HomeMy WebLinkAbout07010160 Application
"
City of Carmel/Clay ToWnship Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &: Two Family: New Structures, Additions, Remodels, &: Accessory Structures
BUILDER of
RECORD:
STATE
ZIP >i
NAME
PHONE s:s-:r ~
BUILDER'S EMAIl ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
C (j n-,
NAME
PHONE
FAX
CITY
\'LOCI. ~
c u r~{)/
STATE
T-<-(
ZIP
~Cl5L
LOCATION
&: PROJECT
INFO:
lOT #
SUBDIVISION NAME
SECTION
ZONING:
SEWER UTILITY
PROVIDER:
--/2.6
ceo t/ i
SQUARE
FOOTACe.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS: TAC OATE(S): ANOIOR COUNTY WELL ANOIO C PERMIT #'S (IF APPLICABLE):
II.
ii:
TYPE OF CONSTRUCTION: ~f2,~ ~PfEl!)lllJSMPROVEMENT: . c. ~
o SINGLE FA~~L:(:O~ C~,W(' 0.\\ ~~~ ~RUCTUR . ...- - ,J
o TO~j$l~'~~\ia-(\C 0<::;;'\ CO C\EJ;J..\j\ ~Dm (S)~ ,State License #:
o ~~f'.t!l-It(:~\e ~d' \.'1j\~\\'1 '"',9..;'1lS H ADD ONeS) I
d1'o\"UTlI~C>"" ',',~~ ' \J'-i LJ REMODEL ll., 0
o r:l'ULTl-FA l:YCU' <"\..I C 0 ACCESSOR BUILDIlIK?'- Which pI ing codes will be appUed to the construction:
If, \ Q~l\':::. I~
o R ~iSi~c;r . \~'O\~~. B DET~~~~~ GA RAg~, Y ntemational Residential Code wI Indiana Amendments
A.(ilk s, Remodels, Etc.) . DEMOUTION) '/ 0 Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
_Y _N Trusses: _Y _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
o
POST & BEAM
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 ISO days of the date of issuance of the building permit, and must be completed (Certiricate 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, enlargemem, 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 - 199r (Z' 289) and amendments, adopted under authority of l.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 or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel. Indiana. // .
.~ MlCA.Ciel (VtCt!O/, /.-2~7
Print I Date
OFFICE~SEONLY:*******~*~****************~*******************~*****~1******* * **
. FIling Fees: / 5i S1i
INSPECTIONS REQUIRED: ,::: r /' Ii
Base Inspections: '.L .) V . I '
Upper Footing lower Footing unGer a- -/~h~- ~~
. Cert. of Occupancy: /~~&:.{~~, ' ~~ .
Rough In Meter Base Final Site ~, -"-""~ -'
,'.'H. 5kidt /;O~~-
FeeR~