HomeMy WebLinkAbout06070130 Application
City of Carmel/Clay Township Permit #: fJ&o'70l3 (]
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
BUILDER of NAME
RECORD:
STREET ADDRESS
CJ.? S;
STATE
P1
BEST METHOD OF CONTAcr:
PROPERTY
OWNER:
FAX
LOCATION
llr. PROJECT
INFO:
SEWER UTILITY
PROVIDER: C,
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSI / BZA / BI'V!-DOCKET _
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC P
TY~ONsrRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
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Plumber's Indiana State ~ice~~_.:..__.__,_.,_._.__._._J c_' \
Pc / () /(Jr) .? Y t;, .' .J
Whi;!!J1lumbing codes will be a~~lied to the consb-iimo,.t.._--
e:J International Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
E I R I Manu'actured../"1 FOUNDATION TYPE: (Check all that apply for the new
ar y e ease ./'"., V--u
Permit: _y...t::::N Trusses: _Y _N construction area)
~ / ./:' 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: ~Y _N 0 SLAB s-lfASEMENT
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y .v-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 Cannel
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 or ~fed until a C; . te of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
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Print I
7-~ () --() c..
Date
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OFFICE USE ONLY: *********************************************
Filing Fees:
Base Inspections:
INSPECTIONS REQUIRED:
cupp_er FootinV ~Footin9) Under Slab
Fin . i FoFf~~~Fffit?fYC)N
'l!;ubJe~ t5 com a1p;R.fiflh all regulations
, and Loc,'! Codes.
DEPT OF COMMUNITY SER~
(Date) . . EL / CLAY TOWNS
'-'iil ~ved by:
~..3. :rU
# Charged Re-
Reviews
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Additional Fees
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