HomeMy WebLinkAbout06070108 Application
City of Carmel/Clay Township UJ(9.~ Permit#: tJr..a07oJOg
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDE'R of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
8r. PROJECT
INFO:
lOT #
3
I
FAX
615-613/
\
PHONE
FAX
CITY
STATE
ZIP
SECTION
16
ZONING:.) /
SQUARE / ,j _
FOOTAGE: LOW
eroR; PlAN COMMISSION / BZA / BPW DOCKET
UNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
~NGLEFAMILY~e...\ 0 NEWSTRUCTURE/::'-;:-:\ ~~d- t5,<)-y,)=ht-cl
o ~~NF~~I~~ ) 0 ROOM ADD~TI9~(S(:, \\ "~I~mber's Indiana State License #:
# of units: 0 PORqj.~~?WO~,(SV \\\ \'C- jO I (J (J 0 I'J I ~ J
~M0DEL:;-.~..-/ \\\ \\'< . V I
o MULTI-FAMILY (J;:;Y ;;(q:E~SORYBUILDING \'.~h\C~\Plumbing codes will be applied to the construction:
'N# of Units: \'f0\ '~ETACHED GA~Gf,)'0\) ~ntemational Residential Code wI Indiana Amendments
. RESIDENTIAL (For '0] \ \AJTACHfR G\RAGE \~.
" dditions, Remodels, Etc.) [sj\) b~MOL~ ~,./D.s. Plumbing Code wI Indiana Amendments
\\\\:' 8~' /~I' onstructlon Code) .
PROJECT INFORMATION: \\' \\ \ / C /" Ct fT ffH
Early Release ~ Manufa~~~~""/"" /,"/ C ~D&t~~,}:"'dcheCk all that apply for the new
Permit: '-Y --Lt:I/ Trusses:\.... N i'~c5i'. ~F ~ rl::IJCe OI\tS~ BEA'~""~~
Lot Split: _Y -V Sump Pump,"""" 0 ~~,tjtt?: ~09~*~ ~-- ~-
Does any part of the property lie within a special F designation area: 1t1~ Oct, . ~:~ Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, t 1~9tJlJ.iI' nstruction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of ~upanc in 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 6 regarding expiration
time frames for beginning and completing construction.
t, 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 will comply \vith, and 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 r.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
d or occupied until CerriIicare of Occupan~yhas been iss the Department of Community Services. Carmel. .Indiana. / /
Il., zv Olh 7 If? ta~
p't Date
OFFICE USE ONLY: *****************************************************0*******************
Filing Fees: /33, S
INSPECTIONS REQUIRED: . j' I / 0 0
Base Inspections: _ ~,
Upper Footing Lower Footing Under Slab . -:% ""0
c9 ~ ~ Cert.ofOccupancy: ',5...;' \..'\
Rough ~n Meter Base lFinal Sit~ .J
_ P.R.J.F.:
UJ~ HJ;j
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
# Charged Re-
Reviews
Additional Fees