HomeMy WebLinkAbout06040185 Application
City of Carmel! Clay Township U~ermit #otiyf{} 185
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
TYPE
~
o
BUILDER of
RECORD:
PROPERTY
OWNER:
.eS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEmON
ZONING:
51
SQUARE
fOOT,c..G
SEWER
PROVIDE
00
'd7-
~ CX:,()tf 0 /8
o
o
PLyrBING CONT~CTOR: __
~d-~ -J..-n.<: )
Plumber's Indiana State License #:
C-P / Cloe>d I (J /
o
o
o
o
Which plumbing codes will be applied to the construction:
~ JllLclnational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
O Manufactured Q FOUNDATION TYPE: (Check all that apply for the new
Y N construction area) ~
Trusses:
- - /') --""'- 0 CRAWLSPACE !2/POST & BEA
Lot Split: _ Y -1.!:!/ Sump Pump: (Y j N 0 SLAB ~SEMENT
Does any pa ~~N&i~I/~!ll,d designation area: Y ~ WALKOUT: Y rN '")
For Single Faeuibl~tr\O~IEH*~!..~, . . gs, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days ofthedfttitatB~Ii.'&~l1e 1.w.iPff~~~d must be completed (Certificate of Occupancy issued) within 18 months ofche
issuance date. S~:t:!f'OPe6MM MN~PJ{cSblrk\tlM\&~ Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. _ ...: " ;\1,'. I (""J'~t(!)W~\:il~ingand completing construction. '
I, the undersi0tCf."(gGfhG:AflM-~k,dti()rt,'"rf~dnstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structureS requested by thi~ applicatq:N9-\lA~y with, and conform [0, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of r.c. 36~7 et scq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected [0 the sanitary sewer. I further certify that the construction will not be
use or occupied until Certificate of Occupancy has been iss the D;artment~;~ty setv<~,~rm~l, IndIana t./-/~ 7/00
Date'
OFFICE USE ONLY: **********************************************~************************
Filing Fees: ti1. S ()
INSPECTIONS REQUIRED: { C)----?"
. Base Inspections: -''''- / /. -S- (j # Charged Re-
Upper Footin /COwer Footi~ Under Slab,"-"". ~O Reviews
~ ~ Celt, of Occupancy: , --". .J
c:.eterB~ ~ P,R,LF,: ,/0<. f:/ (J{) Additional Fees
T~A.'!A . y;7 ff ;;7) o<-/- SO
7#~~P~-
Fee Received by:
c
(Oate)
Reviewed/App ved; Dept. of Community Services
5:PermitsjFormsjllP RESIDENTIAL