HomeMy WebLinkAbout06110049 Application
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City of Carmel/Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family:
BUILDER NAME:
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
NAME:
STREET ADDRESS: /jITY:
\"'''.::;~ c:,b OG UJ LA..
LOT #; SUBDIVISION NAME: V I L-LA G?!;;"
.\!\,\ . E:: CLA. -.)
TYPE OF CONSTRUCTION:
CJt SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
rJ/' RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_Y&
_Y -.LN
Lot Split:
WATER UTILITY
PROVIDER:
X lLo'lShadecl
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
g.- DECK ADDITION(S)
i(J RE'10DEL
...L.. Basement Finish only
o .ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
V/;;
AN
New Structures, Additions, Remodels, 8< Accessory Structures
I
O..;JPHONE~\{ dSe ~Lo \ FAX: I
CITY:
BEST METHOD OF CONTACT:
PHONE:
.:>.:,n 'bB<o
FAX:
'3
\ STATE:
\....) .
4 ZIP: :,?>
-L-
SEmON:
ZONING:
S,-
L\-J .
SQUARE
FOOTAGE: ~\DO
ESTIMATED COST OF CONSTRUCTION:
cO
PLU
~~
Plumber's Indiana State cense #:
Qr~ B88rnai-l."3
Which plumbing codes will be applied to the construction: ,
I
o International Residential Code wI Indiana Amendments
~ Uniform Plumbing Code wflndiana Amendments '
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB !iil""BASEMENT (WALKOLrr:_Y /N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if constrUction commences wit~ 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 Cannel Indiana - 1993n'(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
kite '~n, 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 ofl
Dc pancyhas be issued by the Department of Community Services, Carmel, Indiana. I
.~ -\~-< .'). ~G=6r-:~\'" \\-"'::>-O~
. edA t Print Date
*************************~~******~**********************Jl'*****************
INSPECTIONS REQUIRED: FIling Fees. /7 ~ .
J (/. O()
, ..5.3. )"0
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
P.R.I.F.:
I
Addibo~al Fees
d' () I
Upper Footing Lower Footing Under Slab
~ Meter BaseC5 Site
: Dept. of COmmunity Services
S:Permlts/FormS/ILP RESIDENTIAL
Date