HomeMy WebLinkAbout07020150 Application
City of Carmel/Clay Township Permit #: {} 70 ~0160
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
STREET
PROPERTY NAME:
OWNER:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
FLOOO ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Y~
yJr
Early Release
Permit:
Lot Split:
STATE:
ZIP:
ZONING:
SQUARE
FOOTAGE:
/06
o
o
o
o
'. -.'
Which plumbing codes will be applied ~ the 'corist~uCtion: ,\ '
M International Residential ~ode 'W/Indiana Ame.rfdments
'V" \ \ ') L\j\J1
o Uniform Plumbing COdeW(~ndi~~m'tnaments
,-, '" -,
FOUNDATION TYPE: (Check all that apply for the new
construction area) \
Manufactured
Trusses:
Sump Pump:
~N
Yv?'
o CRAWLSPACE 0 POST & BEAM _PIER
SLAB 0 BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction conunences 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 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 that only
kitchen, bath, and floor dral are connected to the samtary sewer I further certIfy that the construction will not be used or occupIed until a Certincate of
Geeu )'has been ",ue th tment o!CommurutySemee"Carmel, Indiana r~ I) I-J/D 7
Print Da@ /
OFFICE USE 0 LV: ******************************~~******************?*********0******************
~PECTIONS REQUIRED: FIling Fees: cef'6 ' 1_
B I ct' "7'7-? ~V # Charged Re-
U F t' L F t' U d ase nspe Ions: .L... ,
pper 1"9 ower 00 1 er ReViews
~ ~ Cert, of Occupancy: 5.,
ou In e~
J /J n ------- P R IF' Additional Fees
tJ~ ",.. 0
Date
ReviewedjApproveq: Dept. of Community Services (Date)
S:Permits/FormS/IlP RESIDENTIAL