HomeMy WebLinkAbout06020140 Application
City of Carmel/Clay Township Permit #: ~ itDJ.-(J1 L.VV
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
~corl
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
N RUCTI
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
r:Y'NEw STRUCTURE
a ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
7
PHONE
FAA
,/
CITY
STATE ZIP
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,
SECT}.oN
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EsnMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) ~O 0 0 0 C> '
y.
PI7!J3j7/6if4T #:
Which plumbing codes will be applied to the construction:
~nternational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured X'
Permit: Y N Trusses: Y , \ N
- ~ V"'" - 0 CRAWLSPACE .Q~~QSL&..~J'1
Lot Split: _Y --"S,.-N Sump Pump: 4-Y _N ~~lhr,S[D FOR ~1'fl7.\g~TION
Does any part of the property lie within a special Flood designation a~lect tOV:~Nan~e wittw;Jll~S(Jtl:l&ll(lr11l_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory ~i':i-biW"'ffi\~~' H~ll'tsJy \f~~~~~ommences
within 180 days of the date of issuance of the building permit, and must be completM'(Cerrihthe'r1fdH:U h.lfc Issu~crr\V1ththltf5'tn~ths of the
issuance date. Class I structure permits are subject to the General Administrative IGEfct tQfStliW'~ t ~N&bH~xpiration
time frames for beginning and completing construction. I N DiANA f
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 \vill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -199r (Z~ 289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
the o. I further c~;;#r th 0 ki hen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
us r upied tr)c e of Occupancy has been iSSUejr; ~;5nt of immc", (~es. Carmel. Indiana. /23/ o~
re of Owner or U orized Agent Print Zte
FICEUSEONLY:********************************************~**********~****************
Filing Fees: I / ., L U@
INSPECTIONS REQUIRED: . '< !:(j
~ -r.: Base Inspections: ...LC>!' --= OU
~pper Footin~ CLower Foot~ Under Slab ___ J ___ /\
Cert. of Occupancy: ,~t:. ,") v
/ ;2.. (,/ 00
.
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"7 ~. 0
~-'7~ ~~~ rYl #
Fee~bY: '
P.R.i.F.:
# Charged Re-
ReViews
Additional Fees