HomeMy WebLinkAbout05030015-ApplicationCity of Carrnd/Clay Township permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Nultl-Family, & Two Family:'--;"" New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
BUILDE~ o
RECORD:
ADDRESS OF CONSTRUCI~ON
WATERUTJLITYt I Il
; PLAN COMMISSION / BZA / BPW DOCKET
ER:
& PRO.1ECT
INFO:
SEWER Cr~LLTY
PRO~R:
BUILDER'S EMA]L ADDRESS BEST METHOD OF CONTACT:
NAME PHONE FAX
STREET ADDRESS C1TY STATE ZIP
11163 ¢~.oor-.~.. o g'rl¢~ t.d, C,~z~t_ 18 4603Z
- zo.,N : '
=re- I'1~$ O~ O00007'Lo~
I ESTINATED COST OF CONSTRUCTION:
__ (exc~uom~owue) ~ i~r, oo0,'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDiOR ~F~JC P~R~IT ~S (IF APPLICABLE): ~
TWO FAMILY E}
# of units: EP T
[] MULTI-FAM~ ~
# of Units:
C3 RESI D ENTIAL ("~-'~-~
Etc.)
Early Release
:: _N
Trusses:
Sump Pump:
for the new
.Y
[] POST & BEAM
Y- [] BASEMENT
WALKOLff: Y N
For S~ingle Family and Two Family dwellings, additions, remodels, and/or accessory srvacvares, this permit is valid ouly ff consVeacdon commences
within 180 days of the date of issuance of the building permk, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance dare. Class I structure permits are subject ro the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the unders/gned, agree that any construction, reconsrvacdon, eulaegement, relocar/on, or akerarion of a srrucvare, or any change in the use o£1and or
structures ~re~q~ested by this application will comply with, and conform tn, all applicable laws o~ the State of Indiana, and the ~Zoning Ordinance o£ Carmel
Indiana- 1993 (Z-289) and amendments, adopted under authority of I.C, 36-7 et seq, Genexal Assembly of the State nf Indiana, and ail Acts ameudatory
thereto. I further ~ that only k/tthen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
used or occupied until a ¢~te o£Occ.t~ancy has been issued by the Department of Community Services. Carmel, Indiana.
OFF~CE USE ONLY: ************************************************************************
Filing Fees: ~
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final
: r~/ ~ nib/Services (Date)
Base [nspections: ~-~ # Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F,: Additional F