HomeMy WebLinkAbout06060098 Application
City ofCarmel/C/ay Township Y Permit #: (Xp00exJ9f(
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
FAX
PROPERTY
OWNER:
STREET ADDRESS
6~
CITY
tI2-
STATE
+~J.?-7.J11
-;J;:...
LOCATION
&. PROJECT
INFO:
LOT #
SEmON
ZO'5/
ADDRESS OF CQNSTRU
.r~
df
SQUARE
FOOTAGE:
SEWER UTILITY
PROVIDER:
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:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
/RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
I
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Plumber's Indiana S~t ense #:
'::"',j '~J'
"'~/ /~.
Which plumbing codes will be apPli~,~(,tri'~~~ruction: '1/ .f}
o International Residential Code ';;;)/~!i~Ame ~
~cV ~~'; /" Ij
o Uniform Plumbing Code wi Indiana Am~~e I'l,i
(Multi-Family Construction Code) ',.,<~::;/
'v
(Check all that apply for the new
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE:
T _Y _/N construction area)
russes:
o CRAWLSPACE
Lot Split: _Y~ Sump Pump: _Y /N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
_Y_N
~OST & BEAM
o BASEMENT
WALKOUT:_ Y /'N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) \'Iithin 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 ,vill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana - 1993~ (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and aU Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary se"\ver. I further certify that the construction will not be
'e u t' ertificate of Occupancy has been issued the Department of Cm.:pmunity Services, Carmel, Indiana,
~~O /~ ~~b
Print
Date
OFFICE
* ********************************************~A*~********************
Filing Fees: / J U 7 riP
INSPECTIONS REQUIRED: / /
~ Base Inspections: _ ({ '" sO
~pper Footin", Lower Footing Under M.EASE~If.Qild€Q~IBUCTIO'N 5""'3. /0
Qfo"ugh In) Meter Base ~ s~~blect to compliance with;aI1'~gule.tion6
- of SIMl.l.bFid LocaiCOde~.
DEPT OF COMMUNII'( ES
CITY OF CARMEL / Cl.8:t
# Charged Re-
Reviews
(Date)
Additional Fees
Reviewed/Approved
S:PermitsfFormsfILP RESI
370 7?
Fee Received by: