HomeMy WebLinkAbout06040148 Application
City of Carmel/Clay Township (fi. Permit #1)60 if ()/Lff?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
TYPE OF CONSTRUCTION:
JB-sINGLE FAMILY
'tJ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
BUILDER of
RECORD:
N
PHONE
7?
PROPERTY
OWNER:
PHONE
FAX
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
SECTION
ZONING:
Sf
SQUARE
FOOTAGE'
TYPE OF IMPROVEMENT:
.Qr-NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GAP'
o DEMOLITION
ESTIMATED COST OF CONSTRUClJ9N:
ClUDING LAND VALUE) YJ 6 3
=fI=-~-ob_QLfD / if&>
't:;rt:57.J.i2..\ r ,', ,."C:-~',-._...
.. II ; I l'- ; ',/ ,'.' ", -- -.._~'
BING CONTRACT,O .[:.::"'...So-:, ,.':.; :; \\/ ,". .'-'"
"'--.' --~- - \j t.:': I:~'.\i
! _-_---.,1, '"
I -'I!i I U
Plumber's Indiana State' i: nseMlR 2 6 20 ;1/11'}1
(!f/ 10 'II)' .06 Vi!
Which plumbing codes will applied to the conSffi:Jttion:---J l0j
~temational Residential 0 ~
o Uniform Plumbing Code wi Indiana Amendments
(Multi.Family Construction Code)
NAME OF UTILITY CAVAn N NTRACTOR: PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND R COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE:
construction area)
POST & B
BASEMENT
WALKOUT:_Y
@
A Manufactured ~
_Y _l..W Trusses: ~N
-0 ~ 0 CRAWLSPACE 0
Lot Split: _Y N Sump Pump: Y N 0 SLAB \Cl..
~~
Does any part of the property lie within a special Flood designation area: _ Y --L!:L.--'
For sinl':ElA~d: b;~~Bil~fU~j:!j!jonA remodels, and/or accessory structures, this permit is valid only if construction commences
withi era o'flhe aJtNns~~~I-iei'iJ.l1tiTrl!}JlNmit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuanc~ )ijl~ ffiG2Rl~rp@IDtWtb-lEah~Ule.tJor%neral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
or State and Local CodU!p'e frames for beginning and completing construction.
I, the un~ifdUl'\,lnMP'1P..tH-~te~S~~' enlargement, relocation, or alteration of a structure, or any change in the use of land or
structu~JAVl7Sf dU's'1*W::ahtlh'\Vlli 'co'rilpiy W:i~~onform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
IndianaVi~9~" 'f:2 M2rldq{e@lAfq(PtfOWfIJ~f1flP:Y of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that mlrn.1\\\qrn bath, and floor drains are connected to the sanitary sewer. I further certify that the construction win not be
r occupied until a CerhllcMe }Jf01:cupancy has been issue y the Department of Community Services, Carmel, Indiana.
ner or Authorized Agent
<lP-(P/o~
Date .
OFFICE USE ONLY: *******************************************************~***************
Filing Fees: r S-;:z.. , ~ /0
INSPECTIONS R RED: PI
- Base Inspections: e::z -; '} ~lJ # Charged Re.
(IlPper Footi.;v ow, er Footing Under Slab ~ .,"""0 ReViews
e ~ ;) Cert. of Occupancy: ,2-,-'. . J
ough In Meter Bas ~I Site () Additional Fees
~~ P.R.I.F.:
~J#?U
.b-/
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Fee Received by: