HomeMy WebLinkAbout06100122 Application
City of Carmel/Clay Township Permit #:Ohl/JO 1:l:J-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
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C7l.
STATE
ZIP
PROPERTY
OWNER:
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
SEmON
ZONING:
s-/
TYPE OF CONSTRUCTION:
~GLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
VATl N ONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET It I - , <;W
R COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPUCABLE):. - b (, .!: ;!~ I () ':::/:F
PLUMBING CONi~crOR. _
.j....)y, l'U 111 a-~~5- r 11G-
~er's Indiana State LIcense #:
C-'P /~O/tJ I
TYPE OF IMPROVEMENT:
:g- Ikvv ~ I RUCTURE
ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
rhich~'umbing codes will be applied to the construction:
~emational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
fr--..... Manufactured FOUNDATION TYPE: (Check all that apply for the new
Y ~ Trusses: ~N construction area) W;~/ /
- -~ 0 CRAWLSPACE 0 POST & BEAM "llSh 171
Lot Split: _Y ----<1V Sump Pump: Y_N 0 SLAB ~SEMENT 'hfftlJ,lLJt
Does any part of the property lie within a special Flood designation area: Y N WALKOIJT: Y N -
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 building permit. and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
T. the undersigned. agree that any construction. reconstruction. enlargement. relocation. or alteration of a structure. or any change in the use of land or
structures requested by this application ,'.ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z,289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
r occupied until emhcate of Occupancy has been 12JhC Depanmem of Community Services, Carmel. Indiana
. X1fC'.e~,}7ft7()U(C '>?/lIld~
mt Date
OFFICEUSEONLY:***********************************************J**~***~****************
Filing Fees: L.P 0-.. ::) 0
INSPECTIONS REQUIRED: .' ~7. 5' '1J
(Upper Footi~wer Footin~ Under Slab Base Inspecti:~~tSED F?R-CO-MSTRU TIO~ c~:~~e;;sRe-
- - ~ ~ Cert. of Occu V~ 0 comp lane II all lations
CRough I;;')~er Base~ Final Site --> of., a e a ,rJ ace des.;n () ..
- - - - - - P.RJ.F.: DEPT OF' .'1, ' ~ :cMCE~dltlonal Fees
S,. ... '~r'Mf.L /.C-:'.',IJ\Y l;jW~SHIPJ / 30
r ,j(_]\}\ tf (5t:p ~/ I
Reviewed/Appro ed Dept. of Community Services (Date)
S:Pt!rrnits/Fofms/ILP R IDENTIAL
Fee Received by: