HomeMy WebLinkAbout06100186 Application
City of Carmel/Clay Township Permit #fJfnJoo, 19b
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
I
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
LOT #:
TYPE OF CONSTRUCTION:
r/ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
-y~
_Y~N
SUBDNISlON NAME:
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
~ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
~~N
~_N
I
CITY:
STATE:
I>
BEST METHOD OF CONTACT:
PHONE:
FAX:
cm:
INh;AI'l
STATE: ZIP:
I :J.7~
SEcnON: ZONING:
SQUARE
FOOTAGE: ~L/I
\G-:fftJ610()~ g;!(
I' I'
OCT 2 7 2006'\ ,)i:
iil]!
.._"._.~..~_ __J'.-.-/ '
(:-p~-calf 695:'7630 for
Whic;!J-plumbing codes will be applied to the construction:
rn'Intemational Residential Code wi Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPAC.7 0 POST & BEAM _P~
o SLAB r!lf BASEMENT (WALKOUT:_ Y --.0 )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction conunences within 180
days of the date of issuance of the building pennit, 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.
I, 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 will 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 used or occupied until a Certificate of
Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
. ",' .
1 ,O.b' -"r J LOR; f:j,j):~bS()NG--Hm1;l\lf
Signature of Owner or Authorized Ag Print
OFFICE USE ONLY: ****************:t:*********i'f* *~~****************************d?*******************
INSPECTIONS REQUIRED: ~ FIling Fees: 1//.3.. I
. ~ '~ \J),\Base Inspections: :<- Z7, S"
Upper Footing Lower Footmg Under Slab l' c.;'.3 .50
Cert. of Occupancy: O.
/. ~ D
~ 70&:,
~3>1
S:PermitsjFormsjILP RESIDENTIAL
P.R.I.F.:
(Date)
IDld.IDlnt., .
Date
# Charged Re-
ReVIews
Additional Fees
~