HomeMy WebLinkAbout07020026 Application
City of Carmel/Clay Township Permit #:cYrb20lJ 2.(,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSroN ( BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNry WEL(AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
.- /'" ,\
, . \,', '",
TYPE OF CONSTRUCTION:/,,\:',;'::>,\'r,!PE OF IMPROVEMENT:
.)( SINGLE FAMILY/;~,'<~>~ \~\ ~W STRUCTURE
o TOWN HO. M.~/V<~~O '0/ " ) M ADDITION(S)
o TWO F~MJSL9 v ~ . PO H ADDITION(S)
# ofuQI!~i , . '\, ~E DEL
o MULlJ:f!\~IL Y (\.' 0 CESSORY BUILDING
# of Unfl;S; 'J;~V DETACHED GARAGE
o RESIDE~n~(FO _/. /0 ATTACHED GARAGE
Addltlon~",~e~:?,?e;?,Etc.) / 0 DEMOLITION
PROJECT INFbIiM~i10N~/
Early Release \ 4 Manufactured./
Permit: vy N Trusses: Y N
-:y Z 0 CRAWLSPACE
Lot Split: Y LN 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.f.or the new
construction area) . ~t; . ! >
~~~~~
~~\~!i~~~~~' . V--KN
For Single Family and Two Family dwellings, additions, remodels, andlor acc~~ i~' M~tp\~6'a~~~:.~~"> u' '1;~"'. " ~ion commences
within ISO days of the date of issuance of the building permit, and mUst be cdm~\~~h '. ~1W>~.R.~ i6~~",.", ." onths of the
issuance date. Class I structure permits are sub~ect to the General.Ad.mihistrati~'1rJ~es ~Dt .: a~~f\~\)ft\('S~~~~}1~ ~rding expiration
tIme frames for begmnmg and compl~~6~~~\i~\ I C\)\~ . \ , ~.'~;~~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocati@\Or~e~t~~r~,f.2{ allY change in the use of land or
structures requested by this application will comply with, and conform to, all applic~~~;~~~\I:i\\J."'-athe ~Zoning Ordinance of Carmel
Indiana - 199J" (Z- 289) and amendments, adopted under authority of r.c. 36-7 et seq~tteral Assembly of tb'e State of Indiana, and all Acts amendatory
thereto. I further certify tha only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or, upIed untIl a C ificate of Occupancy has been Issued by the Department of Community ServIces, Carmel, IndIana
prin~01 ~(cce
LY:************************************************************************
Filing Fees: f:J9, O~
. INSPECTIONS REQUIRED: -171,5"
Base Inspections: ~ _ _ v
~per Footinv nder Slab 53, r-.()
- . Cert. of Occupancy: :::J l
I, ~6/ 100
,
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BUILDER of
RECORD:
NAME
PROPERTY NAME
OWNER:
STREET ADDRESS
LOCATION LOT #
&. PROJECT
INFO:
SEWER UTILITY ~T\Z.WD WATER UTILITY
PROVIDER: PROVIDER:
Final
Site
P,R.LF.:
FAX
STATE
ZIP
SEmON
ZONING: ~
SQUARE
FOOTAGE:
0000
AI
PLUMBING CO NT crOR:
'f (\,,rl ~ mile
Plumber's Indiana State cense #:
\ D6~o:1
Which plumbing codes will be applied to the construction: I
~ntemational Residential Code w Ilndiana Amendments
o Uniform Plumbing Code wI Indiana A.mendments ~
(Multi-Family Construction Code)
~. ,)JJ7
Date
# Charged Re.
Reviews
Additional Fees
'2-b~c>
Community Services (Date)