HomeMy WebLinkAbout06060074 Application
City of Carmel/Clay Township Nlit" Permit #: tJ&oltt'lJ 11-
,It Ii f""'........
RESIDENTIAL IMPROVEMENT LOCA/;VJQN~~EIWIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures;>AJliti;;n:S;'Re'iil'OdeJS,~ Accessory Structures
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BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIUTY
PROVIDER:
WATER UTIUTY
PROVIDER:
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANO/OR SEPTIC PERMIT #'S (IF APPUCABlE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
- / # of Units:
G6 RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
~OOM ADDmON(S)
o PORCH ADDmON(S)
REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLlTlON
STATE
SECTION
ZONING:
$-- I
SQUARE ~
FOOTAGE: 722?-,
PLUMBIN~ CON:::~OR:
PA\.i Lt::.-. _ loJ
Plumber's Indiana state License #:
In I"i
Whi9'plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w IIndiana Amendments
(Multi-Family COnstruction Code)
PROJECT INFORMATION:
Early Release /: Manufactured J FOUNDATION TYPE: (Check all that apply for the new
~ construction area)
Permit: Y ~ Trusses: N w:
o CRAWLSPACE 0 POST & BEAM
Lot Split: _Y N Sump Pump: _Y _N 0 SLAB / BASEMENT /
Does any part of the property lie within a special Flood designation area: _ Y LN WALKOUT:_ y---LN
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 mUl,t 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
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 - 1993" (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 funher certify that the construction will not be
~r occupied unt~certjfjcate of Occupancy has been issued by the Department of Community Services. Cannel. Indiana.
- 1 ( t,.j;J 1~ [Del IIulkllf'S, UHlOt (I
Signature of Owner or Author zed Agent Print Date
OFFICEUSEONLY:************************************************J.***********************
..F.ili J<Q6>' - ?"i )7J
INSPECTIONS REQUIREDElELEASED FUR~UN~rRUCT10N /J "
. . . ~L1h' t 10 cornpliliame;miljlEdiOi"lS!1llltlons / /. (j 0 # Charged Re-
Upper FootIng Lower Footing u"..dl!'~'Siagj Stat9 r'Cli..J..:od,a).,~Qdes. . . :)3. '>0 ReViews
rD.;::'" ~~WF COMrV\t)f~rlY ~tfYrCEC
~ough!.!v .Meter Base '====etTY OF CARMI!il-."eU\y T WNSHIP Additional Fees
INDIA~ T/
~ -I
Reviewedl Approved'
S:Permlts/Forms/ILP RESt
(Date)
Fee