HomeMy WebLinkAbout06100052 Application
City of Carmel/ Clay Township Permit #:~ ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of NAME PHONE 3\1- 5 - gcn I FAX 574 -q
RECORD:
em STATE
\f\b 6.
BEST MElliOO OF CONTAcr: ENlAI L
PROPERTY FAX 574 -1c13/
OWNER:
cm STATE ZIP
LOCATION LOT # I
8< PROJECT
INFO:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
9( MULTI-FAMILY (
# of Units: 0
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
liJ NEW STRUCTURE
BROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PLUMBING CONTRACTOR:
fiR-, Y\l)MblJ\~
Plumptb~ana State L nse #:
L 8 !)()/35
Which plumbing codes will be applied to the construction:
o Intemational Residential Code w {Indiana Amendments
M Unifonn Plumbing Code w{Indiana Amendments
Y\ (Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured 2{ FOUNDATION TYPE: (Check all that apply for the new
V construction area)
Permit: Y -A-N Trusses: Y _N
- V \I 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~N Sump Pump: _Y ~N ~SLAB 0 BASEMENT :
Does any part of the property lie within a special Flood designation area: _YI~N,",::::-::" WA!o.iglUT: _~'!~__: N
,'/"\\ I~._-: {' -. j:--~ 'I \\/1 'c-' f"., j!
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this' petinitis Vilid'oi:ilyjfconst.I1iction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certifica~! ?ffOqcup;mcy issuea)Within-is:m4nt~~ bf the
issuance date. Class I structure permits are subject to the General Ad~~Yl~les of the Stat~ bI~' iiana (See 675 lAC 12) regardirtg e#iration
c~re~fg~iktg\\tl1H:blt) etingconstructfJA. nrT ?nt:1 Iii III
I, the undersigned, agree that any c~~~~sm\Cti~~~ht:.at1W~ ,&- alteration of alJ ture, ~"!rly di~e ~Quse oflaryd or
structures requested by tbis applica*8jilCl:bmq,!y~ !.\!crc;6'!!!OiW'~'Plicable laws of the Stat~ lif ui<iiana. and the .Zoning Ordin:ulrt.oyGarmel
Indiana -1993" (Z-289) and amen . ts. ado~ jjffir;blitjl6rk - 6~9~al Asscmbly pf the Snnc uflnalana. rn",l1 Acts.aJrlmaatbry
theret . I c. thato y . 'Wh.c;n~~~UNtdnhe R.'tHXantta sewer. I iprther certify that the construction will nht be
p'd tila C c e~chpll'1\8:~~r b ommunio/~. I I I
F A DIAprint eB!J./ DY:~/Otf
OFFICE USE 0 Y: **********************************************"*************************
Filing Fees: L7'7/uO
INSPECTIONS REQUIRED: . ' //1 0 cv' # Ch ged R _
~ , Base Inspections: tf- (; . a, e
~er Footiny Lower Footing U Reviews
Cert. of Occupancy:
.~,~..S.
~ ~. P.R.I.F.:
(Date)
Fee Received by: