HomeMy WebLinkAbout06050023 Application
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City of Carmel/Clay Township Permit #:j)(g, 0:)0023
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROJECT INFORMATION:
Early Release =B Manufactured ~
Permit: Y Trusses: Y N
o CRAWLSPACE
Lot Split: - Y N Sump Pump: _N ~SLAB
Does any part of the property lie within a special Flood designation area:
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTIl
PROVIDER:
NAME OF UTIlITY EXCAVATlO CONTRACTOR; PLAN COMMISSION / aZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
.g:-TOWN HOME'/9:.1en
o TWO FAMILY I.c- ---
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
):jl--NEW STRUcrURE
'-tJ ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
c-
FAX
STATE
ZIP
ZONING:
SQUARE
FOOTAGE:.;( We;;(
P~BING CONTRACTOR:
mtrJ cf f~ "S kc-
Plumber's Indiana State License #:
CP /O~n/O /
Which plumbing codes will be applied to the construction:
~rnational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
BASEMENT
Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this p
within 180 days of the date of issuance of the building permit, and must be completed (Certificate 0
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a st
structures requested by this application will comply with, and conform to, all applicable laws of the State of I
Indiana -1993" (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of th
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I fUTth
r occupied until a jficate of Occupancy has been issu y he Department of Community Se
I1IC Sfeu
OFFICEUSEONLY:**************************~**********************~~*******************
Ei!lng Fees: ,-.;;;. 0
INSPECTIONS REQUIRED: RELEASED FuR CONSTRt:.!CTION, - e2 '/ 7 6'0
CuDDer Footi~ower Footing @.k'r~~ cornr_If.~~JiWF!ifi>~gulatioA9
fState€!ertl6f-'@t~'Y: 5~~ .50
_~. h In M er Base Final DE!li'tl; COMMUNITY SERVICES ') &/ "0 ..
.. F CARMElU/CLAY TOWNS 0<. ~ U Additional Fees
INDIANA TOTAL: ~d2800<. 0
5: /0 ()
clone m
aney issued) within 18 mom 0
(set.fAfA~ ~) l[OO~ing i
r any change in the use of la
a " and the "Z Carm
State 0 n "ana, and all Acts amendatory
certify that the constru
: '. n ian.. Lj ~ ~ /0,6
Date'
es
e
ion
# Charged Re-
ReViews
(Date)
Reviewed/Approved: . of Community Servl S
S:PefmitsjFormsjILP RESIDENTIAL