HomeMy WebLinkAbout06060021 Application
City of Carmel/Clay Township ~-~, ~/ Permit #:iJ(,!J&ttlJJI
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
TYPE OF CONSTRUCTION:
i5:J SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
BUILDER of
RECORD:
FAX
Q7:5-c;)3/
ZIP
03 :J.
PROPERTY
OWNER:
PHONE
FAX
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
ZONING:
SI
SQUARE
OOTAGE:.:573 I
ESTIMATED COST OF CONSTRlQ"ION: ex:)
CLUDlNG LAND VALUE) 'f' . ;;;; J
NAME OF LfTlUTY VAll NTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
'1 \\ 17 '-1.~.-;:":l r;::-' !
I \VI j~_.: Ir~\1
TYPE OF IMPROVEMENT:
~EW STRUCTURE
LJ ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GAP'-
o DEMOLITION
1111)1
I~I
Which plumbing codes wi! be applied to the construction:
~temational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apPIV~~O the new
~ ~ construction area) ~
Permit: Y Trusses: ~"
~ 0 CRAWLSPACE 0 POST & BEAM '1'/
Lot Split: Y N Sump Pump: ~N 0 SLAB . ENT V
Does any part of the property I!e within a special Flood designation area: C llUT:_
For Single Family and Two Family dwellings, additions, remodels, and/or accessory l~ "; ,~, ..~ t I <;,nly if co~truction commences
within 180 days of the date of issuance of the building permit, and must be c ~er" ~J~~in 18 months of the
issuance date. Class I structure permits are subject to the General Admini ,,, .,~ '..' (~~ ~arding expiration
time frames for beginning an ... i". V~, ~('\~
I, the undersigned, agree that any construction, reconstruction, enlargement, re acaridn, or. '9. ~. e arfythange in the use of land or
structures requested by this application will comply with, and conform [0, all applic~ .t' "and the ~Zoning Ordinance of Carmel
Indiana -1993~ (Z,289) and amendments, adopted under authority of I.c. 36,7 ct sQ~n2 s '. '?i~,. 'Indiana, and aU Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected tOM~l1 'se\\.'cr. I r\~'r'certify that the construction will not be
e 0 occupied until a Cf{,rtificace of Occupancy has been issue ' the DepMfue~t of Community Services, Carmel, Indiana.
. U, 6/~;;),./o ?
51g ture of Owner or Authorized Agent Date
OFFICE USE ONLY: **********************************************~~***********************
.. . Filing Fees: /0" ;;1-,,/0
~E UIRED: '
G ( . - Base Inspections: c:2 "7 7. .)"0
Upper Foo g
. Cert. of Occupancy: 5--.3 . sO
P.R.!.F.:. I ex. C !J'o Additional Fees
.~ ~~~
('_ .J L: .
~z;6J fl0
Fee Received by:
# Charged Re-
Reviews
(Date)