HomeMy WebLinkAbout06040121 Application
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City of Carmel/Clay Township ~~ Permit #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
/J1T-
PHONE
2>)~9'700
A.
f/>J( '7 ~ '1
/-U.J - 'f '(7J
PROPERTY
OWNER:
ZIP
l <. 'IV
BUILDER'S EMAIL
NAME
PHONE
Y7
SUBDIVISION NAME
CIlY
STATE
ZIP
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
!~",I/o< j::."1rJl/
["
ADDRESS OF CONSTRUCTION
SEWER UTILITY C-
PROVIDER: ( ;(. w iJ
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA f 8PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 {IF APPLICABLE):
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
T (Y1vu r--e.#
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: ... q. 1>... ~
~EW STRUCTURE Au),.., . ~ . .
o ROOM ADDlTION(S) Plumlier's Indiana State License #: A ~
_u. -. 0 - PORCHADDITION(S) _.. .. . .10 17 7 -; \'F ~ ~
RE~!;~ipI(9R CONSTRUCTION . . ~~ ~"
Sub 1II;hIlIl'WilftJfiil reg~W~mbing codes will be applied to the construction, ~ ~
- _ ,9Ecodes:,_ - ntemational Residential Code wjlndiana Amendm~
DEer \'tv SER!JIOii&nn Plumbing Code wI Indiana Amendments
CITY OF CARMEL I CLAY TOWN~rpamily.construction Code)
M f ct d INDIANA FOUNDATION TYPE: (Check all that apply for the new
T anu a ure ~/ N construction area)
russes: __
@"CRAWLSPACE 0 POST & BEAM
Lot Split: _Y lA Sump Pump: _Y _N c:r5LAB c:a.-t5'ASEMENT /:
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y_N
PROJECT INFORMATION:
Early Release ~
Permit: _Y _N
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 ftames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
strucrures requested by this application wiU comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 199r (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. r further certify that only kitchen, bath, and floor drains are connected to rhe sanitary sewer. I further certify that the construction will not be
used or occupIed until a Certl cate of Occupancy has been Issued by the Department of CommunIty Services, Carmel, IndIana
7. ~ L- (j( 'D C6 y- 20 -0.(,
Signature of Owner or Authorize print! Date
OFFICEUSEONLY.************************************************************************
INSPE~ONS RE UIRED: Filing Fees: '761. to
~~ - Under Slab Base Inspections: ,;;2 7."/ <0
~ <'::-__~__=.:> _ x-%: ' Cert. of Occupancy: 4)3 - <)0
~( Mete~al Site:> P.R.LF.: b _ !)() Additional Fees
It/Ji} ~ IIJj} ~3{;/
Reviewed/Approved: Dept. of Community Services (Date)
S:permits/FormsfILP RESIDENTIAL
# Charged Re-
Reviews