HomeMy WebLinkAbout06050032 Application
City of Carmel/Clay Township ~permit#DIoD50()3:L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Fa!"i1y, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
FAX
PROPERTY
OWNER:
FAX
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
(
NAME OF UTILITY EXCAVATION CONTRACTOR; PLA
NUMBERS; TA DATE(S); AND/OR COUNTY' W
F. N R '. r
IVO I
9~~~ ry
TOWN Plumber's Indiana State License #: u.n f~/.
TWOF
# of un :rJ"fV
o MULTI-FA Which plumbing codes will be applied to the construction: /<::J?OW n
O # of Units. 0 Intemational Residential Code w/Indiana Amendments
RESIDENTIA
Additions, Remodels, Etc.) 0 Uniform Plumbing Code wI Indiana Amendments
\ ........ (Multi-Family Construction Code)
PROJECT INFORMAH6"N:
Early Release / Manufactured / FOUNDATION TYPE: (Check all that apply for the new
Permit~ Y ~ Trusses: ./ Y ~ construction area)
_ - 1/.. _ / -;:;7~ 0 CRAWLSPACE
Lot Split: _ Y _N Sump Pump: -y- Y _N pe'jCll'\ 0 SLAB
Does any part of the property lie within a special Flood desig,fation area: _ Y J N
o POST & BEAM
Q/llASEMENT
WALKOUT:_Y ~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a strucwre, or any change in the use of land or
structures requested by this application \'vill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendme s, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I rther certify that only en, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction II no be
used or cupied until a Cenifi e of Occupancy has been issued by t Department of C munity Services, Carmel, Indiana.
~. c5JLI~
Da
~ Reviewed/Approv d:
~ ~,p"m;t'/F"'m'/!LP R SID
OFFICE USE ONLY: ******************************* **************P*-~*********************
Filing Fees: _ -.:s? . j'()
INSPECTIONS REQUIRED: - 0? </7 '2 /
<UP ~ ;? Base Insp-ectlons: I' ..., n
per Footing ~..r Fnnt;n 'fiailrlSAlfiED FOR CONSTRUCTION . /
S blaet to compiim \qftfil~l\iions ' C; J " ~
er Bas mal i, '0 arp!R;p.iF.! Codes. /::;?:,/ 00 Additional Fees
'- ,'. ;OMMUN1TY SERVICES' 01/ c:,
OF CARMEL ~'ifflifftlF' ~ ~ 7' ~ J
(Date) INDI 11 'tr);t:td/~ ,/,,~o,6
Fee Received by:
# Charged Re-
Reviews
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