HomeMy WebLinkAbout05050082-ApplicationCity of Carmel~Clay Towtt~Ml~ permit #:~
RESIDENTIAL IMPROVEMENT LOCATION
For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Acceasol~
RECORD:
PROPERTY
OWNER:
NAIVl~~ PHONE FAX
BUILDER'S EHAIL ADDRESS
PHONE
BEST METHOD OF CONTACT:
~-- ~ z o-07
FAX
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:__
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
P - IN _ _ :
LOCATION LOT# SUBD SION
~NFO: ~o~ OF c~u~o.
(~
~ER ~
~E OF ~ ~VA~ CO~ ~ C~MIS~ION / ~ / B~ ~
NUM~ ~C DA~)~ AN~OR COU~ WE~ ~ ~C ~ ~ (IF ~):
-- ~- - ~-'- E~ ~
~ N~ ~RU~RE
~ R~M ADD~ON(S]
~ ~RCH ADD~ON(S)
~ REMODEL
~ ACC~SORY BUILDING
~ D~ACHED
SECT[ON
SqUArE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLUM G CONT -- ~
Plumber's Indiana State License #:
Which
[] lntemational
J
(Multi-Famil
t t 2005
EaHy Release Manufactured
Y ]~_N Trusses: y ~ construction area)
Permit: . ~.X~-N _ _ . ~ [~ CRAWLSPACE
Lot Split: Y_/~ ~ump ~ump. ____Y/~ CD SLAB
( - ( - · [~/'-BASEMENT
Does any part of the property lie within a special Flood designation area. Y
wlthin 180 days o£ tJtc dace o£ ~ssua~cc o£ thc building 13crmlt. and mllse be compIcced (Cer tfficatc o£ Occupancy issued) withba 18 moaths of thc
issuance dace Class ] structure permits arc subject to thc Gcncral Administrative Rules nf thc State or' I:dian~ (Sec 675 llAC 12) regarding cxpiratio:
time frames for bcginn~g and completing construction.
I, thc mtcJersigned, ~g~cc thai: an), colast2uct~o]~, rcco~stzuct/on, enlargcmcrt:, relocation, o~ a[cez~do~ o~ ~ struc~ucc, o~ any cleanse k,1 thc use nf ]Land o~
$cr~..cmrcs ~es[cd by this ~ppiic~tio~ will comply with, and conform co, all ~pl~[ic~bIclaws o£ thc $cacc o£ I~diana, and thc ~Zoning Ordinance o£ Carmel
Indiana- 1993 (7'-~89) and amendments. ~doptzcl u~der authority o£ LC. 36~7 cc seq. General AsserabIy nf ~c State oE I=diar~ and all Acts amcndamry
thereto. I furi:ber certify tha~: only kkchcn, bath, and floo~ drains arc connected to thc sanitary sewer. 1 furthc~ certify tha~ thc consrrucrjom will hOC be
OFF:CE USE ONLY: ************************************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
# Charged Re*
Reviews
Additional Fees
TOTAL: