HomeMy WebLinkAbout06050020 Application
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City of Carmel/Clay Township Permit#: Ore. 05'00-;.6
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
PROJECT INFORMATION:
FOUNDATION TYPE:
Early .Release ~'Manufactured 1t construction area)
PermIt: Y N Trusses: Yl N
- 0 CRAWLSPACE
Lot Split: _Y Sump Pump: Y N -R?LAB
Does any part of the property lie within a special Flood designatliSii"are'>; v
PROPERTY
OWNER:
Ie
BUILDER of
RECORD:
o
STREET ADDRESS
y/).f>
LOCATION
lit PROJECT
INFO:
NAME OF UTILITY EXCAVATIO ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY . _/
g..,OWN HOM~ e~\,
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
.@-NEW STRUCTURE
,tS ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
~3
ZIP
PHONE
FAX
CITY
STATE
ZIP
ZONING:
SQUARE
FOOTAGEb?~6
e50
PLUMBING CONTRACTOR:
-fh. n? JrJ rr s:, n -0 ~ c..
Plumber's Indiana State License #:
(' P /1')800/ () I
.
Which plumbing codes will be applied to the construction:
'&t-Intemational Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOllT: Y
~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory strtJ u ,!thjs~ ~ Jaliu<<nIYJ"&:!1 ~ \ ction commences
within 180 days of the date of issuance of the building permit, and must be completed e i icate of Occupancy issued . h 8 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules tat~ of Indiana (See 675 IA )11 arding expiration
time frames for beginning and completin ct1fJlA V ~ ?nQ~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or a of dl~fr\1ctu'7e, l:fr tn.,,! Hang . t 9 se of land or
structures requested by this application will comply '\vith, and conform to, all applicable law tate of Indiana, and the "'Zoni inance of Carmel
Indiana - 1993" (2-289) and amendments, adopted under authority of r.c. 36-7 et seq, Gener' ,Hndm~ all Ac s amendatory
thereto. I further certify that only kitchen, barh, and floor drains are connected to the sanita sewer. [further certify that the construe ion will nor be
e occupIed untIl Certificate of Occupancy. has been IsO~~;~me~~~~.~~ / r, '-J-/~ 'i(/OO
Sig ture of Owner or Authorized Agent ~ Date
Reviewed/Approved:
S;~mits/Forms/ILP RESID
(Date)
Additional Fees