HomeMy WebLinkAbout07010163 Application
City of Carmel/ Clay Township Permit #:.f1l.l2ll2l.k3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
NAME
PROPERTY
OWNER:
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT # q &J 9
ZONING:
ADDRESS OF CONSTRUCTION
SQUARE
FOOTAGE:
I
SEWER UTILITY f'; -rt? ~ ,\f"> ., WATE~n5al J v Je~O-J JP ;E' M!\ffiilaST OF CONSTRUCTION:
PROVIDER: V I ~V ;;., PROVlNbl I .UJ - "~~C~UDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACrOR; eLA], COMMISSION / BZA I BrM : . '0.::1 03S . S
NUMBERS; TAC DATE(S); AND/O~,~.~U~W~~\AND\OR SEPTIC PERMIT #'5 (IF APPLICABLE): ~p
TYPE OF CONSTRUCTIl?N:/ 'tip \ IMPROVEMENT: PLUMBING CONTRACTOR:
~SINGLE FAM~LY"'" "00 i\'L NE STRUCTURE f ~( ~ ...rcu.-r
o TOWN HOME '1.. ~ /1::l}5M ADDITION(S) Plumber's IndiaSf7ca S ter' ~ #:
o TWO FAt:lILY,,~ ./ PORCH ADDITION(S) Lu D
# of Units, ~'" -/ ./ REMODEL .
o MULTI-FAMILY / ../ 0 ACCESSORY BUILDING
# of Units:. / // 0 DETACHED GARAGE
o RESIDENTIAL (For /./ 0 ATTACHED GARAGE
Additions, Rem~els, Etc.) 0 DEMOUTION
PROJECT INFORMATION:
Early Release
Permit:
il
~2q cr:f:)
(":#"070101.
Whic~mbing codes will be applied to the construction:
UYIntemational Residential Code wjlndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
/ Manufactured /
_Y _l/:VN Trusses: Z N
o CRAWLSPACE
Lot Split: _ Y _N Sump Pump: Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o P96T & BEAM
C}V1jASEMENT
WALKOUT:_Y ~
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 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 J.c. 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 0 cupied until rcificace of ccupancyhas been issued by.the Department of Community Services, Carmel, Indiana.
Print
) -d0iYj
Date
LV:****************************************************** *****************
Filing Fees: - (::)
INSPECTIONS REQUIRED: ~'717 <'0
~ Cue: Base Inspections: cL v
Upper Footi ~~ Under Slab S3 ')0
__ Cert. of Occupancy:
ough In eter Ba Fin / J.. I I. 00
P.R.I.F.: ~ Q ~
~:$ ;l/{lf? rei
# Charged Re-
Reviews
Additional Fees
Reviewed/Approved: Dept. of Community Services
S:Pefmits/FormsjILP RESIDENTIAL
(Date)
Fee Received by: