HomeMy WebLinkAbout06100051 Application
City of Carmel/Clay Township Permit #: 8& 10005/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
LOT #
't
PHONE
OTY
BEST METHOD OF CONTACT:
3\1-7D5- ~ql
STATE
ZIP
SEmON
'R
IJ31
00
ZONING:
SQUARE
FOOTAGE:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPIlC PERMIT #'S (IF APPUCABLE): \
PROJECT INFORMATION:
Early Release I) Manufactured V
Permit: _ Y -LN Trusses: -6.... Y _N
v 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ----<"LN Sump Pump: _Y...1L..N ~ SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y ---.XN WALKOUT:_ Y_N
'"""" 1', ~ :J 1--" l
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures~JhisiPt:ull.itis valid only,WconstI"fctiori commences
within 180 days of the date of issuance of the building pennit, and htust be com:plt-=~2.(~ert#lf~f pt9S_~U~CY::~ed)_~i:1li?\.J~8 jppnths of the
issuance date. Class I structure permits ar'Aa.~,&!8~OONSil1RlBIW 1ll1'lJ, State pf Indiana (See 675 lAC 12) reiarUlhg expiration
. f S" ii~li1lltromtro'C'tJo . \1 III
I, the undersigned, agree that any constructi~~Rs~~ Iflent.,.f ~~ or alterati6.~ro-~I~. rnucOOTor anJ1:hmGijn th~. ~se p [and or
structures requested by this application vvill comply wii.!~ tb;.Mlca. lIb,.naW~'.&..~ateidf Indiana, and tR'e "Zoning 0 I . :t of Carmel
Indiana -1993" (Z-289) and clments, ttriJ1l<!)lii~r ~Eia&l )1l.y bfthe State of Indiana, and all Al:~ dndatory
thereo I er . at ykitchen, lJ,.fl~r,d.r~~ j!tiqd~ ' 5 ,fUllht:lcernIythattlieconstructionJmnotbe
use cup e un' C . cateo[Oc ~I:Jtt~Ns1hY;df" ~artment omm nity Services, Carmel. Indiana. I
I I ,; --
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
ex MULTI-FAMILY (
# of Units: .I)
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
6 ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOunON
PLUMBING CONTRACTOR:
JMjLJ?IUMbt -neee
p~fJ3i!lJml!j .. nse #:
Which plumbing codes will be applied to the consb"uction:
o International Residential Code w/Indiana Amendments
lfJ Unifonn Plumbing Code w IIndiana Amendments ,
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
OFFICEU ONLY:************************************************************************
INSPECTIONS REQUIRED" Filing Fees: /,9 '1/ () 0 :
~ Base Inspections: b- () I"J ' <lO' # Charged Re-
(iJi;er FOO~ Lower Footing Under Slab _ "7 / Revi,ews
~ Cert, of Occupancy: "5 ~_: 00 I
~ ough In Meter Base P .R,LF,: '7..5' tr;; r1 0 Additional Fees
if oll~ gl (/0
S:Permits/Form
(Date)
Fee Received by: