HomeMy WebLinkAbout06030133 Application
City of Carmel/ Clay Township ~permit #01.00 3D~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
.e.-
ON
-a:5 Or C~f
WATER UTIjd'iY)
ROVIDER~ (j e ()
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~GLE FAMILY
15' TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
O>r-m:w STRUCTURE
C( ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARA(."-
o DEMOLmON
FAX
<5 76 -;),3/4-
0{
-~' ;'4~.1 :..=.::::. i 'I~i
"- -I III
MARA~ 0 2006 ZIfl' II!
IJ!
"'/ I
o.J ,/
SQUARE 5
FOOTAGE:67o
138
if 0 to 030/3;)-
PL'fhNG CONTRACTOR: _
1'?1 /11 rr ~.s -f-.rJc...
Plumber's Indiana State License #:
C P I 60cX:> / 1'5 !
Which plumbing codes will be applied to the consb"uction:
~ I..h:.mational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ~ Manufactured fOUNDATION TYPE: (Check all that apply for the new
Permit: _Y -----'J!/ Trusses: --0--N construction area) <fi)1~~\YllS a
. C"\ ~ 0 CRAWLSPACE 0 POST & BEAI'<la.-...,J... ., 'v:L::-U.
Lot Split: _Y ~ Sump Pump: ~N 0 SLAB ~ BASEMENT ~FI'~, 10'-(' '1
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y N
For Single Family ~d_~w~ Family dwellin~s, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences
within 180 days oHherd4ti\:lf:~an~(1;)@.~]i'~~4:fuNt be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class IJ~~~ur:e nel'lUits aJ;F..&ubject-t.o the ~eral.iPministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
..... Vj-.JU\ t'~:"'~'~l' ifJ~i....\ h..-t'tni1~Ift.kMb~ faF~firf~gind completing construction.
I, the undersigned, a,8!ee that any cci:r;sti-Uctio~ rkoiiSdu8ioS:wargement, relocation, or alteranon of a structure, or any change ill the use of land or
structures requestedbwausrpP.ucan@@PJIJ:f~*,!Y'llWhtarrd~~rw ta:.~~ applicable laws of the State of Indiana, and the "Zorung Ordinance of Carmel
Indiana - 1993" (zn~Sj)'f.'d ~"J!!:>Pte I'llM; '~"tliFdn\ Drs.t~1r7....t seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further ~ th~(dnlYi<ft'ch1l:Y,~&, M1to()}. !raib~~lf'1o the sanitary sewer I funher certify that the construction will not be
sed or cupled until a Ci te of~ been isSU~d b the Department of Community Services, Carm<;I, Indiana. /
- _nI<2f' StetJ /r:1'1 (Jute' ,=<'1-1- 7/60
re of OWner or Authorized Agent P . Date I
OFFICE USE ONLY: **************************'~*******************Cjfr**)****************
FIling Fees: . c; ()
INSPECTIONS REQUIRED: . .
Base Inspections:.) 'L75U # Charged Re-
(Upper Footi~er ~) Under Slab S I rA Reviews
Cert, of Occupancy: . :; U
cKOllgh'~eter~ c:~ P,R,LF.: .1;< G/ (j()
~~L:\af1:;)~ Sd
Fe&-Recelved by: ~
~. -2
~' Reviewed/Appro ed: Dept. of Community Services (Date)
l S',,"""It>/"'''''''ILP RfSIOEtmAL
Additional Fees