HomeMy WebLinkAbout06080143 Application
City of Carmel/Clay Township Permit #: OGO<i{O/!f3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SQUARE Cl'I ~
FOOTAGE:01 /D0
ESTIMATED COST OF CONSTRUCTION'
(EXCLUDING LAND VALUE)
NAME OF UTILIlY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
NEW STRUCTURE t \qIL \ b p~
ROOM ADDITION(S) Plumber's In~na State~icense, .
o PORCH ADDmON(S) \ ~ ('j D
o DECKADDmON(S) L..--L-/ -I .
o REMODEL . . I Which plumbing codes will be applied to the construction:
_ Basement FI~I on y
o ACCESSORY SUI . I,,, 0 International Residential Code w/Indiana Amendments
o DETACHED GARII "<:~~ '1 'f PI b' Cd/I d' A d ts
o ATTACHED GAllAGE:1&c/ ~ .(~......" Unl arm um 1n9 0 e w n lana men men
o DEMOI.IT1QN<),00 '0 ',J
'''~l''''/':Jr 0/8"00' fQ,UNDA!lON TYPE: (Check all that apply for the new
M uf ct d 0 ~'j IJ~ conslirUctlon area)
an a ure ()",,~, (: (;'n ~
Trusses: ~, y,... ,N On ,\>,~ '9, C)'~WLSPACE 0 POST & BEAM _PIER
,/ --c::.;...... ~/k~ (/ /." t;.,>- ~I'
_Y.Y.-N Sump Pump: -F=-Y _r1 I/i.-:....... "f-1//.rll Jc;':"r I.S.LAB'"", BASEMENT (WALKOUT:_Y_N )
'" '(;:1 -.. /'/1_" ,
For Single Family and Two Family dwellings, additions, remodels, and/or acc~:;ttlllrt':!,fek ~s~i1$~ .' .... y if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (CerM(C!t~'bf,9(!C.J:~Y issued5~ 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indi!dik (See ~M({.~~.),,regardmg expiration time frames for beginning and
completing construction. 1';<1, L0:'()
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a s~i::,n;rt? 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 Hte';J:oning Ordinance of Carmel Indiana -I993n (Z~
289) and amendments, adopted under authOrity of I,e. 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 occupied until a Certificate of
OC~U~~'~~oJel)ommUnityse~t ndian, ~ IIJ/~_
Signature of Owner or Authorized Agent Print Date
TYPE OF IMPROVEMENT:
~
TYPE OF CONSTRUCTION:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
i
PROJECT INFORMATION:
Early Release
Permit:
-y~
Lot Split:
OFFICE USE ONLY: *********** ****************************************),,*Y**************************
F'I' F bb ?: SO
INSPECTIONS REQUIRED' ling ees: -
Und Base Inspections:
Lower Footing
Cert. of Occupancy:
~'77. )0
t)3, S'C
G/ dO
# Charged Re-
Reviews
v
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormS/IlP RESIDENTIAL
:? Sf. 0V
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Date