HomeMy WebLinkAbout06070148 Application
City of Carmel/Clay Township Permit #: ()(aO 701'1'0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
Manufactured J FOUNDATION TYPE: (Check all that apply for the new
Y X N Trusses: ~Y _N construction area)
j. 0 CRAWLSPACE
Lot Split: Y =N Sump Pump: _ Y LN ~ SLAB .
Does any part of the property lie within a special Flood designation area: _ Y bN
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
/JvJ C
COAnuL
WATER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILYA""lIlI~ ~ NEW STRUCTURE
00 TOWN HOME ~ 0 ROOM ADDITION(S)
[j TWO FAMILY 0 PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
~~ING CON7ftOR:
Plumber'~State License #:
/ () ;}.OOOs')
Which plumbing codes will be applied to the construction:
0( International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOLIT:_Y--=-=--N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is:V;"E~ ...;'ori'commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occup me. i'SSut . In-IS-months of the
issuance date. Class 1 structure permits are subject to the General Administrative Rules of the State of Indian~.i75 lAC 12) regarding expiration
time frames for beginning and completing construction. ~\ U r
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a strucrure?f cha~lthLuse of land or
structures requested by this application vlrill comply with, and conform to, all applicable laws of the State of lndiana 1hd\1\h "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amendments, adopted under authority of r.c. 36-7 er seq, General Assembly of the State btl:n~ na, and all bets amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the samtary sewer. I further cert~l...l:hat \h~ruction will not be
used r occupied until Ce. ti{jcate of Occupancy has been issued by the Department of Community Services, lmcl, Indiana.
. dSJlffAlAlotJ flftJJH/1/AJ --- ^j-/CJ-OO
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~ / 7- (1 (f
INSPECTIONS REQUIRED:
Upper Footi Lower Footing ~
Meter Base ~
Print
Date
Base Inspections:
::).
.'
# Charged Re-
Reviews
P.R.I.F.:
Cert. of Occupancy:
Additional Fees
~
(Date)