HomeMy WebLinkAbout06010103-Application
City of Carmel/Clay Township 1M Permit #OIoDI 010"3
RESIDENTIAL IMPROVEMENT LOCATION ~RMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
FAA
cm
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEmON
ZONING:
'S
SQUARE
FObTAGE: (0&80
NAME OF UTILITY EXo; AllON CTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
1/.',1 1 "
TYPE OF CONSTRUCTION:
~LE FAMILY
o TOWN HOME
o TWO FAMILY
# Df units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
"g NEW STRUCTURE
ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
'.,
PLUMBIN CONT~~_R: .--::...
--t=iaVYJW/ r, I ns I ...C'
Plumber's Indiana StateUcense #: i
c.. P / OD:::xJ J L) I .---------------;
Which plumbing codes will be applied to the construction:
~mational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release /~, Manufactured ~ FOUNDATION TYPE: (Check all that apply for the new
Permit: Y --Lfll../ Trusses: J...Y N construction area) -Q, I I
. - /.:") ~O CRAWLSPACE 0 POST & BEAM Vn-9'""/Shed
Lot Split: _Y ~ Sump Pump: ~NRElF,11S0~ ~ ellSEMENT
Does any part of the property lie within a special Flood des~\llii:ion,a.,;i!;rl : ,.tY~'O$RUC~ y
For Single Family and Two Family dwellings, additions, remodels, andJe:~9i=Y._s'tH~~turesrHiis!~y~r~ tiU~nstruction commences
within 180 days of the date of issuance of the building permit, and Ilfl'1Jt,....Irercom:Pleted.(C..~,ift~~t,e;qf 9CS:UP~2y issued) within 18 months of the
issuance date. Class I structure permits are sub~ect to the General.Ad!M:htstlfat1v.e R~l~ ~Hh~: ~ia~~~f In~ah'a:(~/~~~ 12) regarding expiration
tlIDe frames for beginmng and compleung constructlQn..A '{ ., ;""-',-
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alt~~tJ.2919f\ '+..~t}iUctuJ, (',f~f\J.~ the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State 3fTndiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2-289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
~ or cupied until a CertiFicate o~ Occupanc~ has been issued b the Department of C~mmunity Services, earn:el, Indiana. /
.. J.::l./; <LID&:::
re of Owner or Authorized Agent Date { , t:J
FICEUSEONLY:**********************************************rm*** **********************
Filing Fees: / ~~ 'i0
INSPECTIONS REQUIRED: f . , / ()
~ .-r;:;;;; "c_~-o-.. Base Inspections: '7 (" '7 ~" # Charged Re-
~er Foo~ (~ower~tmg Under Slab V- <'" J~ /0 Reviews
- - ~ Cert. of Occupancy: :,.. _ ::2.
e:OU9h~ ~~. ~~ P.R.I.F.: I J hi, 00 Additional Fees
TOTAL:
a
(Date)
~~~
l....
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