HomeMy WebLinkAbout06030209 Application
City of Carmel/Clay Township . ~ Permit #DIn03cxu5j
RESIDENTIAL IMPROVEMENT LOCATION~RMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT # :? SUBDIVISIOC~
ADDRESS OF CONSTRUCTlSf'J
, L(O
SEWER UTILITY C
PROVIDER: J/<. 4./ tJ
bill.{ I<n.-('
(/1(1("
WATER UTILITY /'
PROVIDER: (. '" "-/"" e .
PHONE
C({- 2'162-
FAX
STATE
ZIP
CC 6 2... '10
PHONE
cm
w"'-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
PROJECT INFORMATION:
Early Release ,./ Manufactured ../ .
P't Y l./"N T L./vy N nstruct.on area)
erml : russes:
. - (/ / ~ SO CRAWLSPACE
Lot Split: _ Y _N Sump Pump: ~ Y ?oJI IQ..St:1\B
Does any part of the property lie within a special Flood esignation area: _Y L.1i
TYPE OF CONSTRUCTION:
O<SiNGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
.-KNEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
/OT'?OY
.
Which plumbing codes will be applied to the construction:
~nternational Residential Code wI Indiana AmendnYents
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
,. [t~
(Check all that apply for the new
o POST & BEAM
~EMENT
WALKOUT:_ Y '--""If
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, thi~ermit is valid o~ly if construction commences
within ISO days of the date of issuance of the building permit, and must be completeJ1:Ebfii~[bfCGP!ihCY;Qwary..mbJO'f~s of the
issuance date. Class I structure permits are subject to the General Administrative RuleS:U~eptJ'j ~-tlnW,'lf!ilr{~~,9ltH'M1 H)gEiM~xpiration
time frames for beginning and completing construt~fcw.r~.l"o' ""'if' -! Lor:';lJ r' doe<.-
I, the undersigned, agree ~hat any co.nstru.ction, recon~truction, enlargement, relo~ation, or ~~Q1l9t,t:st~f.~!~,~.~rla~y~~~~ng~ n;[tlle ufe of land or
structures requested by thIs applicatIOn Vv'lll comply WIth, and conform to, all applicable lawlrdfd1e!St~'e o{-rn'diah'a\'lrid tlill 1Z6~g:.018{nGEe9 Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of LC. 36-7 ct seg. Gen@llf'\jSeel1f!Y of M\~f4I": pI )n~n~Y'9eH'A.!;'l\tIlMlflp'ry
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sallltary sewer. I f-::trt~er 'certi.IY,tpat the consYnI'cbonvWiIt not be
used or occupied until a Certificate of Occupancy has been issued by the epartment of Community Servic~~f?4,hndiana.
L _ (- ?~Il Q C~ Y - ,JcJ - 0 Ll
OFFICE USE ONLY: ***********************************************~************************
Filing Fees: ';1';2 /_ 00
INSPECTIONS RE UIRED: .!-- 7/1 '/ ~O
r- ~ - Base Inspections: ex b /. -.) ,
~per F~ ower Footi Under Slab
Cert. of Occupancy: , r::/ -SO
~ P.R.I.F.: / ;< 6/. fJO
.;<~~ ( {' tJ
Si
Pri
---.-.
Date
# Charged Re-
Reviews
Additional Fees
'() ~ 0'
(D e)