HomeMy WebLinkAbout05120139-Application
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City of Carmel! Clay Township Permit #uS ~ () I I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MUlti-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of NAM
RECORD:
6L
BEST METHOD OF CONTACT:
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TYPE OF CONSTRUCTION: TYPE OF I ROVEMENT:
o SINGLE FAMILY . 8N STRUCTURE
o TOWN HOME .~(~. ROOM A mON(S)
o TWO FAMILY -r\ 0 p., ONeS)
# of units: 0
# of Units: j U) DETACHED GARAGE
o RESIDENTIAL (For (Jv ATTACHED GARAGE
Addibons, Remodels, E . . ~ DEMOLmON
PR CT INFORMA 0 . /'
Early Release Manufactured
Permit: _Y _N Trusses: _Y _N
. .' 0 CRAWLSPACE
LotSpht:./ _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _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 subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
It 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 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 Certilic e of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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OFFICE USE ONLY: """" """" """"""""" "******** ******" ""**"**"" "7 "***" ';.!f """""" """""""""""""
Filing Fees: :; 8, g
INSPECTIONS REQUIRED: . r.-:? 5 /". # Charged Re-
Base Inspections: _ :.L.2- ~
Upper Footing Lower Footing Under Slab _ ReViews
Cert. of Occupancy:
PROPERTY
OWNER:
:S~
STREET ADDRESS
LOCATION
lit PROJECT
INFO:
SEWER UTIlITY
PROVIDER:
INDIANA
NAME OF UTIlITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
Rough In
8.
P.R.I.F.:
Meter Base
Final
PHONE
FAX
CITY
STATE
ZIP
SECTION
ZONING:
ESTIMATED COST OF CONSTRUCTION:
(EXClUDING LAND VALUE)
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o Intemational Residential Code wi Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
o BASEMENT
WALKOIJT:_Y_N
L 0f'.DO
17...,.- 2i1--oS
Date
Additional Fees
{;)J!L- Mid
Reviewed/Approved: Dept. of Community Services (Dale)
S:PermIts!Forms/lLP RESIDENTIAL