HomeMy WebLinkAbout06030152 Application
City of Carmel/Clay Township ~permit #D b03{)15";;J..
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROJECT INFORMATION:
Early Release ~- Manufactured ~
Permit: Y Trusses: N
- 0 CRAWLSPACE 0 POST & B
Lot Split: _ Y N Sump Pump: Y N ~!ebtUlASED F R ~~~ "
Does any part of the property lie within a special Flood designation a8\li.~je.ct.1.Q\torn ' nco wltiWA~I<~latlon,B
- ,. ,..... -I
I ~),,:::h!';; ~l; 1'_' L.. U' .....
For Single Family and Two Family dwellings, additions. remodels, and/or accessory struct~sJhisAe1\l]\it is'{a1i4p~y ii~'I}.I~ESommences
within 180 days of the date of issuance of the building permit, a.nd must be complet~:~r\::itUlte 'afg&;bW1hCY1~Ju~d)~llhi\ ~B'moi\~s of the
issuance date. Class I structure permits are subject to the General Administrative Ret~te jSt~R{\4~~ ts6ku\YA"CQ}.~kIC'xpiration
time frames for beginning and completmg construction. "I nll1 Nli
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structul'~df J.hfchange 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 LC. 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
/" . occupied until a Ce tiflcate of Occupancy has ~een issued by the Department nf Co~munity Services, Carm~l, Indiana. ~ ~
~ qCl.nIC.f' S\-,<v/'l;nouIC -3 <I-, Cly.
Sign ure of Owner or Authorized Agent Print Date
BUILDER of
RECORD:
N
STREET ADDRESS
/16
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT #
SUBDIVISION NAME
o
F IMP OVEMENT:
STRUCTURE
OOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGF
ATTACHED GARP
DEMOLITION
o
PHONE
515
FAX
CITY
CITY
STATE
ZIP
SEmON
ZONING:
ESTIMATED COST OF CONSTRU~N:
ClUDING LAND VALUE) '-f
~S'6
~
PLUMBING CONTRACTOR:
Jd,a'11?/n'1rT ~ -!-I'l<:.-J
P umber's Indiana State License #:
c-p I 6tXX) I () )
Which plumbing codes will be applied to the construction:
~temational Residential Code wI Indiana Amendments
'"=l Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
F UNDATION TYPE:
onstruction area)
(Check all that apply for the new
N
~
OFFICEUSEONLY:************************************************************************
Filing Fees: 9';:3 q ,0.
INSPECTIONS REQUIRED: ' { ,
~, -:>.-:--" ~-r -~ Base Inspections: :;:2 G 7. 50 # Charged Re-
C"'!p'per Footing \J.~!l_ Fn9ting Under Slab ReViews
~-> ~_.----==-~ Cert. of Occupancy: , )"1.., ';-0
~ ~ter Bas ~~ ~.-5ite-' /;2, 6/ (J () Additional Fees