HomeMy WebLinkAbout06010152-Application
City of Carmel/Clay Township C/M- Permit #: (3(,0 10 I :{l-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME OF UTILITY VA NTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~GLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ ~1['tI STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
I
CITY
BEST METHOD OF CONTACT:
c-
PHONE FAX
CITY STATE ZIP
ZONING:
I
c...:::
pnBING C:~OR:
1?1J?1 hS J rc-
Plumber's Indiana State License #:
C-P/~ /6
/
Which plumbing codes will be applied to the construction:
~national Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
E I R I Manufactured ---!5- FOUNDATION TYPE: (Check all that apply for the new
ParY.teease Y /8.. construction area) ~
erml : ----LW Trusses: _N
- /;,;\ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y ~ Sump Pump: --0----N 0 SLAB ~SEMENT
Does any part of the property lie within a spQfiiftf\l\~. area: _ Y ~ WALKOUT: Y dt:)
For Single Family and Two Family dwellings, additions, 1~~bJBs~pri~iMjirrq~JIIjl;S' t I is valid only if construction commences
within 180 days of the date of issuance of the building permitofnl!i:tpR@= ~ry.p'Iet~d i t:rt"1~WafiCfJ81pancy issued) within 18 months of the
issuance d~te,.. c~"l\~~'l\P~"fm,",~.oEP'l"~lf'~~~l t1!iklSate of Indiana (See 675 lAC 12) regarding expiration
I, the und~;~i~~~r~g~1LErA~lilWglxt:t;~~~~ar.~1~;~~~~re, or any change in the use of land or
structures requested by this application will comply with, and conform to, ~iW !F~blthr(';1s{,f tbUWt'\U3H.J1IlI, and thc "Zoning Ordinance of Cannel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of r.c. 36 tl: -5~<t'<bJAral Asscmbly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connectcd to thc sanitary sewer. I further certify that the construction will not be
us occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
- - f'/q Y) l~f-:=:.i-.eLntJ/J("")(.n 'c I pc,la?:>
ure of Owner or Authorized Agent l ~~t Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~-7.~. '70
INSPECTIONS REQUIRED: ( <""
~ Base Inspections: ,;;z (; 7, J U # Charged Re-
pper Footin0 L;)..er tOOt,iig) Under Slab_ / /0 ReViews
_~ ~ Cert. of Occupancy: J ..J
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t1f"oiigh In ~eter !Sase} Amal Site -,
'L~ ~ ~ ~_ _~ P.R.I.F.: Additional Fees
.
I S-<Lr- "Z/3 - 06
Reviewed/App ved: Dept. of Community Services (Date)
S:Permits/forms/ILP RESIDENTIAL
Fee Received b