HomeMy WebLinkAbout06070137 Application
City of Carmel/Clay Township Permit#: rJfo07o/3.7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
STREET ADDRESS
STATE
IAI.
}(J-338q
I;;A1s-o
BEST METHOD OF CONTACT:
o FOR CONSTRUCTION
PSt!fijecl to compH"o<:o wl!h " egu
of Str.J't:' :ar;d tncal Godes
1'-':>:;':",'
crrDEPT OF C ., ,'M'c' ~ ~ lIP ;,.
CITY OF CARMEL I CLAY TOW."dhW
LOCATION
& PROJECT
INFO:
SE
; /
(J;umd II\!
ClUtJYUL
Manufactured X FOUNDATION TYPE: (Check all that apply for the new
...1 construction area)
_ Y ~N Trusses: Y N
- V 0 CRAWLSPACE
Lot Split: _ Y IN Sump Pump: _ Y b-N 9Zl SLAB
Does any part of the property lie within a special Flood designation area: _ Y X-N
lOT #
J., -
SEWER lJTlLm 17,~ J ~~, II
PROVIDER: CfLJtj I UA-
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 #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
Oif TOWN HOME 1;' ~ : .L,
D TWO FAMILY UI J.A.-.Uh
# of lJnits:
o MULTI-FAMILY
# of Units;
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
'(;&. NEW STRUCTURE
tJ ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
ZONING:
Yidk
c2aIP4
(3)
ftlfflLJ{}!1/ {),
PLUMBING CONTRACTOR:
ftJf.~A1~
Plu ~~<;.\"s I diana State LIcense #:
/o:;,OOD57
Which plumbing codes will be applied to the construction:
Cil International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOUT:_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 amendments, 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 connected to the sanitary sewer. I further certify that the construction will not be
used r occupied until a er j/1cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
, . SIIAAl!JOIJ !lmtfl/J/!J 1-;{j-Ou
Sign ture of ner or Authoriz Print Date
OFFICEUSEONLY:**********************************************~~**********************
Filing Fees: Cd':S--, '7f:)
mONS REQUIRE~D' .~) 12- )//J
Base Inspections: -, _ _ v
er Footing Lower Footing nder Sla "3. '-:1/
Cert. of OcclJpancy: J J L.
CROU9~ ~~al S~ P.R.I.F.: 5' ^ 1.00 Additional Fees
~.;;~--! /:1?310
Fee Received by:
- it -Ot
(Date)
# Charged Re-
Reviews