HomeMy WebLinkAbout07020028 Application
~" "
o .
( l___l
-_,"~:,,/l
City of Carmel/Clay Township Permit #:01 O~()D~l(
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
TY~E.CONSTRUCTION: / /''f,()F. \ ~\PROVEMENT:
,-----:~ "-:".t; ,</ \\ \\\
SINGLE FAMILY /:::;-, \\ "'C" NEW STRUCTURE
o :~~~~l~~ /:::(Fn<:~>':> 0 RO(:)t:11~I?ITION(S)
o # of unl'ts', \~> ':;"'/ ~ PORc,;~,ADDITION(S)
,,- / '1- ~- REM/ODEL \
o MULTl-FAMILY'\, ~,. 0 ACCESSORY_BUILDING
# of Units: .,! \ ~~ ca/ DETACHED GARAGE
o RESIDENTIAL (1;Or;\\ //0 ATTACHED GARAGE
Additions, Remodels;'Etc.t, /' CV'DEMOLITlON
\\\ \.~\./.
PROJECT INFORMATION: /' /
Early Release \\/-/ Manufactured v<'"
Permit: _Y _N Trusses: Y N
/' / 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: v Y =N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
BUILDER of NAME
RECORD:
PROPERTY NAME
OWNER:
STREET ADDRESS
LOCATION
8< PROJECT
INFO:
LOT #
SUBDIVISION N
b
ADDRESS OF CONSTRUCTlON %~
WATER UTILITY 1\ (\. 11
PROV1DER, Gt"1\'\11
SEWER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS: TAC DATE(S): AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE)'
. // ./-, \
SQUARE II ? l'\
FOOTAGE: J 1 ~
~\.c;
PLUMBING CONTRACTOR:
r~~G1h6
Plumber's Indiana State I ense #:
I DC:;<4cA
Which plumbing codes will be applied to the construction:
~temational Residential Code wi Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ 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 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within i8 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 LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify th t only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or cupied Ul1<il a tiflcate of Occupancy has beeo ..sued by ~ent o.&rr;ervlces, Carmel, Indiana '\ ~ "/0--'
Print eY ~
LY:************************************************************************
Filing Fees: <if 0;;(, 00
INSPECTIONS REQUIRED: -17 r-(, CO
Base Inspections: ~ L;,L
(Upper Footi~ Lower Footin Under Slab r3. '-'0
_ Cert, of Occupancy: -..J, ,1:)_
~ Final Site P.R.J.F.: ~ ~ b /, 00 Additional Fees
_ 1 a :t t 1[1;1 Of)lfghn
Fee ReceiV&! n I
~
ae
# Charged Re-
Reviews