HomeMy WebLinkAbout06050029 Application
City of Carmel/Clay Township Permit #OM5(JO:<c;
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PROJECT
INFO:
qij
o
STRUCTURE
RO M ADDmON(S)
PO H ADDmON(S)
ODEL
ACCESSORY BUILDING
DETACHED GARAe:"
ATTACHED GAP
DEMOLmON
o
PROJECT INFO
Early Release
Permit:
CITY
STATE
ZIP
PLUMBING CONTRACTOR:
tIa~ cr.:'Scr-n.x:J I n~.-J
Plumber's Indiana State License #:
(l p j t)C)(')CJ / f') /
d~~.::bing codes will be applied to the construction:
ational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDA lION TYPE: (Check all that apply for the new
construction area)
~ Manufactured ~
_Y _LN-' Trusses: -.D_N
.<.' 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~ Sump Pump: ~N 0 SLAB ~ASEMENT
Does any part of the property lie within a special Flood designation area: _Y ----L0 WALKOUT:_Y_
,
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 (Certificate 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
suuctures requested by this applicarion will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z- 289) and amendments, adopted under authority of l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
to. 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 r occupi.d untO Certificate of Occupancy has been issue the Department of f~ty se~c~ :;~e~, indiana. L/ ~ ((:J ~
Date
OFFICE USE ONLY: **************************************** *********~*********************'
Filing Fees: / (JO . Pc)
INSPECTIONS REQUIRED: . ~ ~.'1 .---,0
~ Base Inspections: " /, .J V
~r Footin~er Fo,!!:in Under Slab . !;' 3 -0
~ ~EdrMFP~~RU(mON ,)
~ ~ eter Ba 81 Sect to ~R1P,lfl!!1Ce with all rogulationsH r,/. 00
of State and Local Codes. /f"
DEPTOFC 1M UN Ir,(I':, ~CES J 3.
F C I
~
# Charged Re-
Reviews
Additional Fees