HomeMy WebLinkAbout06080047 Application
u),Co, ,,~
City of Carmel/Clay Township ~. Permit # DfLJO<7. 00 41
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FAX
QX5-
ZIP
PROPERTY
OWNER:
STREET ADDRESS
cm
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISIO~ NAME
SECTION
/
ZOs: /
SQUARE
e 07- FOOTAGEbO(l/~
ESTIMATED COST OF CONSTRUCTIQl( . 0 q-?
eLUDING LAND VALUE) 't' I 7 7 'i57'8.
/,
k!-
.::tF Oho860L/b
STRUcrURE
ADDmOl'Jfr' -
aRC ADOlF
REM L
ESSORY B\ Which plumbing codes will be applied to the construction:
DETACHED GA~ )y International Residential Code w/lndiana Amendments
~~~~~?O~A SlJb' l:ASEfiJ Uniform Plumbing Code w/lndiana Amendments
P R A : ~eCt to CO'?iff,,:!.~;:;nstrucllon Code)
Early Release Manufactured DE:Pr Of St;fIJriNii.~ ~~,~elCnCheCk all that apply for therw
Permit: Y ~ Trusses: ~'_fuOf: CfJ,~ ~I "regLJ1 ION ' lJ5m
,- ~ C4 '~lte.s iltirlDs POST & BEA~/ /
Lot Split: _ Y N Sump Pump: -@--N AM;; Sf:':U~ BASEMENT .+:I' Y1 is
Does any part of the property lie within a special Flood designatiJAt@):, y~ A S WALKOlfT:--':'''
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit I W;a 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 r.c. 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
r occupied untH a Certificate of Occupancy has been issued b the Department of Community Services, C~tmel, Indiana. so:: /7 P<:O
nature of OWner or Authorized Agent irate
PLUMBING CONTRACTOR:
~~cr ~ :r-1U..J
lumber's In lana State License #:
(' P I (){)()O / (J I
o
OFFICEUSEONLY:************************************************************************
Filing Fees: ~O 6, Q
INSPECTIONS UIRED: ' .
~ ' :--... Base Inspections:) -;2 '7 "i()
c Upper Footinq " ower Footin Under Slab ~ . 57}
~ > ,...-'--.,.";]!Jj Cert, of Occupancy: '73 .
nou~ Ii>. Ge~se> 'nal si~0 / 00
P.R.I.F.: u Additional Fees
tdL- ~ ~TAL:/ ~5~, ~Cl
Reviewed/Approved: Dept of Community Services (Date) . "A) r n.~ ~ / I tJ V
S:Permits/FonnsjIlP RESIDENTIAL Fee ecel ed by:
# Charged Re-
Reviews