HomeMy WebLinkAbout07020148 Application
City of Carmel/Clay Township Permit #: (!) 7 ()A.,ol'i8
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
STATE:
ZIP:
ZONING:
~g~~~E: ~ /4
t ot(J
ADDRESS OF CONSTRurnON:
SEWER UTILITY f\ r\ eJ WATER lJTILITY (l ^ 1/
PROVIDER: L.:-t:...Ly PROVIDER: L{Lf
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):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
INGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
_y~
_yLN
Early Release
Permit:
Lot Split:
TYPE OFM!ij\~liance Wi~RACTOR:
~EW STRucnlRltate and Local Codes. ~
o R~~MMUNII. ~ #:
~ ~_~~EL/CLAYTOW
o REMODEL INDIAN4"hich plumbing codes will be applied to the tnnstruction:
_ Basement Finish only ~ . .., ._ _ _ ~ _ .
o ACCESSORY BUILDING AlQ International Residential Code w/Indiana Amendments
o DETACHED GARAGE D.f b. d. 'II d. A d
o ATTACHED GARAGE Un! arm Plum '"9 Co :e.~. n lana ~e~ "lee'/'
o DEMOLITION . ... fEB
FOUNDATION TYPE: (Check all that apply for the new
construction area) .
Manufactured
Trusses:
~~
SLAB
o BASEMENT (WALKOUT:_Y_N)
o CRAWLSPACE
o POST &
BEAM _PIER
Sump Pump:
For Single Family and Two Family dweDings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within ISO
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 authority of LC. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatOlY thereto. I further certify that only
kitchen. bath. and floor dr.uns are connected to the samtal)' sewer I further cemfy that the constructIOn will not be mcd 0' occup"d until a ;!t~()1
Occupancy, as been Issued by th ep f Commuruty SeIVlces, Carmel, Indiana '
- . ((fjJ'
. Print Date
********************************************************************************
INSPECTIONS REQUIRE . Filing Fees: G 0:3 ' / ()
1_77,:;-0
Cert. of Occupancy: , ~8.. K '()
P.R.I.F.: /2taj 4 O'CJ Additional Fees
~ gJ9S,/O
Fee Received by;
Base Inspections:
# Charged Re-
Reviews
l
S:PermltsjForms{ILP RESIDENTIAL
Reviewed/Approved: Dept. of Community Services
Date
(Date)