HomeMy WebLinkAbout07020151 Application
City of Carmel/Clay Township Permit #: () 7() "AO/SI
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
STRE
PROPERTY
OWNER:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
CITY:
ZIP:
STATE:
ZONING:
SEWERUTlUlY 11 ^ -,.~A WATERUTlUlY //1'1 )(fT)'~FC'J\
PROVIDER: ()(krrr 1::1 PROVIDER: ~1 r r q ,..,A @..CL
NAME OF UTlUlY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET INDI
NUMBERS; TAC DATE(S); ANDIOR COUNlY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
-fSINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
CJ RESIDENTIAL(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
y/
y~
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
kNEW STRUCTURE
CJ ROOM ADDITION(S)
CJ PORCH ADDmON(S)
CJ DECK ADDITION(S)
CJ REMODEL
_ Basement Finish only
CJ ACCESSORY BUILDING
CJ DETACHED GARAGE
CJ ATTACHED GARAGE
CJ DEMOLmON
Manufactured
Trusses:
Sump Pump:
Vy N
Y VN
PLUMBIN
Which plumbing codes will be applied to the conStruction: \ ",
~ntemational ReSidential'C~de W/lridfa-~;~mend~e~~.,
o Uniform Plumbing Code wi Indiana A'lle"I!jUlmts ]1-:: \
- , ?. L " " - ,
FOUNDATION TYPE:'~~heck:i,l\hat apply fo,-_the\.:W \\
construction area) "",' >---.--~
, \ e
o CRAWLSPACE' 'CD POST & BEAM,.:::::::::piER
~SLAB CJ BASE~~W(WALKOUT:_y_N)
,~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 aurhority of I.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 rains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu ancy h~ been is u d by the epartment of Conununity Services, Carmel, Indiana.
Sign
D~tl4f]7
Print
ONLY:*********************************************************************************
F'I' F . t' ~ A/r-t :;( 0
NSP CnONS REQUIRED' ling ees. UJ - f ~ -
E Base Inspections: ';;l 7 7 , 0-0
ing Lower Footing '0
Cert. of Occupancy: ~ -5 3 , 0:
P.R.I.F.: / ~ / p (') ()
(' d'~~TA~:~?-39,fCO
Feel?4 ~ Date
(Date)
Reviewed/Approved: Dept. of Community Services
S:Permits/FormsjILP RESIDENTIAL
# Charged Re-
Reviews
Additional Fees