HomeMy WebLinkAbout06080183 Application
City of Carmel/Clay Township Permit#: Ol€og-OI~3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER
PROVID
NAME OF LJTIUTY VA 0 ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AN JOR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~OWN HOME ~,
o TWO FAMILY V .
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
IT""NEW STRUCTURE
U ROOM ADDIT10N(S)
o PORCH ADDIT10N(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
FAX
c23
ZIP
ZONING:
IcCJ
Which plumbing codes will be applied to the construction:
~mational Residential Code wjlndiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release /,,, Manufactured ~
Permit: Y ---LlY' Trusses: N
- r.. '\ - 0 CRAWLSPACE 0
Lot Split: _Y ~ Sump Pump: N ~ 0
Does any part of the property lie within a special Flood designation area: _y-L1V
FOUNDATION TYPE: (Check all that apply for the new
,
construction area)
POST & BEAM
BASEMENT ~
WALKOlfT:_Y~
For Si~\t;.e~Jt.i!n wOll amity. ' ..' models. and/or accessory structures, t~~~r~s@fj ~y f~ ~~~tiCf}..c\()Mmences
within fttOJ(f.t)fs M ~rzilfh~'6f1~~lNi~Pdf }{@filUj~li\&mit, and must be completed (Certificatclof ~i1pancy_illiied)_'YJi'hin-18:rtJ'1'nths of the
issuance date. CI9.t ;;!at.i:~ ~ct to the General Administrative Rules of the Start[Qi iddiana (See 675 lAC 12) reganlngJJ~. iration
DEPT OF COMMUNITY SE!i!lwr~forbeginningandcompletingconstruclhn. I II III
I, the ~~gBfrl, ~E.GXh.ak,aJlY-Cp~~ru..qi9Dr~~~9it'rr;.~~ n, enlargement, relocation, or alteration otNs ~tureAtJ~y 9:af1ge.20m use oflap'~ or
struct\h't1;'rd:tu~Eed'h"f1fi!l~~kitlM~o~v.;un:WIJ..g,nform to, all applicable laws of the StaHpf liana, anctthe ...t'o-mng~rdindqbf Carmel
Indiana -1993n (Z- 289) and tNW!JlA'NA adopted unde"f' authority of I.c. 36~7 et seq, General Assemblt' bf t State of Indiana, and ~~~~soiihcndafo,ry
thereto, I further certify that oniykitchen, bath, and floor drains are connected to the sanitary 'twet I unher certi y t at t e cons I will rt be
or occupied until a Certificate of Occupancy has heen issued by the Department of Commuu Services, Carmel, Indiaua. J A
Q ., I c.-e' 0+ev kY1t3{} j(' ? I "'3cJ r;.
P.: t Date
OFFICEUSEONLY:*************************************************,,**********************
Filing Fees: (p ~ 1::\ ..:< 0
INSPECTIONS REQUIRE.o: .-, rl 7, ~O
Base Inspections: ,6,' I _ -..) L
5>"3,50
/ ~I 0 ()
# Charged Re-
Reviews
I
P,RJ,F,:
Cert of Occupancy:
Additio'nal Fees
Site
c
10...-
Dept. of Community Service
NTIAL