HomeMy WebLinkAbout06060047 Application
City of Carmel/Clay Township Permit #:OoOb(J)4- 'J
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
1)
FAX
(31
STREET ADDRESS
01Y
,
STATE
Ii
ZIP
'l 7~
.;//
PROPERTY
OWNER:
FAX
01Y
CA
STATE
IN
LOCATION
& PROJECT
INFO:
SECTION
ZONING:
$-
SQUARE
FOOTAGE: ~ :;
SEWER UTIlITY
ESTIMATED COST OF CON5J1<UCTlON:
(EXCLUDING LAND VALUE) fl ~
c. =it 6b6bOO %
PLUMBING CONTRACTOR:
PAul E SM'iTI-I
Plumber's Indiana State License #:
1017'77
o
Wh.!P' plumbing codes will be applied to the construction:
M International Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_~N
o CRAWLSPACE
o AOST & BEAM
cif BASEMENT ./
WALKOLrr:_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 (Cenificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are 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,=-.J993" (Z, 289) and amendments, adopted under authority of LC. 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 further certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
.' .
, B' I:IEt,U .
(,,11.1 A. ill.b5o"'G- INE
Print
to/slot..
Date
OFFICE USE ONLY: ************************************************* 0;"'***'#;1\***************
Filing Fees: (), .5 u
IN~PECTIONS RE~UIRED: , BaW:tMi~lons: .2 '17 S () # Charged Re-
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NOIlOntllS tlOd T3
Community Services (Dale)