HomeMy WebLinkAbout06120093 Application
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City of Carmel/ Clay Township Permit #() t, /;20025
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:
NAME:
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STREET ADDRESS:
FO~":{.
PHONE:
FAX:
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LOT #:
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SUBDIVISION NA~(:'_:'-'.~ ,"_.
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CITY:
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ZIP:
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ADDRESS OF CONSTRUctION: i
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STATE:
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BEST METHOD OF CONTACT:
Z-C/ -'?7
PHONE:
FAX:
STATE:
ZIP:
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ZONING:
SECTION:
o,.}
SQUARE
FOOTAGE:
5}rJ
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WATER LfTIUTY a~
PROVIDER: {. (III>'" .
alii. (iO
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE OF IMPROVEMENT:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
o NEW STRU<rruRE
o ROOM ADDITION(S)
~D PORCH ADDITION(S)
DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
ESTIMATED COST OF CQNSTRUcn
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABUE):
-" -' .--" ,...~ ? f'
T~MA~,PA~~E~:.#:::'""_:: ' i
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PLUMBING CONTRACTOR: i U1 i !i
ili!\l DEe 2 1 2006//17 Di
, " i \ ~ If., "j), \
Plumber's InClia'na State License #: ._,__J '-----" I
: 1._.._____,_.._.___. I
, I
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Which plumbing codes will 'be ap-plieC:l-to.ttie'constru~n:
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATIOt:!.: /
Early Release /'
Permit: Yy _N /-'
Lot Split: L1i
Manufactured
Trusses:
Sump Pump:
. FOUNDATION TYPE: (Check all that apply for the new
/ construction area) ~
_y '-N 0 CRAWLSPACE o.--PoST & _ BEAM PIER
-y ~ 0 SLAB 0 BASEMENT (WALKOUT:_Y - N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences vvithin 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, 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
Occup yhas en'as cd ythe artmentol urutysetvic~~ /!J- ;JLb~ ),I-/z,!lYb
Print Date '
OFFICE USE ONLY: ************* ************************* ****** ************** *********** ************
Filing Fees:
Base Inspections:
Cert of Occupancy:
Upper Footing
Rough In
INSPECTIONS REQUIRED:
Lower Footing Under Slab
Meter Base ~I ~
P.R.LF.:
-.,
Fee Received by:
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# Charged Re-
Reviews
I
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Additional Fees
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TOTAL:
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