HomeMy WebLinkAbout06070177 Application
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"'City of Carmel/Clay Township Permit #: ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
/ For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROJECT INFORMATION:
Early Release ~ Manufactured \ f
Permit: _ Y N Trusses: X Y N
~- 0 CRAWLSPACE ~ POST & BEAM
Lot Split: _ Y N Sump Pump: Y _N 0 SLAB BASEMENT
. .~i .o.i '
Does any part of .' if~~e~~ ftjpfignationarea: _Y N WALKOur:_Y N
For Single Family a~~~Bnilg?,lMiIjll1,&},1.w.1lM~i\1lMl'or accessory structures, this f.,rn;~'if,yaIi4'Onlfifc<0st~ri<'ti~';co,?,;;;ences
within 180 days of the date <o:t&Pec8:didtl~i~it, and must be completed (Certificate Oft<P~ur~'iSS1H~l)jVithin18.monfhs oh~he
issuance date. Class b~"rOFe~t5ff'W6Nitp..yhiWJ~esnistrativc Ru~es of the Stat~ of !~~ a (See 675 lAC 12) regarding ~prta.tion
P!ll., (~oh,*\R.\ ~I'lYBlfO"d completmg constructIonti III ')1
It the undersigned. Gtk"Filf1~GABMmh, JeNl.k.tI\ihi~M a~~MkW:-rclocation, or alteration of a st 'Ry ,or artl J:ttanDc iV [maf lan,q o~ 1
structures requested by this application wiIM~'Ah, and conform to, all applicable laws of thc Statc of ~~i44*~anJHr'eL.ZJning dt~mance q~ Car.me!
Indiana - 199r (Z~ 289) and amendments, adoptea under authority of LC. 36~7 et seq, General Assembly of tHUitij of Indiana, and all Acts ameE9arorY I
thereto. I further certify that y kitchen, bath, and floor drains are connected to the sanitary sewer. I furd-kr cer -rhm:"the construction will not be
used or upied until a Ct Beale 0 Occupancy has been issued by the Department of Community SCECS' Carmel, Indiana. 1
PJO~G\oce ~
: **********************************************~**~*~~*****************
Filing Fees: h;2j .- 'L'O
INSPECTIONS REQUIRED: '") -7 7. ~/}
Base Inspections: c;;>"" / ~ k
ower Footin Under Slab .-) .r'tJ
~ --::~ Cert, of Occupancy: S ;7.)
(inal~
NAME
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
LOCATION
& PROJECT
INFO:
SEWER UTIUTY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
~F CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
);:y' NEW STRUCTURE
~ ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Signatu
Rough In
Reviewed/Appro e Dept. of Community Services (Date)
S:Permit:sJFormS/ILP RESIDENTIAL
SQUARE
FOOTAGE:
frXJ
icense #:
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
B Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re-
Reviews
Additional Fees