HomeMy WebLinkAbout06050063 Application
City of Carmel/ Clay Township A{v(J Permit #(J;0!1J!Jf/3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
'\M.~
STREET ADDRESS
SEWER UTIUTY
PROVIDER: C
LOCATION
&. PROJECT
INFO:
LOT #
7D
NAME OF UTIl1TY EXCA AnON ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
g/ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITlON
PROJECT INFORMATION:
Early Release
Permit:
BEST METHOD OF CONTACT:
c-
PHONE
FAX
cm
STATE
ZIP
SECTION
ZONING:
Cr
- I
SQUARE
FOOTAGE:
1
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) '1i'
I
.--., r
i~; r' I
"" UI ill 900Z 8 - AVW Iii I:!
Plumber's Indiana State' Licen, se #: J I,' : ; ,
111111.___ (...,
I n ~ I""-v.....,................~ I 1;"-'-' f --___ I.
\...,.-, l l' l\.-.-''-''! .C'" ,,\ r: "CO.-' /c,~, ,
Which plumbing codes wii,~'~.!p~ii~ {~,~el~oi,iVu&~~:[~D ~~ ~, '
o International Residential Code wi Indiana Am;d;';""ts'
~form Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
" V construction area)
_Y ~N Trusses: _Y -A--N
" 0 CRAWLSPACE
Lot Split: _ Y -n-N Sump Pump: -:i.-- Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ 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 I structure permits arc 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 structure, or any change in the'use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana. and the ~Zoning Ordinance of Carmel
Indiana -1993~ (Z-289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify , kitchen. bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or occupied u a Certjfi, tc of Occupancy has been issued by the Department of Community Services, Carmel, Indiana,
\\l>-~\o;:J
Ly:*********************************************r* ~*Z*********************
Filing Fees: / _L _ ;2 (J
INSPECTIONS REQUIRED: . -:7 ") 3 00
Base Inspections: a , .
~pper Footi"ID Lower Footing 0 FOR rn/uQTilllC: ,-- /0'
com J;~rf:"bf:ClttUP"'l..yTION ,S J. ,)
C'RoUQh ID> Final Sit P ~e With ali regulations
tate aprRWral Codes 0
DEPT OF COMMUNITY SERu 1 0
CITY OF CARMEL / C' "r' \7' 0
INDIANA
r -r'-\
Print \
o POST & BEAM
~BASEMENT
WALKOIJT:---t- Y_N
'5/~ Jo~
Date I , ,
# Charged Re-
Reviews
Additional Fees
Review /~ proved: Dept. of Community Services
S:Permits/ S/ILP RESIDENTIAL
(Date)