HomeMy WebLinkAbout06050005 Application
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City of Carmel/Clay Township \)J V" Permit iiCioo 500 0 t')
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FAX
575 -,;)3/
r---..
PROPERTY
OWNER:
ZIP
LOCATION
&. PROJECT
INFO:
ZONING:
0'/
SQUARE
FOOTAGE:
NAME OF LmlTIY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
-#- Cft:, 05000
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
)B--sINGLE FAMILY ~ STRUCTURE f1qm r'Y7 ('r ~ n::> -I-n c
o TOWN HOME 0 RQ9llt!,DDITION(~ f"\ Plumber's Indiana State License #:
o TWO FAMILY ~~~ l-l~'" /)
# of units: g,~~~o.'-;f"\id30 L'-"'-/~/Gl /
o MULTl-FAMIL Y ,. ~f'l\Ol ~ '1i~IING Which plumbing codes will be applied to the construction:
o R~s~6~~~AL (~or ~;'.)\"':I3~\ Ill:: .r.>e\Ql'<<:l\;" International Residential Code wI Indiana Amendments
Additions, Remodels, Rc.) l\~~\ll r.<ll.\\tlt: LL~03 1\f3""'\3't\o Unifonn Plumbing Code wI Indiana Amendments
:Il\ uo \\" 1:1=- (Multi-Family Construction Code)
PROJECT ~NFORMATIONIlUOW\, f"\('\'dlSNO
CJ ~... FOUNDATION TYPE:
Early Release Manufactured 0
construction area)
Permit: Y Trusses: N
-Y 6) /.yl N 0 CRAWLSPACE 0 POST & BEA
Lot Split: Sump Pump: ----I."Y. 0 SLAB 'B _ 6ASEMENT
Does any part of the property lie within a special Flood designation area: _Y -iJ!3 WALKOUT:_ Y-l:1!)
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 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 \\.'lth, 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 r.c 36-7 ct seq, General Assembly of the State of Indiana, and aU Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connecred to the sanitary sewer. I further certify that the construction will not be
t occupied until a rti{jcatt: of Occupa.ncy has been issue Department of Community Services, Catmc~ Indiana.
~! !a V
OFFICEUSEONLY:***********************************************'5*~*A**~****************
Filing Fees: 4-- "/ "'" 3 0
I~SPECTIONS REQUIRED: ?7-7/"") /0 # Charged Re-
----<::::.::...::::... Base Inspections: ~ /. :>
<]!pper Foofi!!g (tOWer Foo!!ll9 Under Slab . ,..-:2 _ ~() Reviews
Cert. of Occupancy: =2....';;:> 2-
C ROU9h])CM.,t.;;B~ 51 P.R.I.F.: I c2 b~O d Additional Fees
.d~_Ol7'9' 30
C L.h
(Oate)
Reviewed/Approved: Dept. of Community Servic S
S:PermitsjFormS/IlP RESIDENTIAL
Fee Received by: