HomeMy WebLinkAbout06040120 Application
City of Carmel/Clay Township ~rmit ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAMEDIB,
PHONE
U-G '6
'2010
~
BEST METHOD OF CONTACT:
j.t:;:A1 # COn? "7/ . ~/s-go
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STI.TE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
SEmON
106IL
ZONI'f) U D
ADDRESS OF CONSTRUcp.Q.N I
13L/Z Dr6e.&l
SEWER UTILITY .? D
PROVIDER: C T,... W
WATER UTILITY
PROVIDER:
fr...f1r-
~WC
SQUARE 3
FOOTAGE:
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET 0 B )/
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): 0 t:-
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
AlTACHED GARAGE
DEMOLITION
Which plumbing codes will be applied to the construction:
~International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured
~ \ _ construction area)
Permit: Y N Trusses: _ Y ~N
~ 0 CRAWLSPACE
Lot Split: _ Y N Sump Pump: -'=-\- Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~N
q POST & BEAM
-Ell- BASEMENT
WALKOUT:_Y-KN
For Single Fami . i g , . . .' nd/or accessory structures, this permit is valid only if construction commences
within 180 da ~~ ~H~lWi5bi~tlGnS must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I strU((])~hS1p~tentmart.s.d:Jj#<(;oobEi~eneral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
~PT nF COMMIIM~f\'8_(QS' ingand completing consnuction.
I, the undersign a reuhat')!{lX <iQnstructiml,..;f,~~~s~fchY, ~ ent, relocation, or alteration of a structure, or any change in the use of land or
structures requ tblnpPitMtiM ~1ll/o1iD{lL1"\~tf[(@W ~Rall applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993~ (Z~ 289) and amendmq_~~~pnder authority of I.C, 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitcnen~1m, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied u a te of Dee paneyhas been issued by the Department of Community Services, Carmel, Indiana.
. 'D&<\)~cL ~ - K/4/AJ t.j-2.C>-Ob
Print Date
OFFICEUSEONLY:**************************~*******************~J'~**~****************
Filing Fees: :L"Lf.::1 zp
INSPECTIONS REQUIRED: ~ 7 7 """'0
Base Inspections: c/' "}
Cert. of Occupancy: ( S--3. sO
P.5:I.F.: / I r2 ~/; (J 0 Additional Fees
ffi~L:/t//:e:::3 39_ 70
F$-Received by: j/
Upper Footing Lower Footing Under Slab
~erBa~~1 ~
# Charged Re-
Reviews
('~V'O-;C\ Ii b.v.r '-{ -'ZG -06
ReviewedjAppr.ved: Dept. of Community Services (Date)
S:Permltsjforms/ILP RESIDENTIAL