HomeMy WebLinkAbout06050211 Application
City of Carmel/Clay TownShip' u)-G:JY;ermit#: o Ce050l1I
RESIDENTIAL IMPROVEMENT LOCATION ~~T APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER LfTIlITY
PROVIDER: -:-r~\N:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE)
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
CJ SINGLE FAMILY~ !Ok') NEW STRUCTURE
'{g- TOWN HOME / V ROOM ADDITJON(S)
~~/:n~~~=---22 II f2~G,tl~l~~,Qr.I-<_~f-
o MULTI-FAMILY Iln @~ ~f,M,q>Q~L; \1 If=~ 1'-'\
_ III -AeeESS0R - It!) \
o R~s~6~~~~L (For I '-_.~ DETACHED GARAGE
Additions, Remodels, Etc.) UU m~rifo~GE
PROJECT INFORMATION:
Early Release
Permit:
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
~ Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
_ /_ Manufactured FOUNDATION TYPE:
_ y ~N construction area)
_Y -:f..N Sump p~mp: S~CY~P~/C?R~J.r.~LSPACE
o .r:: lane .: ....",'HU,......},/._
Does any part of the property lie within a sp U~llil!:i -'8.1/ Y ~
(Check all that apply for the new
Lot Split:
o
o
POST & BEAM
BASEMENT
WALKOUT:
Y
N
For Single Family and Two Family dwellings, additIon, eQ/free 0 ~~8f1fl.i. this perh<<r is valid only if construction commences
within 180 days of the date of issuance of the building permit, an ~c e&cf ( . f Occupancy issued) within 18 months of the
issuance date. Class I structure permits arc subject to the General Admiro1f.1)qv~ \'b W-Sdiana (See 675 lAC 12) regarding expiration
time frames for beginning"af1W~~ting co
It the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a st .t~ure, 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 further certify that the construction will not be
U~i1~tasbeen iS~;~"'t~rrices.catmel, Indiana5 ):J 4liiD
Signature of OWner or Authorized Agent Print Date
OFFICEUSEONLY:****************************************************~~***************
Fllmg Fees: Wg.~. ILU
INSPECTIONS REQUI '1 0
.--- _^ Base Inspections: m, 6
r!pe~g Lower Footi r3 6 D
~ Cert. of Occupancy: ,"),_
~OU9h ;~eter B se inal Site O>?)
~ P.R.I.F.: V
ReViefieDept ~omm~(Date) ~ 1 ;
S:Permits/forms/IlP RESIDENTIAL
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