HomeMy WebLinkAbout06080083 Application
City of Carmel/Clay Township Permit #:{)0(jRtJO,gi
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
1/590 r{.
5.30
FAX
'65 -,;)3
ZIP
CJ<
PROPERTY
OWNER:
STREET ADDRESS
em
LOCATION
&. PROJECT
INFO:
CA 11 CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
DjOR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION~:'~,,<,~TY~EOFIMPROVEMENT:
~INGLE FAMIL~< / ~ 'N~W~\DcrURE
o TOWN HOMy/::,,,' <,-, r" j~ RO'QM A TION(S)
o TWO FAMJI;Y "<,., 'to/P-0RC ITION(S)
# of uni ' '~~' 'REM<: L
o MUL TI- .' Y', . ~ / /A" SSORY BUILDING
# of Units, ".' / G ETACHED GARAGE
o RESIDENTIAL (~\'\: ' " /' ATTACHED GARAGE
Additions, Rema<!\~. .y // 0 DEMOUTION
ECT INFORMATI N: ./
PLUMBING CON RACTOR:
~h1l'YJtr ~V1'S J-y-,C-
P umber's Indiana Sta e License #:
(' {J /OQ:?O /cJ /
Which plumbing codes will be applied to the construction:
~ 1:'nh'!mational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi'Family Construction Code)
Early Release Manufactured 6 FOUNDATION TYPE:
P't Y T . N construction area)
erml : russes:
. - L'\ T:"'\ 0 CRAWLSPACE
Lot Spilt: _Y -u Sump Pump: --w--N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y ~
(Check all that apply for th1 new
o POST & BEAM .tf:~1 /'5 It -I,
"'~BASEMENT~I ~0
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 arc 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 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 n t be
sed r occupied unul a CertifIcate of Occupancy has been Issued by the Department of Community ServIces" Carmel, Indmna
- !l:."IC.e Sfev/thOUIt.'..
5 nature of Owner or Authorized Agent ~ Date
OFFICEUSEONLY:************************************************, ****,,*****************
Filing Fees: 0 _ -; ()
INSPECTIONS REQUIRED: /J1. <0 # Charged Re'
::::-.- ~ Base Inspections: I > ,
<;!Jpper Footinj,.; t:qwfI!r Fnntinn <:::- C'~ r' Re'views
Cert. of Occupancy: ') ?>. )'0
,~~terBaseYinal Site~ P.R.I.F.: / rJ Gl 00
/ {
Reviewed/Approve :
S:Permits/FormS/ILP RES
s (Date)
Additional Fees