HomeMy WebLinkAbout06050216 Application
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City of Carmel/Clay Township Permit #: ~(Y)ty;;Z.1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME ~
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, tc.)
PROJECT INFORMATION:
Early Release i Manufactured 1=
Permit: Y N Trusses: Y N
o CRAWLSPACE 0
Lot Split: _Y N Sump Pump: Y _N ~SLAB ,J 0
Does any part of the property lie within a special Flood designation area: _Y ~N _Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or ~~Qr&OO .. t I -Yfl1i . Q.Q}~~truction commences
within 180 days of the date of issuance of the building permit, and must bcc.CWftR\l.:'.J:lfO~mpua13e~\Ip!\iH ~n'~iJY within 18 months of the
issuance date. Class I structure permits are subject to the General Administ~\:\lJ'e~u~~' ~~~l~;G. .~@%V5. IAC.J2J regarding expiration
t;me frameo for beg;nn;ng and complet;\{ fO~~C!im INIT'f"SERVICES
I, the undersigned, agree that any construction, reconstruction, enlargement, r~l ~ro ~r!wtt~lg~a"JerLct\lriJ.IRj!.,~U~.lse of land or
structures requested by this application will comply with, and conform to, all a iR91~\!!S(Mf~ME\Qf/rG~lD.crM:'L~bn!ilg Ordinance of Carmel
Indiana - I993~ (2-289) and amendments, adopted under authority of I.c. 36-7 eq,\;~t!ral':('ssembl'i \'kPA~ of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. lt6t-ti\'er certify that the construction will not be
use, cnpled ~"l a CertIficate of ~ccupancy has been ..sued by the Department ~o mumty serres, Carmel, IndIanaS )dL! ( alp
Signature of Owner or Authorized Agent Print Date
BUILDER of
RECORD:
, ",FI'8- - Y) DIf
:J)EN ~~ ld)
PROPERTY
OWNER:
-Q5)Y
j)rc\
STATE
FAX
~ 1~-'lOI
4Ilo3lDO
ZONIN~ t
LOCATION
llr. PROJECT
INFO:
SECITlPOO\
SQUARE
FOOTAGE:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET '
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE:
_ _ lYP-E-OF'IMPROVEitENT:
- u:= (~ ~E~.&t~uli
o ROOM ADDI S)
o POI3.Q:j,AD (S)
MA'P3 R,E~L
o ACCESSORY
ARA
o ATTACHED GARAG
Which plumbing codes will be applied to the construction:
n
o International Residential Code wI Indiana Amendments
'J} Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
OFFICE USE ONLY: ************************************************************************
Filing Fees: Cr510 . 00
INSPECTIONS REQUIRED: ."7 "'17 "'()
Base Inspections: ^' _ ~ , '-L_
Upper Footin Footing -J::: -? ~
~ Cert. of Occupancy: '/ J . 0 0
Meter Base Final Site P,R.I.F,: /2J,d 00
.
?-'t1..
# Charged Re-
ReViews
Additional Fees
Reviewed/Appro d: Dept. of Community Services
S:Pel'"mitsjFOf"msjILP RESIDENTIAL
(Date)
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