HomeMy WebLinkAbout06040129 Application
City of Carmel/Clay Township &'fA Permit #:ct,nLJo/:?9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
FAX
676-
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTAcr:
PROPERTY
OWNER:
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
SECTlON
ZONING:
S
SQUARE ~
FOOTAGE:5d~ 0
ESTIMATED COST OF CONSTRUcnOlj(
CLUDING LAND VALUE) ~ .
370
iFObD4DJ~.B
UJUio E.
o
o
STRUCTURE
RO M ADDITION(S)
PO H ADDITION(S)
MODEL
ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED Gft"
o DEMOLITIO~'
PLff;:G CONTRA~
/l-?'YI DC --::r;u. .J
Plumber's Indiana State License #:
C-f/ / Cd::> 0 / 0 /
Which plumbing codes will be applied to the construction:
~ TRtemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release -0 Manufactured --& FOUNDATION TYPE: (Check all ir ")'p~for th new '
construction area)
Permit: _ Y N Trusses: Y _N
'----;,. '\ /:') 0 CRAWLSPACE 0 POST & BEA /. _ _ .-r
Lot Split: _ Y ------e../ Sump Pump: -Q:L-N 0 SLAB ~ ~^5EMENT "'9"1?t/f
Does any part of the property lie within a special Flood designation area: _Y WALKOUT:_ Y ~
For Single Family and Tw~hJ$!iiggF.'Qliltt;QNSliEU.)wb essory structures, this permit is valid only if construction commences
within 180 days of the daSut!ijmWWtOtJ~Jil8d&wPth:nitl il~~d)fl&Jmpleted (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure per~51fa~~~tlt'2.~f\!]~l~~ministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
QII\i ir~'l:'I'i',fQ~ 1t<~I:M~O"'mpleting construction.
I, the undersigned, agree thaQ~d;;sQFct~~VbWJtTUl:'troh,'(erfultgerh~rfMHdi?ation, or alteration of a structure, or any change in the use of land or
structures requested by thinvN~~~Et.itp,@t!AJJ1fqr@W<N &PU:fible laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and;mendments, adopteQ..u,q.q~r^a;Hhrrity of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kirchen, bath, aHdI MUr'd.~s are connected to the sanitary sewer. I further certify that the construction will not be
u occupied until a Certificate of Occupancy has been issued the Department of Community Services, Carmel, Indiana,
<::t /, '.e. 11 0' c.J- /J"/IJv.
Date
OFFICE USE ONLY: **************************~*******************~"*~*******************
Fllmg Fees: Wu i:f..'O
INSPECTIONS REQUIRED: _ "'1--77 cO # Charged Re-
Base Inspections: c=z:..L_ ,.)...
Under Slab ReViews
Cert. of Occupancy: , <) -3 - 5- 0
"t'/- AOTAL:;J:J503;~""-
~~~.
Fee Received by:
Site
ReviewedjAp roved: Dept. of Community Services
S:PermitsJFOf"msJ PRESIDENTIAL