HomeMy WebLinkAbout06040078 Application
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City of Carmel/Clay Township VJ .k,~ Permit t(jWLfo018
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
STREET ADDRESS G.,
7V;ZF ~
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
SEWER lITILITY
PROVIDER: C T ~ w p
TYPE ~ CONSTRUCTION:
if" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~W STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOLITION
PHONE
f'y(- 2<;(z
STATE
f,./ ;J/I L
BEST METHOD OF CONTACT:
~-
FAX:!Y( - 122 y
ZIP
62Yo
FAX
CITY
STATE
ZIP
SECTlON
ZONING: S-I
;-0
\'
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Which plumbing codes will be applied to the construction: ~"" ~
Cfl.-.!nfemational Residential Code wi Indiana Amendmen~
o Unifonn Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ./ Manufactured ./
Permit: Y N Trusses: <./"Y N
- ~ _ ./ 0 CRAWLSPACE 0 POST & BEAM /
Lot Split: _Y _N Sump Pump: ::;::;;, =N CD--5CAB d ~SEMENT ~,
Does any part of the property lie within a special Flood designation area: _ Y _N WALKOlfT:_ Y_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
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.
1, 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 \\'ith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -I993~ (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
used or occupied until a Cnificace of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. .2. [. ~-e /) cE '(-/7 -0 t..
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OFFICE USE ONLY: ************************************************************************
Filing Fees: (;? S- ~-'-2 0
, /
Base Inspections: ~::2 ? J ')" ()
Cert. of Occupancy: j/3 ~O
UIRED:
pper Footin Lower Footing Under Slab
COUg~ ~ter B~ c.anal - ~
iL~
# Charged Re-
Reviews
P.R.I.F.: 1-;;1.. (, I () () Additional Fees
'~AL'" ~::2 J-<J
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Fee Recei by:
ReViewed/Approved: Dept. of Community Services
S:Permits/Forms/ILP RESIDENTIAL
(Date)