HomeMy WebLinkAbout06070135 Application
City of Carmel/Clay Township Permit #: O{p.Cf{ () I~t{
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
X Manufactured FOUNDATION TYPE: (Check all that apply for the new
y. N Trusses: X Y N construction area)
- j - \I 0 CRAWLSPACE
Lot Split: _Y --A-N Sump Pump: _Y A-N ~SLAB .
Does any part of the property lie within a special Flood designation area: _Y LN
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY f) 1'1. I J v"'\,",,- " , WATER UTILITY f) /l. I. VV1 /J /
PROVIDER: L:1LlLI' lJI..L PROVIDER: LiViA / ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
D~ SINGLE FAMILY~
TOWN HOME
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 ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
IV'
e~l; O~
_ lEmoN
ZONING:
A/l SQUARE J ~u4
.IiJ. .,iPOOtl"l FOOTAGE:
flu 681
~ c.CLf}(J:h a
PL~NG CONTRACTOR:
7i)/t1 ./
Plum er's ~a State License #:
/ {JJ..fXt)j-1
Which plumbing codes will be applied to the construction:
i;.(J' International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOur:_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 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 amendmcnts, adopted under authority of LC. 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 connccted to the sanitary sc'.ver. I further certify that the construction will not be
used r occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
'). SIfIJAlAJOAl H1If..JllfllAJ
Print
OFFICE USE ONLY: ************************************************************************
Filing Fees: e / <. L/O
NSPECTIONS REQUIRED: .
Base Inspections: e--::J /J <j()
Cert. of Occupancy: 5I j-C
P.R.I.F.: 5" ~ 7. D6 Additional Fees
~ TOTA~ $/'1'73.
~
Fee eceived by:
~
~
1- /CJ-{)(;
Date
# Charged Re-
Reviews
5".1