HomeMy WebLinkAbout06120048 Application
City of Carmel/Clay Township Permit #:(i;/MOtj 2
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FOUNDATION TYPE: ('1!Ck all thalapptv for~~w
M uf ct d &= construction area) ~4..J "
Early Release an a ure
Permit: _Y Trusses: _N 0 CRAW PACE 0 POST& BEAM PIER
Lot Split: _Y ra. ~~\\ "Y N 0 SLAB ~ASEMENT(WALKOlfT:_Y cID
For Single F. __ 1;\'5', !:emfl., Jil",ijJJ~~nAS \l!l, .~a-.em~~d/or accessory structures, this permit is valid only if construction commences within 180
days of the.4iti'.a~h3!Ry~~~lftg .~~ pleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure penru, '($ are su'll=Hto ~ ,,'iUm:\Yil\-.,~, State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
. .c:PI ~f P , , ,'llo,.'( TOv.~'.~~~ompletingconstruction. , ,
t. the underslgn~\.s~re~ t ~~~~JrA~i:istructlon"enlargement, relocation, or alteration of a structure, or any change In the use of land or structures
requested by tJ,tsfVtti~ ~~f['!~'mQlYI~nfonn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana -1.993" (Z'
289) and amen~ents, adopted under dJ."N.lt:rl.-!fioftc. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certlfy that only
kitchen, bath, and "floor drains are''Eonnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
"
o mey has been' by the Department of Community 0< " armel, Indiana. . .
" . _ rI'CP ~(,tJ~tJ)c. /2/1< /O~
Si ature of Owner or Au oozed Agent P. t Date '
>,'.,
OFFICE USE ONLY: **********************************************************,!**** *****************
INSPECTIONS REQUIRED: Filing Fees: -5
f.:. ~~ Base Inspections: 'J '7 /) " a
l.!:'pperFooti~' ower Footing Under Slab <::>/ > /. ;-
Cert. of Occupancy: <)'3 . :So
~ghI~ ~I S~ -
~ ~ ~ P.R.I.F.: /2 (-/ ZJ 6 Additional Fees
~~j~~~2<,.y31)(j'
Fee Received by:
BUILDER
OF
RECORD:
PROPERTY
OWNER:
~
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
SEWER
PROVID
co CTOR; PU>.N COMMISSION isZA / SPW DOCKET
OUNTY WELL AND/OR SEPl)~ PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
.e:r SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
.BrIiiEW STRUCTURE
~ ROOM ADDITION(S)
o PORCH ADDITION(S)
o OECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDIII'~
o DETACHED GARAGf
o ATTACHED GARAG
o DEMOUTION
PROJECT INFORMATION:
I
ReviewedjA : Dept. of Community Services
S:Permits/Forms/llP RESIDENTIAL
(Date)
BEST METHOD CONTACT:
l::::.-
FAX;
CITY:
STATE;
ZIP;
ZONING:
0$/
o
o'f it;
-..... II iff
. -:Ji=:~-afo l~oiMf1
-
,f-I1.t'" ;J
Which plumbing codes will be applied to the construction:
~temational Residential Code w/India~;a Amendments
o Uniform Plumbing Code wI Indiana Amendments
# Charged Re~
Reviews
Date