HomeMy WebLinkAbout06070145 Application
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
llr. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
City of Carmel/Clay Township Permit #: IX.!) 070 flf5"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
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FAX
RUCTlON
!WISjecllo compliance 'Bl!tEan R'C'lJu'''I!lllnS
of Stnte and Local Codf:\~
EpT OF ;::n~ChIJ~IN!TV ;" zONiNG: ,.
nrit~::~L i ;:<:L/~Y U~'~'""..vd"i~.:r
SQUARE /) r1 A -
FOOTAGE:~ /~~
ON/40 340
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY ~
GO TOWN HOME ~
b TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM AODITION(S) Plu ber's In iana State License #: __.-,
8 ~~~~~:~DITION(S) / ()J, OJ)()0/) ~ ------~l~f~:V:\\\
o ACCESSORY BUILDING Which plumbing codes will be ~p~ '@.~_struCtiiln:--T'--\ ,II \1\\\
'Ii I' --- ,\ \
o DETACHED GARAGE ~ International Residenti~1 f?tf wI Indiana Amendments\',,\ i \ \
o ATTACHED GARAGE 0 Uniform Plumbing COde,*tI~.\iana j\lten'dmQnt,OOo \ \ U I \
o DEMOLITION (Multi-Family Construction Code) '\\ i ,_... "
PROJECT INFORMATION: I'll II, _'---'~'
\ j .IJ\ -~-- \
Early Release Manufactured FOUNDATION TYPE: (Check all.thati,pply for the new ..-J
Y "N ... construction area) \ ~'-""'~'------
Permit: '\ Trusses: ~ Y _N --
. - ---;- . 0 CRAWLSPACE D~'POSn:BEAM
Lot Split: _Y....0....N Sump Pump: _Y ..lLN ~ SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y LN 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 (Certificate of Occupancy issued) within 18 months ?f the
issuance datc. Class I structurc permits arc 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 Of
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 - 199r (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. 1 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 a ertif]cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
0-- JI/f)A/JJOIJ flxAlf/-JiJl!) 7-;Cj-0&
Print Date
OFFICE USE ONLY: **************************************************~~***~!***************
Filing Fees: { (, 3. 5
INSPECTIONS REQUIRED: .? /7.., c,-,
Base Inspections: .~ /' /. JL.
)']. 'j-C
Cert. of Occupancy:
# Charged Re-
Reviews
P.R.!.F.:
Additional Fees
Reviewed/ p ed: Dept. of Community Services (Date)
~m;~IF"m~ILP RESIDENTIAL