HomeMy WebLinkAbout06050022 Application
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Permit #:
n ri05 OOJ..d.
City of Carmel/Clay Township
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:
STREET ADDRESS
"24 n1 -R
LOT #
CeD6
NAME OF UTlUTY CAVATIO ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY :JJ~
~TOWN HOM~Trer
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~W STRUCTURE
o ROOM ADDITJON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
FAX
575 a 31
FAX
CITY
STATE
ZIP
ZONING:
SQUARE
FOOTAGE: a25'6
?~
/
P,LYMBING ONTRACTOR: _
He; J1Ij tYl rj-c~)I-;S -J.-- YJr '
Plumber's Indiana State License #:
C_P /6axJ/cJ /
.
Which plumbing codes will be applied to the construction:
~temational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O Manufactured C
Y Trusses: (ry) N
- ~ Nl 0 CRAWLSPACE 0
Lot Split: _ Y N Sump Pump: --t.:7-N ~ 0
Does any part of the property lie within a special Flood designation area: Y cW
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this
within 180 days of the date of issuance of the building permit, and must be completed (Certificate
issuance date. Class I structure permits are subject to the General Administrative Rules of the State
time frames for beginning and completing constructio
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a s
structures requested by this application ""ill comply 'with, and conform to, all applicable laws of the State 0
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of t
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I furt
se r occupied until a Ce tj{jcate of Occupancy has been issue the Department of Community S
2::>.e
OFFICEUSEONLY:**********************************************~*~**J'*'*****************
Filing Fees: <'C 7"7-hn
INSPECTIONS REQUIRED: --, ,,---FO
-Sa .In.i;lJe~. / 7 7- 0 U # Charged Re-
~per Foot~ Lower Footing UndiE~ ED I-UFrCClN:::i I HbcTION c.-- . ~O ReViews
'compmntiC(lfWilltt:!lllaa~lations .5 .3. .5
~ .nal . Site.. Stele 6'\\r)~~al COde. .s. C Additionai Fees
- DEPT OF COMlV,UNITV ~.\B~VIC
CITY OF CARME I CLAY TQ' dtllP
IN I
POST & BEAM
BASEMENT
WALKOUT:
y
~
tion
. or U'A.'lla"!]e l\1 tiElll6 of I
, an~l~e "Zoning Ordinance
of Indiana, and all Acts a a ory
er cer . e construction will not
ices, Carmel, Indiana.
cl
(Date)