HomeMy WebLinkAbout06020139 Application
City of Carmel/Clay Township VfJ...:,~ Permit #: ~l,Oi.{) /Yj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
itS
ZIP
tJ3~
BEST MFTHOD OF CONTACT:
c-
'j
PROPERTY
OWNER:
FAX
STREET ADDRESS
TYPE OF CONSTRUCTION:
i4J" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
CITY
STATE
ZIP
e
LOCATION
8r. PROJECT
INFO:
LOT #
II
t,J
ZONING:
5
SQUARE
FOOTAGE:619Cj
00
NAME OF UTILITY CAVATl ONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF IMPROVEMENT:
STRUCTURE
AOOmON(S) Plumber's Indian@'StiiteL#120n"
/Jp I '-" / uo I
~ OmON(S) L-- /OqoO--lll _ / /
O~;.R ~~~IllJl!J-DING Which plumbing co(f",wil~~ed toth~nstru<:tiQ/,: _:.,/!
' e;:. ~~;;, ~temational Residential CcKle w/ln!!!!'na Amendments
o . ~E'b6i, ~& 0 Unifonn Plumbing Code w/lndiana Am;~;;ntsJ
o ',2.:Noc ~ 1;0 (Multi-Family Construction Code)
/-1. '( /1/ 0'0 cr.;'l /6;
'l?), /0 '~0- 0 rOo NDATION TYPE'
...,.....~ /, M.........""~~~~..... _~) .
Permit: _Y -Lr:V Trusses:' '/. ."0......
- ...r. '\ . '7^ rgJ CRAWLSPACE
Lot Split: _Y ~ Sump Pump: "'~ 0 SLAB
Does any part of the property lie within a special Flood desi ~n area: _ Y --<1b
PROJECT INFORMATION:
(Check all that apPI~
9 POST & BEAM Jt;z;i..aAPd
~ B:~:~~_;J~2~
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 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 with, 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
r occupied until a Certificate of Occupancy has been issued b the Department of Community Services, Carmel, Indiana, J _ /
a . e =feu n()(},' dI0l7/tJ~
ature of OWner or Authorized Agent Date
OFFICE USE ONLY: ************ *** ** ****** * **** ********* *** ** ****-"'* *~7 *p'**.*** ****** ***** **
Filing Fees: CI.zJ"f' 9'iJ
I, NSPECTlONS RE, QUIRED: I '7 "7 ./ ~ # Ch ed R
....-r;:: . :-"~. ~ Base Inspections: r:;L.b . J arg e-
,-UpperF~g Lllw~ Under Slab ,c-. ro Reviews
- - ..--><::z.. Cert. of Occupancy: '} ~ .::>
(ROUg~ ~se CElnal sire) P.R.I.F.: / cJ..1/ go Additional Fees
L~' ~;2n 'I. 7'0
FeeRecel~~ ,7j/0~~--
wil ~
Reviewed/Approved: Dept of Community Services
S:Permlts/Forms,lILP RESIDENTIAL
(Date)