HomeMy WebLinkAbout06070016 Application
City of Carmel/Clay Township Permit #: [) (e07 tot Co
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & A~cessory Structures
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
;g[ SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME RUC~N<OOM ADDITION(S)
. DELWP..f,A~l,I1fOR CONS;\ regu\Wbn90RCH ADDITION(S)
BE 1lUO~1t's. ",,(;9 ""th a . . 0 REMODEL
. CSubldJdl~~E1an. d'COC. al cooes'~E~CESSORY BUILDING
# ootmil<S\e. . '\,J.\~\TY SER ,9RiACHED GARAGE
C:O~I~t!AD~~";€t~4'( 1'0 S'IWrAcHED GARAGE
r.rN~~~/I.~('.~:N."A D. DEMOLITION
~OJECTINFOR~:'" N1.t..v @l(lry\<tn~
Early Release ,. Manufactured S~A \ e ~-A~ FOUNDATION TYPE: (Check all that apply for the new
Permit: ~ Y ~N Trusses: _ Y "XN construction area)
. 0 CRAWLSPACE
LotSpltt: _Y ~ Sump Pump: _Y X-N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y X-N
BUILDER of
RECORD:
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STREET ADDRESSc:::::::::-
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BU DER'S EMAIL ADDRESS
S2:ARo~
PROPERTY
OWNER:
NAME <::-
':::::::'A.r'rl1L
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT #
SUBDIVISION NAME
(2t:\
ADDRESS OF CONST..RLlc:!10N
'Z3o f\Pefl,l
1r"\Q...-
SEWER lITlLfTY
PROVIDER, ~
WATER lITlLITY __ _ ^ (')
PROVIDER: (!JA.rcr ~
NAME OF lITlLITY EXCAVATION CONTRACTOR; PLAN COMMrSSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
~o
ZIP
BEST METHOD OF CONTACT:
.~. r:::*1~
PHONE
FAX
em
ZIP
STATE
SEmON
ZONING:
~a
PLUMBING CONTRACTOR:
tvA.
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wi Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
o
g
POST & BEAM
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 180 days of the date of issuance of the building permit, and must be completed (CertiHcate of Occupancy issued) within 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 ny construction, re onsnuction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structure equested by this plication v.; - ply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana - 993~ (Z- 289) a , adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. further y t y kitchen, bath, and floor drains are connected to the ~anitar sewer. ther certify that the construction will not be
used 0 oc led until Certll upancy has been issued y the partmen Co unity Services, Carmel, Indiana.
~ . . M9S -::t/:;./O V
Sig re of Owner or Authorized Age Print Date I
OFFICE USE ONLY: *********** ****rr~*1*********** ****************************************
\.L.I 7/'2.. Filing Fee: / ~3, I ()
INSPECTIONS REQUI ED: { J 1/ / _
J/' I/O Base In ections: "t(? (II . -6 n # Charged Re-
Lower Footing Under Slab'. . -,4 -/.'\ ReViews
If) C . of Occupancy: ,63. -6 (../
Final Site ~
. P.R.i.F.:
Meter Base
ReviewedjApprov d: Dept. of Community Services
S:Pe..-mitsjFormS/ILP RE IDENTlAL
Additional Fees