HomeMy WebLinkAbout06070138 Application
City of Carmel/Clay Township Permit #: O~ 0 701.3'3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
Manufactured FOUNDATION TYPE: (Check all that apply for the new
'V v construction area)
_Y -,,-N Trusses: -LY _N
v' 0 CRAWLSPACE
Lot Split: _ Y -X-N Sump Pump: _ Y -LL-N j;J SLAB
Does any part of the property lie within a special Flood designation area: _Y LN
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
WATER UTILITY Ii /1 I. r"'l/""l /J ;/
PROVIDER: L-U/tJ , ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I 8PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMIL Y'1
fill TOWN HOME t1Jlif.j,
eJ TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodeis, Etc.)
TYPE OF IMPROVEMENT:
~
NEW STRUCTURE
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:
8tJ!6N~ J/14 /
Il1li IJ
4- ~F^! 3.389
41tJft5{)
STATE/
I^, .
FAX
fOR CONSTRUCTION
c~ublect to complianl!1tAvtlth " " ZIP
of State end Lot~a! cr:~es
r.:5e&ilJ&W....\.... ....
. Ai'tM17l1 CLA .l;~j'~JN5HIP
IN~ .
.I AI flfllJ3
ON:
lib 5/
ffl:.l!f))j{l.J; ()
PHONE
it:
SQUARE
FOOTAGE:
~~u4
PLUMBING CONTRACTOR:
f!1tT ~fi..lt 1
Plu ber's In iana State License #:
/OJ.()(y),17
Which plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana 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 v..rill 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
use or occupied until C,crti[jcate of Occupa.ncy has been issued by the Department of Community Services, Carmel, Indiana.
r- JHIJA!;JOiJ HLAlS'l-/f-)I;) 1-/Q-()U
Print Date
OFFICE USE ONLY: ********************* ******************* **** *?***,~**~~***************
Filing Fees: tz/ ;) , 7(/
~ SPECTIONS REQUI~: -> /J J. //1
-,rr;;;<.:; ~ Base Inspections: ~ / _ --> (; # Charged Re-
Lower Footing ~der S~ 5- ) Reviews
- Cert. of Occupancy: .s- 3, C
~ ~ P.R.I.F.: l:J?7.QO Additional Fees
'\ ~TOTAL: 0 ~ /Y7.J1V
Dept. of Community service~:!.~e) c2if ~~~~-
JDENTIAL Fee R eived bv: '