HomeMy WebLinkAbout06080185 Application
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City of Carmel/Clay Township D&OYCJI ftt-' Permit#: D~()185
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PROJECT
INFO:
NAME OF UTILITY EX VATI N ONTRACTOR; PLAN COMMISSION / BZA I 8PW DOCKET
NUMBERS; TAC DATE(S}; AND R COUNTY WElL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
::Gr TOWN HOME1Zj./tr
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
'b.. NtW STRUCTURE
o ROOM ADDlTlON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLlTlON
PHONE
...-.:: J:"...,;( 6::%'
COrn
FAX
CITY
STATE
ZIP
ZONING:
SQUARE
FOOTAGE:;)'1'7.;)
00
Pcrfe7C(YX)tio u{"se #:
Which plumbing codes will be ilPplied to the construction:
~ernational Residential Code wi Indiana Amend(nents
o Uniform Plumbing Code w/lndiana Amendments :
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release /""'\ Manufactured ^'
Permit: Y ~ Trusses: '=D- N
- -~ -"" 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~Sump Pump: ----€7-N ~B 0 BASEMENT ~
Does any part of the property lie within a special lood designation area: _ Y ----CJJ WALKOUT:_ Y ~
For Single Family and Two F.3JIll4r ~N$1'g t 5?PJ1.\'OffSldels, and/or accessory structures, this permit~,i.s_yalid:Qnlrifcen,<;. t-ruCtion..cammences1
within 18Q 9AY~A.~~;d{..f~;n-;~~~Ja;YJtGQW1g-f}crmit. and must be completed (Certificate of occ;Vpa~d ~~M0fu ~ ~#tl}E9f[}ii\ 1
issuance da~f(~~\\iAfifrttts ~r:~~~~$O the2~~ral Administrative Rules ofthc State of Ind'~na .(feIf67-51AC.-12)J:dbI:Q!ng!e~ir'r' don,
!?lJb~ectO te ~nd LOv~' t~ltw~eginning and co~pleting construction. ill U; '. 1 Jill'
I, the underSIgned. agr~1t~~x f~ll-ro~\I-rie~~i~~l:\~~ement, relocatlon, or a!.teration of a struet ra: 7'9' ,oy ch:~,g~ m the use of land or
structures req~~~C~ appHth'ttbb ~Y'vG1'vlMCtt'Ohr~~ to, all applicable laws of the State of Jodi blt,~, tl the ~nlfp@inMe&f CJirh~
Indiana -1993t.(1;-28..v,.a.~ a te under authority of LC. 36-7 et seq, General Assembly of the srk~~ {nhdiana, and an Acts amendatoftl J
thereto. I fue~rN.9}th"n~ri1y'0~A ,nd floor drains are connected to the sanitary sewer. I further ilfti lhat the construction will no~jh~ I
or occupIed uutil a Certifiea}!. 'b'r'6eeupan.ey has beeu issued by the Departmcut of Community Service' Carmel, Indiana. / I
(h n le.(7 S{e iJ rfr10uI C -'i?-J:~.f:iJ~
gnature of Owner or uthorized Agent \.. ~ Date
OFFICEUSEONLY:********************************************J****~*********************
Filing Fees: CJ2 ~ I:i. ?-:O
INSPECTIONS REQUIRED: t-T 7 -0
Base Inspections: ?-. I . 6 # Charged Re-
Lower Footing ~ . c-o Reviews
Cert, of Occupancy: ~ --.J
I;).. wi ' c>o
JU\';~ 11 4/ l7l-(~
~bY q I (5' 10 CR._ .
P.R.LF.:
Reviewed/ Approv
S:PermitsjForms/ILP R
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Additional Fees