HomeMy WebLinkAbout07070184 Application
City of Carmel! Clay Township Permit #: ~7 6 7 D~<64
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
LOT #:
PHONE:
FAX:
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STATE: ZIP:
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BEST METHOD OF CONTAcT:: (C~, J \,; ',= "\: \
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SECT10N: _ -ZONING:
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ADDRESS OF CONSTRumON:
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SQUARE
FOOTAGE:
SEWER lfTILfTY
PROVIDER: C-
un
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
(l0(), "0_
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMI
NUMBERS; TAe DATE(S); AND/OR COUNTY WELL AND/OR S
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
"--
o
o
o
o
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~RAWLSPACE 0 POST & BEAM PIER
B'SLAB G3-1lASEMENT (WALKOlJT:_ Y '::::rrT
Manufactured
Trusses:
Sump Pump:
~ N
.--; 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 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 Carmel Indiana - 1993" (Z-
289) and amendments, adopted under authority of I,e. 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 Certifica.te of
Occupancy has been issued the Department of Community Services, Cannel, Indiana.
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OFFICE USE ONLY: **************** ***** ***** * * * ***** ****** * ************* *********** ****************
INSPECTIONS REQUIRED: l Filing Fees: 7 -:s ZJ. 00
~9g ~W;rFO~g U derSlab 1~\BaSe Inspections: ? 87, ~() #c~:~~::;sRe-
~ ;_<:,~,!!~~~:::::a Cert of Occupancy: _t:::.5 , 6 0
~ Meter Bas ~ PKLF,: I^(p/! . /) 0 Additional Fees
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Reviewed/Approved: Dept. of Community Services (Date)
S;PermltsjFormsjllP RESIDENTIAL Fe Rece!ved b _ Date