HomeMy WebLinkAbout06070139 Application
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City of Carmel! Clay Township Permit #: ~ CaD 70(31
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER UTILITY /I
PROVIDER, C. 0Jr.JruJ-
WATER LfTILITY /) 11. J,.f""V) b 11
PROVIOER, CU/U / U--C-
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:
o SINGLE FAMILY
I'i6 TOWN HOME 7 L1JldJ,
{j TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
Il6 NEW STRUCTURE
B' 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: _Y XN
CITY
ZONING:
SQUARE f) 14S
FOOTAGE: dl
PLUMBING CONTRACTOR:
PI:1?:s~license #:
/ ()J,(){){)S"r;
Which plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses: LY_N
V 0 CRAWLSPACE
Lot Split: _Y -LN Sump Pump: _Y...LLN ~ SLAB
Does any part of the property lie within a special Flood designation area: _Y LN
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 issllance 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.
t. 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 CarmcI
Indiana - 1993n (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 Certificate of Occupancy has been issued by the Department of Community Services, Carmel. Indiana.
I fll/JAI;j()N !lIIJSHI1W 7-/tJ-a
Print Date
OFFICEUSEONLY:***********************************************/***-*.***~~***************
Filing Fees: t/ (, ->. ---'c.
~INSPECTIONS REQUIRED: . ._-=' -'7/'7. S//l
Base Inspections: c:7 L-
pper Footi g Lower Footing ..:="th.dcr SIaJt.. ~l . 5,(.)
"--- ./ Cert. of Occupancy:
~ ~t".~~inar- ~ P.R.I.F.: .00
Revie
S:Permi
r{t-iJb
(Date)
Fee Received by:
# Charged Re-
Reviews
Additional Fees