HomeMy WebLinkAbout06050019 Application
City of Carmel/Clay Township Permit #: D (a 0 01)~ ff
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER
PROVIDE
NAME OF lJTILITY CAVATIO C RAeTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAM~_ _ .
b==='TOWN HOM r _,.r]e,r-
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
Fn--NEW STRUCTURE
'0 ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHONE
FAX
CITY
STATE
ZIP
ZONING:
SQUARE
FOOTAGE:
PLUMBING CONTRACTOR:
Ham In 0- S:m -5 ~ C!-
Plu~er's Indiana State License #:
Ct (-' I Det:">C) / (5 )
Which plumbing codes will be applied to the construction:
~ernational Residential Code wjIndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release /.'?. Manufactured $
Permit: Y ~ Trusses: Y N
- 0 CRAWLSPACE 0
Lot Split: _Y --<iP Sump Pump: Y N ~LAB 0
Does any part of the property lie within a special Flood designation area: _Y----Cft)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures,jclris q1!!it if.v~lid~~nl)j iI'c~~~uonp~mmences
within 180 days of the date of issuance of the building permit, and must be completed (CertifickA f ~Jpl:'l.nc~~sS.ued)'~thin:-18!mOr~hs of the
issuance date. Class I structure permits are subject to the General Administrative Rules ofthe stHe "(Bana (See 675.IAC12Yregflr~inglexpiration
time frames for beginning and completing canstr ~rt.l . _ III II II
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration a ctu(j'A:~any chftnglf,Wfhe us~ of };:p?d or
structures requested by this applicatIon will comply with, and conform to, all applicable laws of the S e ndiafY1t~hd ffie ~oi:m\g.'"brdi:hahc~ o,f Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assem 0 e State of Indiana, and all Act~ ~eri.9-atory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I furt . ~t-the.conscr:uctid-~ill not be
or cupied until a ertificate of Occupancy has been issue the Department of Commu ity Services, Carmel, Indiana. I
.:k
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT_y_~
WALKOUT: <..N.-/
Date
'O~
OFFICEUSEONLY:******************************************************~*****************
Filing Fees: b Y'l, c2 0
INSPECTIONS R~~~ . .. NBa!;el~Ms:
~ Footin~ Lower FocS~OC h .' ith ail reQulatiol1S
- , I",...,cal ~e~~ Occupancy:
CRoughIn~ \!Ilf<IOF.II\ JhilW.Rl.r.;RViCES . !)., (, ~ 00 Additional Fees
F CArlMEL I CLAY TOWNSHlr '7~OO "J 6
INDIANA /l' TOTAL: f7'" IX
(00'" .;oU<d'</ t( ",2e4.d,~ 5tOMt,
R db v //'
F~e .eceive y: ,
Reviewed/ Approv d:
S:PermitsjformsjIlP RE
'i ~ '7 <)'0
-
s;'3,5"0
# Charged Re-
Reviews