HomeMy WebLinkAbout06100158 Application
City of Carmel/Clay Township Permit #t/6 /tJO /58
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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NAME OF lITILITY EXCAVATION CON RACTOR; PlAN COMMISSION / BZA / BPW DOCKET . < !
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): j I r--' l j
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING iCONTRACTOR: -
~o ~ION~~E:OA~ELEASEO FOR;O~~. !
flf)g h~ ) Plumber's Indiana"State License #:
o TWO FAMIL'y8ubject to complian w~ i/\ S
# of units: of Stat" and C'iJ.~~1l1l )
o MULTHAMltrDEPT OF COMI'v1f,'IJlilitl~I~ING
# of Uni~~ARMEL i..DI;YAl:EIJ'A'MSNIP
o RESIDENTOO: tF'or-' - INO NATIACHED GARAGE
Additions, Remodels, Etc.) DEMOLITION
PROJECT INFORMATION:
V Manufactured /
_Y _Jl1_N Trusses: ;/y N
V y 0 CRAWLSPACE
Lot Split: _Y -4-N Sump Pump: Y ~N jJ( SLAB
Does any part of the property lie within a special Flood designation area: _ Y -t-N
BUILDER of
RECORD:
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
Early Release
Permit:
-~s.;< .:L.
ZIP
/,.;1/7
FAX
~
STATE
..:::J:fIJ .
.51 SECTION d
ZIP
'i (p C) g :l..
ZONING:
SQUARE
FOOTAGE:
67(,
tT&l
R.
ESTIMATED COST OF CONSTRU~:
(EXCLUDING"l{',ND VALUE)." ~
JAil
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
BASEMENT
WALKOUT:_ y-LN
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.
Y, 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 flo rains a connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a C; {Occu ancy' as been issue y<the Department 0 unity Services, Carmel, Indiana.
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Filing Fees: /} ~ ~ U
I;'
/ // t::J () # Charged Re-
f ReVIews
-? 5. ~()
INSPECTIONS REQUIR
~r FOO~ Lower Footing Under Slab
Rough In Meter Base ~ Site
Base Inspections:
Cert of Occupancy:
P.R.LF.:
Additional Fees
Reviewed/Appro
S:Permits/Forms/ILP R
(Date)