HomeMy WebLinkAbout06050021 Application
City of Carmel/Clay Township Permit #: 0(00500'2 i
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER
PROVID
NAME OF lJT1LITY XCAVA CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERSi TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
B-fOWN HOME 7,.r/;u:.1
o TWO FAMILY \...."
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~W STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
8' 575.;(-3
ZIP
CITY
STATE
ZIP
ZONING:
PLUMBIN CONTRACTOR:
Hamrn iT28n~ ~c..
plumber's Indiana State License #:
C.P/~)Ol
Which plumbing codes will be applied to the construction:
~temational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ~. Manufactured i&
Permit: Y Trusses: Y N
- 0 CRAWLSPACE 0
Lot Split: _Y _ Sump Pump: Y N ~B 0
Does any part of the property lie within a special Flood designation area: . - Y --m
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT _~
WALKOUT:_Y-V
For Single Family and Two Family dwellings, additions, remodels, and/or accessory struc~ t~@e~ 1~'i.'!JliJ.-unIj:i~~.~:m commences
within 180 days ofthe date of issuance of the building petmit. and must be completed (CF i. alElf ~~Tl<J{j~,.;a)r~ - months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of tit nH' ~-6RL&3:J e I ing expiration
time frames for beginning and completing c9 tion.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or ahctfo fa strY()!\l1re, or any change in ~s of land or
structures requested by this application \",ill comply with, and conform to, all applicable laws of ' te ofM1&lna0lng (1OO@6nin d nce of Carmel
Indiana - I993~ (Z- 289) and amendments, adopted under authority of r.c. 36-7 c( seq, General A of the State of Indiana, and Ac. mendatory
th I further certify that only kitchen, bath, and floor drains are connected to the sanitary s wer. tif that the cons will not be
sed 0 occupied unti Certj{jcate of Occupancy has been issued by the Department of C munity Services, Carmel, In iana.
:..e
Date
OFFICEUSEONLY:**********************************************~*************************
Filing Fees: h .-?P. .-2 ()
INSPECTIONS REQUIR . "l ~ ) # Ch d R
Lower Footing Base InSR~~I(JCTION .:T '1 J. -:> 0 R:~fe~s e-
,- 1"'<t~r\te~~~a\iOnS ...:: 3 SO
Su~ to ornpl\8 ,e . '
t"te ~:r<!j,f:~~~i CQ~~s. 8 /;2 t, I 00 Additional Fees
DEPT OF COMMUNI rf SERV\CCtlIP ,/c/ J'OciLO
CITY OF CARMt=.' LAY T ,. tJ
. e5 (Date) \ I
ture of Owner or Authorized Agent