HomeMy WebLinkAbout06090016 Application
City of Carmell Clay Township Permit #:j}(aO 4 () 0[10
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
A
J
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ATIO RACTOR; PLAN COMMISSION / BZA / BPW DOCKET
); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
;I><l::IOWN HOM ET<J kt"
o TWO FAMILY -,
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
IT ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
&>31.
CITY
=-
PHONE
FAX
CITY
STATE
ZIP
c;;(
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Which plumbing codes will be applied to the construction:
~rnational Residential Code w IIndiana Amend~ents
,
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release /"'\ Manufactured .?:..
Permit: _ Y ---b,..flII. Trusses: ~_N
~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y N _ ~~"'I!\~p~_N n. ~\AB 0 BASEMENT
Does a ~.n- ." " l!'iliN!l~ Flood designation area: Y -0 WALKOUT: Y'?)
For Sin$JDiM1It ~~, Ji.,~, lk6 Wi~l~ ~.". ~=dlrj . - gnodels. and/or accessory srrucrures. rhis permir is valid only if consrruction commences
within 180 days &:;\ %Ne:Oi~,w~t$\E.ailoll~t;W4, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
issuance tJt:.P:'f~~ ~~,"~ ~i~a~l;M.~. . "ttHeral Administrative Rules of the State of Indiana (See 675 lAC 11) regarding expiration
~A:RMtb.1 ~~1 lime frames for beginning and completing construction.
I, the un~Ji)fgr~'t~at aHtrfl~,ti{Jn, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this apptl'C2'fd'll \-\.{Ii comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993~ (2-289) and amendments, adopted under authority of I.c. 36-7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
u r occupied until a i icate of Occupancy has been iss y the Departmc of Community Services, Carmel, Indiana. J
- :r - .nIC.e fec/~ U/ .?jcX r:,/O,c,
of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~ 'D 6. ;< 0
C INSPECTIONS REQUIRED:'"J7 7. r-/'"l # Charged Re-
L. u."J Base Inspections: rv ~
~per F~g Lower Footing nder Slab 6"::3 . -6"0 ReViews
-~. Celt. of Occupancy:
~~ Site P.R.I.F.: /). (f) I 00 Additional Fees
~:A '8'0.
,
FOUNDATION TYPE: (Check all that apply for the new
construction area)