HomeMy WebLinkAbout06070132 Application
City of Carmel/Clay Township Permit #: ore 070 13~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY () /l. I __ _ _ J
PROVIDER: l)1)(J r ll.L
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
o
NEW STRUCTURE
ROOM ADDITION(S)
,ORCH ADDITION(S)
EMODEL
A ESSORY BUILDING
o ACHED GARAGE
""'ATTACHED GARAGE
o DEMOLITION
o
94 /
84
,
ZONING:
SQUARE' I) rI j ;;-
FOOTAGE: C1 / '7 'l.J
PLUMBING CONTRACTOR:
C/lr LffhI)/t.L
Plu~ber's'I~6ia;;a State License #:
/DJ.,[){J{)S7' ~
Which plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured X
_Y _N Trusses: _Y_N
X 0 CRAWLSPACE
Lot Split: _ Y LN Sump Pump: _ Y _N ~ SLAB
Does any part of the property lie within a special Flood designation area: _ Y LN
o
o
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 com!llences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate 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 any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land pr
structures requested by this application will 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 (he 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
used or occupied until C;ertjficate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
, ll/IIJA/JotJ I-IVJSi-JIJ/Ai 1-;q -{)U;
OFFICE USE ONLY: ** ******************* *****.~********* **** ****** *'**f***~*f**************
Filing Fees: 010.5, ) C
INSPECTIONS REQUIRE . .' "I /1'1, )~ ()
Base Inspections: :z / /.
Cert, of Occupancy: S.5 )-0
P,R,LF,: 5" ;).. 7. 00
V~~ ,$/;,;J!)()
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Site
(Date)
Fee Received by:
Date
# Charged Re-
Reviews
Additional Fees
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