HomeMy WebLinkAbout06010148-Application
City of Carmel! Clay Township A" j) Permit #0 6D J C> J 1(/
RESIDENTIAL IMPROVEMENT LOCA41ONPERMIT APPLIC~TION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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TYPE OF CON~RU€TI6N: , TYPE Of IMPROVEMENT:
~SI~ -- ~It:p ;.>. ~~ STRUCTURE
o TO", . -;1 d\J M ADDmON(S)
o 1WO, Ft> Y \\ 3; ,.0 d~ H ADDmON(S)
#ofuni", t\~o ---d REM DEL
o MULTl-FA~.(\Y __________ 0 SORY BUILDING
# of Um):s., '_ / DETACHED GARAGE
o RESIDENTIAL (For ATIACHED GARAGE
Additions, ~~dels;Etc.) DEMOLmON
PROJECT INFORMATION:
Early Release _Y _/""\ Manufactured /"'\
Permit: OV' Trusses: -----L:f..::. N
/.:\ ~ 0 CRAWLSPACE
Lot Split: _Y ~ Sump Pump: ~N 0 SLAB
Does any part of the property lie within a special Flood designation area' _Y
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTI
PROVIDER:
NAME OF UTILITY EXCA ATION CO croR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUI'ITY WELL AND/OR, SEPTIC PERMIT #'S (IF APPllCABLE):
Cfij1
PLUMBING CONTRACTOR:
-tt'l. WI WI 0- ~ n.s -:r:;, c:.....
Plumber's Indiana State License #:
C P /D()(')O /0 I
Which plumbing codes will be applied to the consb"uction:
~emational Residential Code wi Indiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction COde)
FOUNDATION TYPE:
construction area)
(Check all that apply for the new
i?:!;+Iq I \
o POST & BEAM Uft'P/l1/ sh ew
.JSl<-BASEMENT J6s
WAlKOUT'_ 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 (Cenificate 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 \'lith, 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 I.c. 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
use r occupied until a erti/icate of Occupancy has been iss y the Department of Community Services, Carmel, Indiana.
"~e. -€v . / /;)(;/00
"nt Date
OFFICE USE ONLY: ******************>1:'******************************.'/'*6
t RELF.:1=ffingkeesR CO~ lST
E RED:' Subjec: 1,0 cc1jnnliClrcH vr ,') ali r"guiations -c/l # Charged Re-
I ~~t1.inFB~~'eR~hj CO':j;~,~. J (I Reviews
.r ~It(:ot~q;li'~cyl( S'~~"l!':'~ .f:'1.5rJ I
Fp.'R':I-!fi!,.1EL / Ci<> 'i G'/Vri' it!,;2..6 /. (JrJ Additional Fees
~;~foT~~~:) /~ ,.2')3 :liO ~
;'le!c~teJc/ti~ / jI
Fee Received by:
elL
Reviewed/Approved: 0
S:Permlts/FormS/IlP RESIDE
. of Community Services
(Date)