HomeMy WebLinkAbout06020131 Application
City ofCarmel/C/ay Township c!.U-- Permit #:tJ(Q 0 l,O/3 J
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
FAX
75 QBI
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME OF tmUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILD'.'"
o DETACHED GAP
o ATTACHED GP
o DEMOLmON
tI
1J:BING C~~RACTO~
vnr11 rT nS ..Lnc:...
Plumber's Indiana State License #:
CP /60:::'.>(') /0 /
TYPE OF CONSTRUCTION:
Q-SINGLE FAMILY
't:J TOWN HOM E
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
FOUNDATION TYPE:
EarlY.Release /-::.... Manufactured ~ construction area)
Permit: Y ~ Trusses: Y l N
- ) 0 CRAWLSPACE
Lot Split: _Y ---1t! Sump Pump: N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
Which plumbing codes will be applied to the construction:
OIntemational Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
(Check all tihat apply for the new
fijI/ ~lnlohec)
o POST & BEAM. I / ,.,a~h ,\
~ BASEMENT WI Fo.< , , . cfJv ~.
WALKOLrr:_Y~N R\!'
,...-- -- - -- .._-
For Single Family and Two Family dwellings, additions, remodels:,:andJor,acc:essory~strUcmres. ~s permit is valid only if construction commences
. within 180 d~yslo~,t.~~~. '{f ~@F~o{:~:l~~l~fl~!~tp!@44~ Ihp'~~:be ~~!!fp}~tt~JC~tlif!~~'1cif,d~'~ppancy issued) within 18 m~nths o~ th~
ISsuance date.~ ~~:Ie.stru .cture .,. p,.: ~~._ ~rt: ~~?J. ~.' tioj~~, PF~,~~,r '~~ lstrative R~es 0 fth. e Stat~ ~f. I nc;lt ~a (See 675 lAC 12) regardmg expIratIOn
:~i ')~i;"f:t !,~ ,:.;~::.,;-:';L,(b.~ ~~~) 'h[1tlme!frattJ.~lfor 1 and completmg constructIOn. I I d
.......--'J.... .. ", _ I ll' 'I
I, the undersigned, agree ,~t3ll).!. '..~9. .~.~~qOen;'I:eCo. rl~.' ' roan, ~.em I t, rel~Rn, ~ altery.~fW; of a ~ttu.: cryfe, or any c~ange. in the ~se of land or
s~ctures requ~t~4.~Y.~ tl'l1liCa~~,p.:~~1~.rP~1~lWl-0;':~~.f,.., ioo . 01 ~ applleabie liw~of tlie'State qf ~~apa, and 0e Zomng Ordinance of Carmel
Indiana -1993"l(~,:289) and amendriients;'adopt_ed unatt.'!1!tllqI'l'I*Q , ' 6--7 et seq, General Assembly ofldie:State of Indiana, and all Acts amendatory
thereto. I fueprcyrq!}Hhar9,JiJ-y.w.f~Keb, patb':"W1'U\tl~M1iri!O'l, ec~ed-rnthe'sanitarysewer.-I'further certify that the construction will not be
u r occupied until a Certificatt:< R{ R4'~f~Y has been issued by the Department of Community Services, Carmel, Indiana.
, I. . ,- I, . . _.______.____1 . J. IiJ
1:.<. ~~<f, ~
OFFICEUSEONLY:********************************************~T~~**t********************
Filing Fees: L.;2? 7t?
INSPECTIONS RE UIRED: .] / -'7 Sd # Charged Re-
Base Inspections: ..4.. ""
0:-/. :)c) Reviews
Cert. of Occupancy: ~
per Footing ower Footing nder Slab
~eter~ ~
C",a-:,^ HI~ c.'?'t-of;
RevieWed/App~bvet-~ept. of Ccmmunity Services (Date)
S:PermIts/FormS/ILP RESIDENTIAL
P.R.I.F.:
IJ t,
Additional Fees
pi 5" '3~/O
Fee Receivetfbv: