HomeMy WebLinkAbout06050009 Application
City of Carmel/Clay Township CJ~rmit #ObtJ5000 Cj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION LOT #
& PROJECT
INFO:
SEWER UTILITY WA R UTI~
PROVIDER: PROVIDER:,~ V
NAME OF VTILfTY EXCAVATION CONTRACT ; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
;:i( SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
M ATTACHED GARAGE
o DEMOLITION
PLUM~ C~RACTOR:
~ I. "I;..z; c-
Plumber's Indiana State License #:
-pC ~i'9o t'J/ / {,
Which plumbing 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 N Trusses: Y ~
. ./ ./ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: Y ~N Sump Pump: ./ Y =N 0 SLAB / )8r BASEMENT /'
Does any part of the property lie within a special Flood designation area: _ Y ~N WALKOUT:_ Y ~
For Single Familx,.wd l.""~tmHJ~flfi1!f;CMS:-TdI1llGnb, ,nd/or accessory structures, this permit is valid only if construction commences
within 180 dayfil::t:~lii? dfYssua;y.s...e o~i~h'N1WPti\r~t.mw~must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. CI6ij1biOOH:Nfe:~lli"'J:t gU~Fy.t~cMf;eneral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
of Statc"ano q'rfflle'1r~PitUSI' ing and completing construction.
I, the undersigned,~$i1 W ee:~ttttdti(t~,'t~ ent, relocation, or alteration of a structure, or any change in the use of land or
structures requeste~this lUCi,lt.lQQ. will c~ ~~:-p:~ ~Rll apphcable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -19 ~, Gdinoo.ry!~pt~ _upder authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. urther ti t only kitch l:AWAloor drains are connected to the sanitary sewer. I further certify that the construction will not be
used 0 occupi erti!icate Occupancy has heen issu y t ?e?rr' Carmel, Indiana. .,5- L ~ e::.
Signa Print Dat"~
ONLY:***********************************************~************************
Filing Fees: J 0/3 - bO
INSPECTIONS REQUIRED: f' -
Base Inspections: c.=2 -; 7- :J 0 # Charged Re-
ReViews
Cert. of Occupancy: r3. SO
'~.(T~:,;<6/;t,60S. G:~'-
~~a~
Fee Received by:
ower Footing Under Slab
~V
Upper Footin
l
Reviewed/Appro d: Dept of Community Services
S;Perrnits/FormS/ILP RESIDENTIAL
$-5~o.6
(Date)
FOUNDATION TYPE: (Check all that apply for the new
construction area)