HomeMy WebLinkAbout06070133 Application
. . {)(q0761:3~
CIty of Carmel/Clay Townshtp Permit #:~:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
Manufactured X FOUNDATION TYPE: (Check all that apply for the new
\1 construction area)
_Y ~N Trusses: _Y _N
vi 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 XN
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY Ii
PROVIDER: cl1..Jt/YLLL
WATER LfTILITY /J il I I""V'\ n J
PROVIDER: L.UJLI / ~
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
!Xl TOWN HOME ilf(JJ1V1I1Jm"
b TWO FAMILY ~
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodeis, Etc.)
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
NEW STRUcrURE
ROOM ADDIT10N(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
ZIP
:<SD
P~BIN CONTRACTOR:
T' 2t)}tL
Plum er's~a State License #:
/!JJ.QOj):F1
Which plumbing codes will be applied to the construction:
~ International Residential Code wjlndiana Amendtnents
,
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
For Single Fa.mily 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 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 or
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 I.C. 36-7 et seq, General Assembly of the 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
use or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana,
SflIlJJA!OA! l-!1MfIIfJYJ 1-/q -0(;
Print
Date
OFFICE USE ONLY: ** ************************************** * ****~*~***().~******************
Filing Fees: ~?f 7. C
PECTIONS REQUIR ., 1--7 .- /) Ch d
Base Inspections: '-7" J ~. # arge Re-
...-- ---c' Reviews
Cert. of Occupancy: J I J C
P.R,LF.: 9~ 7. 00 Additional Fees
~~l# /~'J:J.t10
inal
Site
Fee Received by: