charged Re-
ReVIews
b - 'f.-p7
(Date)
F