HomeMy WebLinkAbout06070147 Application
City of Carmel/Clay Township 0.e01p~~~2 ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
LOCATION
8r. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ SINGLE FAMILY ~ 11-,,,/1 iZS NEW STRUCTURE
TOWN HOME'~ 0 ROOM ADDITION(S)
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:
84"- ~ 8q
4& ;{Sz
PHONE
TRUCTI N
........co with all Regulat nil
S b)ect to compllaH -
u and Local God"~ ,".
E OMMU~lif'( l::-::'i':'n '-;. :~,< .
DEPT 6f! C -.L I CLo.V TOWN' rill'
lt4iBtANA
CITY
SQUARE /} 174 ,;:-
FOOTAGE: 0'} /. v
/4D .!J40
f!ti!f1Vf)i7!Jn)
PLUMBING CONTRACTOR:
~ W"J)}{L
Plu ber's In lana State LIcense #:
I ()J, (Jo(J~r;
.
Which plumbing codes will be applied to the construction:
.PQ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
Manufactured 'J FOUNDATION TYPE: (Check all that apply for the new
_Y ~N Trusses: ~Y _N construction area)
" 0 CRAWLSPACE
Lot Split: _Y LN Sump Pump: _ Y ~N Nl' SLAB
Does any part of the property lie within a special Flood designation{.;a: _Y ~
POST & BEAM
BASEMENT
WALKOlJ1;________Y-::;::::::"N
____ n ,,......-.~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this Pf~f~\~@9!rWloh~t~ttihii:-~q~~eVfes
within 180 days of the date of issuance of the building permit, and must be completed (Certificate Ofl9f.b..,tlp~y)~sued}witliin 18 mont~~\of t~,e
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of I~aiata(See 675 lAC 12) regarding ~xpi9.~ion
. . time fram~s for beginning and co~pleting con~truction. \ \ IJ '" \ ' 0 iOGS " j , "
I. the undersIgned, agree that any constructIOn, reconstructlOn, enlargement, relocatIon, or alteranon of a st~q.'ire\ r an~~:\!?gt2tn t-he use of land, ~r
structures requested by this application will comply with, and conform to, all applicable laws of the State of IndiJln~~ nd toe uZoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authOrity of l.c. 36~7 et seq, General Assembly of the ~thJ\o.t Indiana:.-~nstall Acts'amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I furtherld~rtifi.that'1lie construction will not be
used r occupied until a Crt' icate of Occupancy has been issued by the Department of Community Services, Carmel, Indian~:> _
. W- d/-II}A/;.}()!\J f!1NJI-II1J)j---------
OFFICE USE ONLY: **********************************************~~~***~~1***************
Filing Fees: ~J'23. ->C
INSPECTIONS REQUIRED: , J/7 <},
.....-..:::: ~.~ Base Inspections: --/ ~ /.< -' (i
I.....':'pper Footi~ Lower Footing .:Q!.der Slay '53 ;tJ
Cert. of Occu pa ncy:
~<::::Meter~<:'final Sit;J ""'"27. f)O
:;Y P,R.LF,: ...:.J
if
Print
o
o
1-/q-~
Date
# Charged Re-
Reviews
Additional Fees
-tit
(Date)