HomeMy WebLinkAbout06070098 Application
City of Carmel! Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two F~+toiftMtures, Additions, Remodels, &. Accessory Structures
Shannon
~
BUILDER of
RECORD:
NAME
STREET ADDRESS
Permit #: 0(" o? 0 0 erg
FAX
STATE
ZIP
PROPERTY NAME
OWNER:
STREET ADDRESS CITY JUL STATE
1 9 200"
LOCATION LOT :31
&. PROJECT
INFO:
SEWER LfTILITY V
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
&i SINGLE FAMILY
6' TOWN HOME
o TWO FAMILY
# of unitS:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITJON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
fttC.{li)..a.h'Ofj
PLUMBING CONTRACTOR:
lf1T ~j( ~ ,
Plumber's In . na State LIcense #:
/ () '). o[)oS-7
Which plumbing codes will be applied to the construction:
~International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
X Manufactured X
Y N Trusses: _ Y _N
J V 0 CRAWLSPACE
Lot Split: Y ~N' Sump Pump: -A- Y _N 0 SLAB
Does any part of ~he property lie within a special Flood designation area: _ Y -X-N
o POST & BEAM
~ BASEMENT_y V N
WALKOUT: I'-..
For Single Fara"'ttVi~ettJ!JI'. qtAtKJ'f~,knd/or accessory structures, this permit is valid only if construction com~ences
within 180 ~ oThfe'~~tt fssMin~~t;. 0, tM UWI/Hv...BUHJt)rfli14 must be completed (Certificate of Occupancy issued) within 18 months 9f the
issuance ~ate: ~. t.1ft'Mttflt:1s'YeYr:MM e~ to'"ttie Ge.neHr AlPminisrrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
.} , ,of state and Locar&i.e~s fa6ei:n~ing and completing construction.
I, the undersi&m.' . ',.:eF~.a E~_MtM~NiW~ftV4 ~. ent, relocation, or alteration of a structure, or any change in the use of land or
structures req~ ~~ W r-ill ~Bb\}vifb,.~~i'd ' all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993,-, ~Ad" ~JjdpMbbd~MH:K~l\~.o 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify.tha[,o~y ki~lANkd floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used r occupied until C rtiIicat;;"omccupancy has been issued by the Department of Community Services, Carmel, Indiana.
~. 7' ~?lIffNIJ{)N I!JJjJI-I/lrrJ 1-/4-{)( d
Signa ure of Print Date '
OFFICEUSEONLY:************************************************~***********************
Filing Fees: So J.... / 0
I!'ISPECTlONS REQUIRED: "} 7 7, i]
~ ~-;::-) Base Inspections: c:r- _ ~(..
;<JPper Footi~ ~ _ Under Slab S-5. J ()
~OUg~ ~ ~ S~ I:J- C/ CO
# Charged Re.
Reviews
Additional Fees
i-'2-l-
RevlewedjAppr ved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
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