HomeMy WebLinkAbout07010122 Application
City of Carmel/Clay Township Permit #: 0101 () 1'J.l.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER lJTILITY
PROVIDER:
BUILDER'S EMAIL ADDRESS:
NAME: 'Bn~h 6tal-i-h>
'Dr,
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
1ic RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
_Y~N
_Y-4-N
WATER UTILTIY
PROVIDER:
\,c
c-
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
;g( ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y~N
_Y~N
PHONE:
FAX'
',((ia - 01"35
bZ03
NTACT:
<<Ie
02-QQts,
FAX:
, WATE:
SEcnON:
Z
\
SQUARE n C/
FOOTAGE: L-?Lo
iI
"
,I!
PLUMBING CONT ' R:' - ---.--,__.0-
j?{ MI rl'&uJ,(~ <7erLA.CG,
Plumber's Indiana State Lice #:
~?C 1C17ODzo3
"/'....J !
(lei
Which plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 , PeST & _ BEAM _PIER
~ 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 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 pennits 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
requ~s d 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) n 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
kitc 0, arh, an drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occ 'P yh sur- by the Department of Community Services, Cannel, Indian ~ \
t. L '" e..r I ~ i & -0 7
Signatu 0 er r Authorized Agent Print Date
OFFICE USE ONLY: ********* ****f1*~*" * *****O.*~U**** ********************6''0*******************
INSPECTIONS R QUI~, '/3 / FIling F s: . r? tJ 'II
I ct // / ....... u # Charged Re-
U F t. L F t' U Sl b se nspe Ions: / (.-7 (", j ,':"
pper 00 '"g ower 00 'ng n r a .../0 ReViews
Cert, of Occupancy: C;3, 0
Meter Base
P,R,I.F.: Addibonal Fees
k~T~~"G
1-r1~-i)9-
Fee ecei ed by: Date