HomeMy WebLinkAbout06050018 Application
City of Carmel/Clay Township Permit #:-0&-0 5'DDt~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
ho
SEWER UTI
PROVIDER:
TYPE OF CONSTRUCTION:
VINGLE FAM~'I' d .
--=-. TOWN HOM ~ ep'
o TWO FAMIL ~
# of units:
D MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
--'l'S-NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHONE
616-a350
CITY .
Cor
STATE
FAX
CITY
STATE
ZIP
-'r C:ru I I
ZONING:
cJtf
~
PLUMBING C TRACTOR:
11 4/}1'Z/)?? Cr Sor..o TY&C-/
Plumber's Indiana State License #:
CJO / CXjCX) / ~ /
Which plumbing codes will be applied to the construction:
~emational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for the new
Early Release j8 Manufactured ~ t cf )
Permit: Y N Trusses: Y N cons ru Ion area
. - 0 CRAWLSPACE 0 POST & BEAM
Lot Spilt: _Y N Sump Pump: N ~LAB /"\ 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y --$
For Single Fa~ily and Two Family dwellings, additions. remodels, and/or accessory structhres>t}{i~pefrnit isyalid'o"~ly i(c~~st~cti~m commences
within 180 days of the date of issuance of the building permit, and must be completed (Cet~ifidatf<3LOc-fiIpaiicY.issued)_within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of tHe ~~e of Indiana (See 675 lAC 12);~eg~rding expiration
time frames for beginning and completing coh~tt'uc~ion. II i i
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altedtlib~1q a strMA-Ve, or aAY <2OOSe in th~ use of land or
structures requested by this applicatIOn will comply with, and conform to, all applicable laws of ~9 Statf Indi~~a, andthe ~Zoning ~r9inance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of LC. 36-7 et seq, General ASfe:m8Iy of the State of Indiana, and all!Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary seWer. 1 urther certif)itliaitliC-cOiiSt~uctionlwill not be
o occupied until a C:crtif]cate of Occupa.ncy has been issued by the Department of Co I munity Services, Carmel, Indiana. _!
U '---LlJC>3/0~
Date.
OFFICE USE ONLY: ***************************************************~*********************
Iili f . f'7~r;;()
ECTIONS REQUIRED: RELEASED Fo'f:\ldoNSTRUCTION ' . SeJ
di~ 'nl. com~~al'\dtJ~rlSJgulation8 ~ 7/,
n of Stfltltlfrf! bfl~tlcgp'J;\\1&, S-3. So
Final DsirlO OMMUNiTY SE-I1VICES .
r CARil7r~l!lCLAY TOWNSHIP ./02 &/ !J 0
INDIANA TOTAL' ;2r? t C, t ()
6IfO
# Charged Re-
Reviews
Additional Fees
Reviewed/Approved:
S:PermitsjForms/ILP RESID
(Date)