HomeMy WebLinkAbout07020009 Application
City of Carmel/Clay Township Permit #:0,/ O:;? O(JO!
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
,
_...,..... c-C ":.,.-, \- ,."
NAME OF UTILITY EXCAVArror'u:q~<;ro~;:P!.:A~ Cq~MISSION I BZA J BPW DOCKET
NUMBERS; TAC DATE(S);:'AND/OR COUNTY~WELL\t\ND/OR SEPTIC PERMIT #'5 (IF APPUCABlE):
-, ff-.~_ '. r>.:;; -::....-- \ \\ \ \ \
\\--;; \.'-...:. ....- '\.\ \r
TYPE OF CONSTRUcrrION: ,r\rt1 -NPE o~ IMPROVEMENT:
..Q("SINGLEFAMILY ~ \ ./)J'l' M;;::~~w STRUCTURE
o TOWN Hd~E yt~ ____-cJ R00M ADDITION(S)
o TWO FAMILY ./____- O......P.ORCH ADDITION(S)
# of units: / ___0 REMODEL
o MULTI-FAMILY //-~ 0 ACCESSORY BUILDING
# of Units: // 0 DETACHED GARAGE
o RESIDENTIAl(For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PHONE SJ0tfZM
BUILDER of
RECORD:
STRE
PROPERTY
OWNER:
NAME
STREET ADDRESS
em
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT #
SUBDIVISION NAME
SECTION
ZONING:
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCTl03N .-]
71ft;
WATER UTILITY
,PROVIDER:
~gg~~~E: 5dLj B
d10 roO
=IF r5'7020f)()
Which plumbing codes will be applied to the construction:
~emational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release v": Manufactured /
Permit: _ Y _N Trusses: V Y N
,/ ~~ 0 CRAWLSPACE
Lot Split: _ Y -IL-N Sump Pump: ~ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Y
~ POST & BEAM
. BASEMENT /
WA ~y-.LN
N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, th~ TIftl'mlf"~ ~. _' ~I.;\~~ion commences
within 180 days of the date of issuance of the building permit, and must be compJete4J~~n:tflfJlrc~~~~t~. iiMh (fr~. 'thin 18 mo. nths of the
issuance date, Class I structure permits arc sub~ect to the GenCral.Ad.ministrativ;~i?c~tt3Vf\~\In~1~na6~t:t1JQ ... f?~~.~ing expiration
tIme frames for begmmng and com :u~er\~rJ.!.~HRIJ:c:fhJ - , 'r-"{ ~t:'i I, '. ., \..t\p
I, the undersigned, agree ~hat an.y co.nstru.ction, recon~truction, enlargement, relo~atio ,or iltera'~HHJf1! ptF'V~~~tUOf..1AX ~'U?-~w.~~ b'tland or
structures requested by thIS applicatIOn WIll comply WIth, and confor:n to, all applIcable la~<;~~~bWrh'<iltnal ~ Zbnmg Ordmance of Carmel
Indiana - 1993~ (Z~ 289) and amendments, adopted under authority of r.c. 36~7 et seq, Ge~ijfrA..~semJ;l4'.!2~~~ 0 . na, and all Acts amendatory
thereto. I further certify rhat ly kitchen, bath, and floor drains are connected to the s~~sGfr.~(urthe\f~ t the construction will not be
used occupied until a Ce 'cate of Occupancy has been issued by the DepartmeMbr L:ommunity ServIces, Carmel, Indiana.
J -;(51[;;
Print Date
OFFICE USE NLY: ************************************************************************
Filing Fees: 9 / 3 I eO
INSPECTIONS REQUIRED: '" 7 7. L-O
Base Inspections: .r... _ :;J
Cert. of Occupancy: 53 i 5'0
):(.",/.00
I
. ;2 50S gO
.;< 6 07
# Charged Re-
Reviews
P.R.I.F.:
Additional Fees
c
"'2.- ~ - 0
(Date)
ReviewedjAp ved: Dept. of Community Services
S:PermitsjForms/lLP RESIDENTIAL