HomeMy WebLinkAbout06060236 Application
City of Carmel/Clay Township Permit #:06tJ6~~'2t->
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE ;-,
?f.I7 - /5::0
PROPERTY
OWNER:
FAX
~...TE ZIP
I 4
LOCATION
&. PROJECT
INFO:
SECI10N
3
ZONI~ _
SQUARE
FOOTAGE: 5'1/4
ESTIMATED COST OF CONSJ~umON:
(EXCLUDING LANO VALUE) R J
5"
PLUMBING CONTRACTOR:
MuJ f... 6lY1;th
Plumber's Indiana State License #:
--.101'777
o
o
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT IN FORMA
Early Release . . /.
Permit: Y ~N
Lot Split: . y"Z
Does any part 0
Manufactured
Trusses:
Vy N
. ./ 0 CRAWLSPACE
~y =N 0 SLAB
signation area: _Y ~N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
For Single Family ~I!l<!tIj@ll!jjyr1llY~l!\IJg~ :wI!Wl\llS(~MI@>l\sdlor accessory structures, this permit is valid only if consttuction commences
within ]80 days ofthe,da~fdP~,'ifl'ffiGJy;efif~.. Ot, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
issuance date. C1a5ll. I struct\!tC:.i.Pe.QlJl.ts. ,are s'ii~~t" to, e. dchninistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
.uEPT Ur- LiuMMWt:ifD .. ,'. '~gandcompletingconstruction.
I, the underSigne~t~~R~.o e!AtVU~fP' rdocation, or alteration of a structure, or any change in the use of land or
structures requestectby this applicanon 0 .th, ahdcontorm"ra, ill applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannd
Indiana -1993" (Z-289) and amendmentd, . 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
. us' d or occupied "?ntil a Certificate of Occ,!pancy has been issued by the Department of Community Services, Carmel, Indiana.
o POST & BEAM
~ BASEMENT
WALKOUT:_Y VN
Lol; A. B:ll.h'Jt)IJG~HENI;Il€
Print
",1{J9ID~
Date
Site
Base Inspections:
Cert, of Occupancy:
P.R.I.F,:
Additional Fees
c
Reviewed/App v d. ept. of Community Services
S:PennIts/FormS/llP RESIDEtfTIAl