HomeMy WebLinkAbout06090014 Application
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City of Carmel/Clay Township Permit #: 8&0900/,/
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 UTILITY
PROVIDER:
o C TRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMI!:y"'J
~ TOWN HOME l'-fit;(
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
e-NEW STRUcrURE
Lr ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PROJECT INFORMATION:
Early Release
Permit:
PHONE
CITY
<:'
5"3
BEST METHOD OF CONTACT:
,
PHONE
FAX
CITY
STATE
ZIP
ZONING:
SQUARE
FOOTAGE:~
c...
Plumber's Indiana State License #:
cp /fJOtJtJ /0 /
Which plumbing codes will be applied to the construction:
li;1-1ntemational Residential Code wjlndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
_Y ~ Trusses: ~_N 0 CRAWLSPACE
lot Split: _ Y ----f!j Sump Pump: --C)-N ~LAB
Does any part of the property lie within a special Flood designation area: Y
o
o
POST & BEAM
BASEMENT
WALKOUT:
y-d)
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. b.uJl~~~K\ and must be complctcd (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permit~w:\Ibfl\~~~~~lal,Ad.rninistratiVe Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
~~O fOP. u\.JI;~r'iilf~QilGiIi~mmng and completmg construCtIon.
I, the undersi~\.~'tft~ a~Rl.Mt\"Y,aMfi}~~}ffic.; tl.'on, e~. ~gement, relo~ation, or alteration of a struc~ure, or any change, in the ~se of land or
structures reqUQiH\.fJ\~~gIi2.rr~d"t~~~~p~I~.. to, all applicable laws of rhe Stare of Indlana, and rhe "Zoning Ordmance of Carmel
Indiana -1993~~2B9) arGf~b'1 s ~r@;ffirn~H9'" 36-7 er seq, General Assembly ofrhe State of Indiana, and all Acts amendatory
thereto. I further certiil\.ti1o<<c~0M~,~~. ,Qj1~t4 ' ~ected to rhe sanitary seWer. I further certify that the construction will not be
d or occupielJ)liit'i~ ~f::fji.._",cf '. ~"a! !?eon issued by the Department of Community Services, Carmel, Indiana. ~
O\",NA Q4. n I (' ~ ;::Jt' lJ A-n"U I (! g f).,511J ~
rint Date
OFFICEUSEONLY:************************************************************************
Filing Fees: (0 9i ~ , ;l...O
INSPECTIONS REQUIRED: "" 7 -', ' S-O # Cha.rged Re-
Base Inspections: ,..._
lower Footing iierSlab' f '7 , ..r-O Reviews
Cert of Occupancy: ..::::> ~ ~_
J,zeel, 00
. #7-)'lO.~1t
a;-/.J -lJ
Final
Site
P.R.LF.:
Fee Rec ived by:
ReviewedjApprov d: Dept. of Community Services
S:Permits{Forms/llP RESIDENTIAL
Additional Fees