HomeMy WebLinkAbout06010121-Application
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City of Carmel/Clay To;""ship II ~ Permit #:fJ00 I 0 I~/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FI>X
615-0,)31
ZIP
PROPERTY
OWNER:
PHONE
FI>X
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SECTION
ZONING:
SQUARE
FOOTAGE:
SEWER E~~A~~
PROVID 'I"fWPU'
NAME OF umLITY EXCAVATION CONTRACTOR; PLAN COMMISS 'DO,-l\Oi\once with a r
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEm m~ t"(1ll(lIOIPM1\:)(B~GCoc d 5
TYPE OF CONSTRUCTION: TYPE OF IM~P f't!j{!rr::OMMPt!
~GLE FAMILY ~......rj[w qfj\lRO,Jl,MEL I
o TOWN HOME 0 ROO )f'1'raN(S) IN r's IndIana State License #:
o TWOFAMILY -- D i'\ I
# of units: 0 PORCH ADDITION(S) '---I I ~ / U
o REMODEL ,
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units: 0 D~ACHED GARAP- ~ I d'
O ~ I - I..ttornational Residential Code w In lana Amendments
RESIDENTIAL (For 0 ATTACHED GAP
Additions, Remodels, Etc.) 0 DEMOLITION
o Uniform Plumbing Code w/Indiana Amendments
(MUlti-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
M f ct d FOUNDATION TYPE: (Check all that apply for the new
~ anu a ure rJ construction area) f eCJ
_Y.-LN/ Trusses: ~ N U'n V1.~L
~ ~ 0 CRAWLSPACE 0 POST & BEAM ' I "!0I"l
Lot Split: _Y ~ Sump Pump: --0--N 0 SLAB _ 'f::I... ~IISEMENT Wi / &mf
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ y---UJ
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.
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 Cannel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of r.c. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
there . 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
do occupied until a Certificate of Occupancy has been Issued b the Department of Commumty ServICes, Carmel, IndIana
. . e..' I Ln/op
nature of Owner or Authorized Agent Date
OFFICEUSEONLY:**************************~*******************~'}'~********************
FIling Fees: ~ <;0
INSPECTIONS REQUIRED: .' //"7 /'7
~ ::-\ ,..--.... . ~ Base Inspections: C>-' b& "2...~
( Upper F~g '-.Lower F~~' . Under Slab ,.-; <()
- _ - Celt. of Occupancy: ~ J
~ (1'h!terBase:> . ~) /.J /( 00 . .
. P.R.LF..: {7-- b . Additional Fees
~~ /:rOTAL: <~-:?SC?S:5C'
/~~Z-z:e-~;:'..~.
# Charged Re-
ReViews
W~ tIfJJ
Reviewed/Approved: Depr.or-community Services
S:PermitsfFormsfILP RESIDENTIAL
(Date)