HomeMy WebLinkAbout06050217 Application
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CIty of Carmel/Clay TownshIp Permit #:_t)~n,J()
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
l2.""-\D
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER lfTIlITY
PROVIDER:
NAME OF UTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR CDUNn WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICAB
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING C
o SINGLE FAMILY ~-vr-t5;) 2fL NEW STRUcrURE )
~ TOWN HOME ()..-.,~rf E( ROOM ADDITION(S) Plumber's I~i~an S
o TWO FAMILY, J 0 PORCH ADDITION(S) \ (~
# of Units: 0 REMODEL rr;;:-~~ ~
o MULTl-FAMIL Y 0 ACCESSORY BUILDI V ~i'l1'lilum.l>ill~;_e~...'!i11 be applied to the construction:
# of Units' 0 ,,;? It;., II (I ? ..~---.
O S . ( 0 DETACHED GARAGE -Intemationat,ResidentiafCode wI Indiana Amendments
RE IDENTIAL For }.ii,~ ~ In \ I
Additions, Remodels, Etc.) 8 ~~~CL~~?O~ARAG '14 Uniform Plumbiiig~te!'H/Indiana Amendments
Al1ul!rFqml!y')~~nstrulll' n ~1'9de)
PROJECT INFORMATION: I LU~'TY I
Early Release Manufactured *' UNDATIO: ~heck all that apply for the new
~ constr i&n..area) I J L J /
Permit: _y.::::z:::...N Trusses: _Y __U~~!
~ . V_CRAWLSPACE I
Lot Split: _Y...;zI'-N Sump Pump: =-.Y _N ~ SLA -.J 0
Does any part of the A1!llft91i~ialDf9GjQ~FI6IJki~ation area: _ N
For Single Family and T fiy ~'t~cPslla \~t]iR ~lr~~; and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of isst9:~~~~r& iltl'r'n ~r,mj.{,..iAA w~~completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I struDef\1fr@fSGG..MM d cre~tA.~Mtn~tive Rules of the State of Indiana (See 675 lAC 12) regarding expiration
Q'" ('tJ. J:l~~~ Ir~ ~Wl'tSl<lWlmpleting construction.
I, the undersigned, agree ~lr:ty hst~Htdr\.~recontt~(H..on, en1a~ement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application \vill corrl~IiA.I)lMi 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 I.c. 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 cupied until a CerrjficR e OfO~cupRncyhas been i~rtt[t~J1~Tr Carmel,Indiana. h) d '-lliXo
Print Date
POST & BEAM
BASEMENT
WALKOUT:_Y _N
OFFICEUSEONLY:**************************~*******************~*~**~*****************
Filing Fees: ~ +'~I 0-0
INSPECTIONS REQUIRED: . '1 "f ~O
.'u J Base Inspections: ::;;;l ~ -I- . ,..,L!
<::::upper Foo~ Lower Footin Under Slab 5-"2 -=-0
- Cert. of Occupancy: .Q , v
I "2~1 ,() 0
~ ?--8
.b
# Charged Re.
ReViews
Site
P,R.I.F.:
Additional Fees
c.V\'l ,;-~ /-1k,u- ~'-tq-e1,
Reviewed/App ved: Dept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL