HomeMy WebLinkAbout06070088 Application
City of Carmel/Clay Township Permit #nl::,d7CXJ8R
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
VA ON ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
R COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GAW-- .
o ATTACHED Gf
o DEMOLITIO~
PHONE
::5,;(,
FAX
575"-.23
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BEST METHOD OF SQNTACT:
Cr
'/
FAX
CITY
STATE
ZIP
SECTlON
ZONING:
I
Which plumbing codes will be applied to the construction:
~ternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release I') Manufactured r---...,
Permit: Y ~ Trusses: L.Y.L N
- - ..r\ 0 CRAWLSPACE 0 POST & BEA
Lot Split: _Y -u Sump Pump: ---A-N 0 SLAB ~ASEMENT
Does a ~'OOI'lIMlfi1d~spQll6l ~d designation area: Y N WALKOUT:;~
For Sirt;Jsi~}t01fj~Ii1irni19 ~~~H itions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 daYsofSt9.&tS.t')tIi~~~ ~~()i1d~R"mit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuanced~?ljFs~M~~p"W;ay'e S~RM1.l.Db:aeneral.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
,..., b.V T~KfM5fltpbegmmngand completmgconstructlOn.
I, the u~t@:faSAfRM:i~Jn~~m, 'r~ot~h.uctlon, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this a~NRt~ comply with, 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 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
cupied until a Certificate of Occupancy has heen issue t~ Department nf cnmmun~erv;~;mel, Indiana. 7 /;"7 k t;,
Date '
FOUNDATION TYPE:
construction area)
OFFICE USE ONLY: ****************************************************
Filing Fees: a
INSPECTIONS R IRED:
~per Footing') ower Footi
~U9h ~~ter B~
r.Slab
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
Site
P.R.!.F.:
Additional Fees
G~T.AL.: __,~-iYj-35,~q
" /-7." /-o? - ( /) r;: ./ t: //~
( Y tt./t '-- ,_ /' / /' /~/~-
Fee Received by:
c
(Date)