HomeMy WebLinkAbout06050073 Application
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City of Carmel/Clay Township Permit #: 0 (0060073
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
BUlL
New Structures, Additions, Remodels, &. Accessory Structures
For Single Family, Multi-F
BUILDER of NAME
RECORD:
PHONE
FM
STREET ADDR
STATE
ZIP
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME
FM
STREET ADDRESS
CITY
STATE
ZIP
TYPE OF CONSTRUCTION:
s.- SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units:
~ MULTI-FAMILY ill
# of Units:~
o RESIDENTIAL (For
Additions, Remodels, Etc.)
ZONING:
SQUARE
FOOTAGE:
SEWER
PROVIDER:
WATER UTILITY 11 ^ I" I""VI II 11
PROVIDER: l; UA.J I I...f.-^.-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
c2( NEW STRUCTURE
o ROOM ADDITJON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
~,. ~,o$
I 0,. -i'1. ,o/lj ~l
Plu ber's Ind na State License #: @ \9,8. ,0'".
/D/ltJ()()..)7 . s..q)',,~J'
-.1;-.
Which plumbing codes will be applied to the construction: ..
o International Residential Code w/Indiana Amendments
~ Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
X Manufactured X FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y _N Trusses: _Y _N
V 0 CRAWLSPACE
" Lot Split: _Y -LN Sump Pump: _ Y ~N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y LN
PROJECT INFORMATION:
Early Release
Permit:
o POST & BEAM '
[J BASEMENT /
WALKOUT:_Y_N
ForSinglA!~SASBS'~Y@0NQtEaiJctIONlOdels, and/or accessory structures, this permit is valid only if construction commences
_F-thin ~~Btx,br~*-c8ntfrflfd~@fW1m:iW ~9WltiDfll1Jl.it, and must be completed (Certificate of Occupancy issued) within 18 months of the
. i:.~nce d'lte. 'Class"s~fi\~~8arroc5afrC8'bJW.to the General.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
"g ,-,~O_ ,!fl.e,,-' _ ' ' 'M.w~{r~~j;ij"beglnmngandcompletmgconstructlOn.
I.t,~e unde~ ~ ~OM:~Nl~, Stg~~~nlargement, relocation, or alteration of a structure, or any change in the use of land or
st~cturef"{~~~<;~~tiqn~~~~rm to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
~~diana -~~"\M89.:HfKl~{11:lli!minr'(.rcfop'te'Cf~~eYa~th~;rt.y of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that orl~Af1.,IAth, and floor drains are connected [0 the sanitary sewer. I further certify that the construction will not be
used r occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
t Wf)IJ!Jt);J )-/IN,Jf!f}W
Print
SI- f)/p
Date
OFFICEUSEONLY:***********************************************)1***********************
~ Filing Fees: (pro ~. 5' c:J
INSPECTIONS REQUIRED: 11 'J If 7 SO
~ --,....,. --r,. !I Base Inspections: ^' I ' # Charged Re-
Upper Footlng--->",wer Footing 6 3 5' 0 ReViews
_ ~ Cert. of Occupancy: .
€u'9h 10 ~ inal Site P. .LF.: ~ -- Z 7. 00 Additional Fees
. . l/5J,I,50
Cy~~^ H I)J-/ 5-11-n6
Reviewed/APprov~~ of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL Fee Received by: