HomeMy WebLinkAbout06100155 Application
City of Carmel! Clay Township Permit #:010 /DO 15"s-"'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ASEMENT (WALKOlJT:_ y ~)
,
\ I e'l!) cfJrrjl),ld"1 'f 'Nr'l! i:'i! {vuJ' L ----:--
For Single Family an Fami)x.q~~J~g~; ~~1!9g~s;.ifm<#~e1s, an or accessory structures, this permit is valid only if construction commences wit.bin 180
days of the date of issuance ofth~Uildihg 'pennit;mdfuustl:ie completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits arD~t0Pe Q.eileha1 :4~~tf3:t'i".sR.1.!~s.,.E:J~Sate of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
(',TV "l= r ^ 0 ~, ;:: I I r I '" V Jr\" F.f'1W!<fiFi construction.
I, the undersigned, 'lIg do: l!hat.lthy /!o'fiStrilction,Lfeto'nst-rtictlon, ~at:te?h~r.1<<Ocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply wW~~c~~opn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 199V' (Z~
289) and amendments, adopted under authority of1C. 36~7 et ~eq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify lhat only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dc cy has en issue y the epartment of Co unity Services, 9rI, Indiana. ("?
1~'1' N. d cofw.fM E:IGb JOkleH,
Print Date" ,
/
/
OFFICE USE ONLY: ********************* *****Z**~~****************************.*******************~
c;::INSPECTIONS REQUIRED: ~:p Filing Fees: / ~SO, 'B (J _,I
. ~ . ~ \O~ Base Inspections: 277, s tJ #Charg'
Upper Footy wer Footing' nder Slab f "2 . <"'{) Rev'
~ _ ~ Cert. of Occupancy: v ....), ~. /
Rough In Meter ase Final Site 1J"f..J I, 19th. Ad/
/
a~ ~, 84
I
'7
/
BUILDER
OF
RECORD:
~IGCJj
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
~ ATTACHED GARAGE
tJ DEMOlITION
PROJECT INFORMATION:
Early Release
Permit:
Manufactured ,/'
Y /N Trusses: Y N
RE'~[i:4::D F~lt!'fflf6TRU6119NN
Lot Split:
,
FAX:
, !
1"1,
i!1
:-:'../ i
'.., ....1
PLUMBING CONTRACTOR:
Cf>i""/05S 3b.~
Plumbe~i7~eLic.~_
Whi~lumbing codes will be applied to the construction:
((Zr'Intemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
,
FOUNDATION TYPE: (Check all that apply for the'new
construction area)
. O~-ZS''''06
Reviewed/Appro d: Dept. of Community Services (Date)
S:Permits/forms/ILP RESIDENTIAL
-