HomeMy WebLinkAbout06050184 Application
City of Carmel/Clay Township eJJ. Permit #;])&;05'D L~1f
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
TYPE F ON
o SINGLE
~TOWN M
o TWO FAM
# of units:
o MUL Tl-FAMIL Y
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
BUILDER of
RECORD:
FAX
0.5 ^h:~3/
ZIP
c:.-
PROPERTY
OWNER:
cm
STATE
ZIP
LOCATION
& PROJECT
INFO:
ZONIi:
oJ
SQUARE oS/-
FOOTAG~ 0 "P
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE) /
/ 59/
TYPE OF IMPROVEMENT:
-B<NEW STRUaURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PI(J'~7 o~'(]itahe Lirnse #:
~:~~I:lumbing codes will be applied to the construction:
emational Residential Code wi Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
n Manufactured ~ FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y Trusses: _ _N
----r: "" /"'\ 0 CRAWLSPACE 0
Lot Split: _ Y -----1.I!.-J Sump Pump: -LY'_N ~LAB 0
Does any part of the property lie within a special Flood designation area: _Y ~
POST & BEAM
BASEMENT .
WALKOUT:_ Y--'iJ)
For Single Fa~9-1..v.,:QrEiJll.iJ.fAWl~..l\~js~~.,r..qD.q4lil~, and/or accessory structures, this permit is valid only if construction com~ences
within 180 da . :~~iJS~~N)ijijdiligl~rhik{lt~d must be completed (Certificate of Occupancy i P.f~) :"ltlpn tlBUi9nths ofthe
issuance date. ~~tOOfR:riliaSlli::e !t\dbjtaJlltcreig:Ulieoorols\dministrativc Rules of the State of Indiana (See ~75\It\C12)\egarding expiration
, of State and Locali~~s for beginning and completing construction.
I, the undCrSign~~t}t.q~:~IAS.H,~ifl\l~st~19f1f\,,enlafj;l;ement, relocation, or alteration of a structure, or any change in the use of land or
structures ieque~'d&t3y th~ p~hiaWW!lH:I:iMply ~fr.fi\<I thrl~ to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - I993m~Q.Ia . . #!~a~~dfr@WNGlM 112.36.7 et seq. General Assembly of tbe State of Indiana, and all Acts amendatory
thereto. I further certify that onlykitrJjf:~ Pi\tRl 90Pd floor drains are connected to the sanitary sewer. I further certify that the construction will not be
use or occupied until a CertifjcatJb'lti~Ei}JillfU:yhas been iss the Department of Community Services, Carmel, Indiana.
. . (\ / ~;;.. /0 (,
Date
OFFICE USE ONLY: ********************************************~***************************
Filing Fees: G rJ'1 60
INSPECTIONS REQUIRED: ...., 7 --7 ./0
~ . Base Inspections: ~ _ A 2-
pper Footing Lower Footing ~Under S~ ./()
~ - Cert. of Occupancy: , ')3. :>
Rough In Met~ rRnal- Site)
~ _____ P,R,I.F,:
<I
# Charged Re-
Reviews
Additional Fees
C""t~)t I1J~ 5..U~06
ReviewedjAppr ed: Dept. of Community Services (Date)
S:PermitsfForms/ILP RESIDENTIAL
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