HomeMy WebLinkAbout06020055-Application
City of Carmel/Clay Township d~(7 Permit #: alt~?-OD 5S
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
2
SEWER UTILITY C ~
PROVIDER: . I ;< CU P
FAX
J'Y6~
CITY
SUBDIVISION NAME
~/fA-t h...J I'k
<-
4
/T)-
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) / r- - J-;; ,I <F u
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TY~..cONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
I'~^
TYPE OF IMPROVEMENT:
CiJ/'NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
,~
Which plumbing codes will be a plied to the construction: ..., r;> .".,
D-t'iiternational Residential Code w/lndiana Amendmen~
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
/ /" FOUNDATION TYPE:
Early Release V., TManufactured i/~" N construction area)
Permit: Y N russes:
- V - - ~RAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N s...SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
(Check all that apply for the new
o POST & BEAM
~ BASEMENT ~
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 (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 tha,t any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application v-rill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993n (Z- 289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 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 occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Sig ure of OWner or Authorized Agent prrl1t Date
OFFICE USE ONLY: ************** .. -. .r; " ****************************
SubJecc to comflll~F~s~ all reguiatlons "/5 D. f 0
INSPECTIONS REQUIRED: of State ana focal C?de~. r;7 fry '7,) d
Upper Footin ower Footin un~fjllbOF cdM~enm~RVICEg ;-1 ___()
CITY.Qf CARM:a.,b~Q}WNSHIP _. )
~ eter Base Ginal Site ") tNP.r:M~A 1,2 b iF '3J
Reviewed/ Approv d:
S:Permits/Forms/ILPRE
,
# Charged Re-
Reviews
Additional Fees
(Date)