HomeMy WebLinkAbout06020044-Application
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City of Carmel/Clay Township Permit #nfo{)~ooljif
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
(f
BUILDER'S EMAIl ADDRESS
V
STREET ADDRESS
/47<<JC"
STATE
'~/?
/
PHONE FAX
cm STATE ZIP
SEWER UTILITY
PROVIDER: 4
NAME OF LfTILITY VATION CONTRACTOR; PLAN COMMISSION / BlA I BPW D CKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PlillMIT #'S (IF APPLICABLE):
LOT # SUBDIV9iION _t;E
5' C. ~I h
ADDRESS OF CONSTRUCTION
12.32.
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
(k3--TWO FAMILY
# of units: "Z.-
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
<D-NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
I
PLl41NG CON~OR:
tz- P (;"11 r"e\;
Plumber's Indiana State Lie se #:
(P i?!9oo/3)
Which plumbing codes will be applied to the construction:
~nternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Muiti-Family Construction Code)
PROJECT INFORMATION:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
Early Release
Permit: _ Y I-fq Trusses: 1/l' N construction area)
. - - REL~<lEONS-mlJlMfcmEAM ~
LotSpht: _Y ~ Sump Pump: ~ _N SubJeillo~pllance With aliHegffi~R~h~T
Does any part of the property lie within a special Flood designation aol'i6tat.a.aJY(~odes. WALKOUT:_ Y N
For Single Family and Two Family dwellings, additions, remodels, and/or a coy c , hJ:~TiY ~1a~Wu;J3Struction commences
within 180 days of the date of issuance of the building permit, and mustCbdldtn~~AAJ~t.1 ~1U(1}~'P 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the ~~~r,c;9"I~J\na (Scc67~'IA.~~~j regarding expiration
time frames for beginning and completing constM~1f\
I, the undersigned. agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, Of any change in the use of land or
structures requested by this application ""ill comply with. and conform to, all applicable la\....s of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993~ (Z~289) and amendments, adopted under authority of LC. 36-7 ct 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 'cupied u Ii a Certificate of Occupancy has been issued by the artment of C mun~ty Services, Carmel, Indiana,
~a L 2-'?-oC'.
Date
OFFICE USE ONLY: ************************************************************************
/' Filing Fees: ~~ '). .1!fJ
INSPECTIONS REQUIRED: V . ..., / J.J 00
Q <<.l4.Base Inspections: " ~ J_ .
UpperFoofing~LowerFooting Ji ~ /(),:? DO~
- Cert. of Occupancy: ~.~
~cMet~~ Final ~ ';ZS-?,~.OO~~~
P.R.I.F.: ~
TOTAL: 35
Fee Recei
# Charged Re-
Reviews
Additional Fees
Oli