HomeMy WebLinkAbout06040159 Application
City ofCann<1/0oy Township vl' lu~ p,mHCicD'jflI5'l
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8t Two Family: New Structures, Additions, Remodels, 8t Accessory Structures
BUILDER of
RECORD:
NAME
,'Y\ -c.-
PHONE ( F^,\
.?l..1 -'?\oO :::\oe/).
olllY
J
1;,
STATE
0D
STREET ADDRESS
5140
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
ON
PROPERTY
OWNER:
NAME
FAX
~
STATE
'::1JJ
LlI
12.056
yCfC/1
I~
LOCATION
8t PROJECT
INFO:
LOT #
o
o
o
o
~
bing 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:
Early Release /' Manufactured ./
Permit: y ~t.--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 ~
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
~MENT
WALKOUT:_Y ~
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 (Sce 675 lAC 12) regarding expiration
time frames 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
structures requested by this application will comply \\fith, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 199J" (Z-289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. further certify tha nly kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used r cupied until a tificate of Occupancy has been Issued by the Department of CommunIty ServICcs, Carmel, IndIana. ( /
.~~CL1 \~/)-f'f1('-(r 4.,-'24I-o?-
Print (1 Date
OFFICEUSEONLY:**************************************************~1J*'****************
Filing Fees: >/ (y,:;r. [0
IN~PECTIONS REQ~IRED: -_"7 '''71//1 # Charged Re-
....--:: ~ _ "__L Base Inspections: ~::-L L .,) (/
C. Upper Fnnr."" ~r Footin!L) Under Slab .-? )'0 ReViews
Cert, of Occupancy: 0 :>.
!d G~()~
L: ? itcJ.
~
Final
Site
Roug
P,R,LF,:
Additional Fees
Reviewed/Approved: Depl. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL