HomeMy WebLinkAbout06110055 Application
City of Carmel/Clay Township Permit #: tJ(,J/ trOsf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER
PROVI
FAX:
6~t93/
CITY:
STATE:
ZIP:
SEmON:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNAllON(S)
FOR THIS PROPERTY: -
TYPE OF CONSTRUCTION:
~INGLE FAMILY
D TOWN HOME
D TWO FAMILY
# of units being
constructed at this
time:
D RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_yQ
_Y --V
TYPE OF IMPROVEMENT:
Q-NEW STRUCTURE
r5 ROOM ADDITION(S)
D PORCH ADDmON(S)
D DECK ADOITION(S)
D REMODEL
Basement Fini""
D ACCESSORY BUlL'
D DETACHED GARA'
D ATTACHED GARAl
D DEMOLITION
Manufactured
Trusses:
Sump Pump:
G-N
-t9-N
~~
TAX MAP PARCEL #:
/1-; o~ d~-
-():::f~~
PLUMBING CONTRACTOR:
Ham r?] er--:5v n::. :In c-
Plumber's Indiana State License #:
C P /CYY'X) J Zl I
Which plumbing codes will be applied to the construction:
~mational Residential Code wjlndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments I
FOUNDATI N TYPE: (Check all that apply f?r the new
construction area) U II {lf1~ w I ~tJ,
o CRAWLSPACE D POST & BEAM PIER
o SLAB EMENT (WALKOUT:_y-=G
For Single Family and Two Family dwellings, additions, remodels, andJor accessory structures, this pennie 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocarion, 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
ancyhas been ."ued by the Dep'"'tme~t of Commuruty Se~el/ndlma . j. !o
Yllf'-e S+.R 11 A:n (l(J I C I/? (,;,
pOt ~
OFFICE USE ONLY: *********************************************************************************
F"I" F . % :)'0
INSPECTIONS REQUIRED: ling ees. / _" .
;;;'17 50
53" SO
bl " 00
.2 sff."j{/
Upper Footing
Base Inspections:
# Charged Re-
Reviews
er Footin Under Slab
~al s9
S:PermitsfFormsjILP RESIDENTIAL
P.R.I.F.:
Cert. of Occupancy:
Additional Fees
/;2
I
(Oate)