HomeMy WebLinkAbout07010120 Application
City of Carmel! Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
Permit #: 0'10 I (J/;u5
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
s. PROJECT
INFO:
SEWER lmLITY
PROVIDER:
NAME:
NAME:
STREET ADDRESS:
LOT #:3
ADDRESS OF CONSTRUCTlON:
c"ii
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
j8~
c:A 7D '[;{Xj
NAME OF LfTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR nns PROPERTY:
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
~~
TYPE OF IMPROVEMENT:
~EW STRUCTURE
-d' ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
4-N
?-Y _N
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 P05T(j'~M _PIER
o ~ " ~~'f/i~b)
For Single Family and Two Family dwellings, additions. remodels, and/or accessory struct~~~~~", ....:.SM~~..:.~~~eq,s within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of"'ccupancXjl>6~ ~, _"" ~-".' '-!CS~.4~M(~~\'i ~Iass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IACJ2}.r~~ . n timf.~H6~ng and
completingconstruc,ion.oEPl u~r\. 1:,Cr..A'l I "
J. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterat!Q.c...Qf nV';' t l11T:'~~n~i...Vlfhe use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State cOi.cli~a~nd t e ~Zoni~fU ~f Carmel Indiana -1993~ (Z~
289) and amendments, adopted under authority of J.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. J further certify that only
kitchen, bath, and floor drains a onnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a CertiROlte of
Dceu has been issued by Depart 'OfCOmmUnityservices,~~~G,(l:W 'I ~/fJ{)7
Print U-- Date
Lot Split:
Sump Pump:
:********************************************************~***********************
INSPECTIO REQUIRED: Filing Fees: .00 .,...) 6
::2'71 )(J
..G ' 50
/ ,;) c,/ 50
/
TOTAL:
Under Slab
Base Inspections:
# Charged Re-
Reviews
~
P.R.LF.:
Cert. of Occupancy:
Addi"onal Fees
/l..4-o7
ved: Dept. of Community servt:es (Date)
S:Permits/FormS/ILP RESIDENTIAL '