HomeMy WebLinkAbout06050079 Application
City of Carmel/Clay Township (/\\). Permit #:Oh0.5ClJ77
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
E
LOCATION
& PROJECT
INFO:
LOT #
SUBDMSION NAME
SEWER UTILlTY
PROVIDER: 1
o
R V MENT:
STRUCTURE
M ADDmON(S)
POR H ADDmON(S)
DEL
ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
CITY
C
STATE
ZIP
SECTION
ZONING:
5-
SQUARE
FOOTAGE: 37'-1
ESTIMATED COST OF CON5Jf.UCTlON:
(EXCLUDING lAND VALUE) R J 3
#-Ob050071
Sb
PLUMBING CONTRACTOR:
J>auJ E.. S/>1; rl-l
Plumber's Indiana State license #:
10/777
Whl9'1'lumblng codes will be applied to the construction:
o Intemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w IIndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y ~/ Manufactured . /
V N Trusses: ~II'Y. N
o CRAWLSPACE
_Y _N Sump Pump: Y _N 0 SLAB /
em lie within a special Flood designation area: _ Y LN
Lot Split:
Does any part
o .AQST & BEAM
[!'( BASEMENT /'
WALKOUT:_Y~N
For ~i!tgle,Famil)8wdfli'C'P.Yr1bfJ~~~ .~. r,.l;WPl s, and/or accessory structures, this permit is valid only if construction commences
within 180 days of die da .. ce rihe~ . cftH, ~,~Sfnust be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. CI~l.~ruct re .Wet; Jl !lieneral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. ul:YT OF CqI0MUl'#WrOOff~1 ingand completing construction.
I,theundersign ~F . '. '0 . e t,reIocacton,oralterationofastructure,oranychangeintheuseoflandor
structures reques~~ tliis ap~_X~ an applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993- (Z'289) and amendnieDl:NBlANA>det authority of I.C 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be
u or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
. . B' . loll.; A. B;RbSllNG -flEAI';~E
Signature of Owner or Authorized Ag nt Print
* * * * * * * * * * * * * * * * * * * * * * *'* * * * * * * * * * * * * */1 * * * * * * * * * * * * * * * * * * * * * * * * * *
Filing Fees: Q .:2 h. I/d
INSPECTIONS REQUIRED: , ,
Base Inspections: ;2 77 )(J # Charged Re-
.......-; ReVIews
Cert. of Occupancy: . s: '3 .:> ()
J ~ Co, l 00
,
{; If
OFFICE USE ONLY: ****
P.R.I.F.:
S/s/Ik
Oate
Additional Fees
:; - \ 1-0
(Date)
"'- \
Reviewed/App oved: Dept. of Community Services
S:Permlts/formslILP RESIDENTIAL