HomeMy WebLinkAbout07030030 Application
City of Carmel/Clay Township Permit #: 07o?JCXJ3D
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:
LOCATION
& PROJECT
INFO:
LOT#:
ADDRESS OF CQNSTRUcrrON:
SEWER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR sEPTic PERMIT #'S (IF APPLICABLE):
.' ~ ." \ \ \
FLOOD ZONE AREA DESIGNATION(S)C ' .,'\\\ \~
FOR THIS PROPERTY: \ \'
\\, \
F CONSTRUCTION:'"
'\I \ ,
TYP, IMPR V MENT:
,"'--1-':;.: IV'
~ ~NEW ~UCT E
o ROOM ADDITI ~N(S)
/G---PORCH IYlDmON(S)
o DECK.AODmON(S)
O/REMODEL
~/ _ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
SINGLE FAMILY \
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time: ' /
o RESIDENTIAL (Fo'r, ~
Additions. Remodels;Etc.)
\!\\\'?
/,-
PROJECT INFORMATION:
V/:
Y~
Manufactured
Trusses:
Sump Pump:
Early Release
Permit:
LY_N
JLy _N
Lot Split:
ZIP:
ZONING:
()f)
It\\
t) 103t:r:9l
TAX MAP PARCEL #:
PLUMBING M~R( 1~
Plumber's Indiana~ta' .
I
Which plumbing codes will be app ied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSP CE 0 POST & BEAM PIER
o SLAB BASEMENT (WALKOUT:_Y N)
For Single Family and Two Family dweUings, 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 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 -199r (Z-
289) and amendments, adopted un er authority of r.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 drains are c n ected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy ,been i"ued by th t en OfCmnmUnitYServiCe',C~'::I'Indro Ct- 2/::Jt/67
Print Date ~,
.******************************~~*******************~***22*~~*******************
NSPECTIONS REQUIRED' FIling Fees: _:2
. Base Inspections: :2 '71. :{ 0
Under Slab
?J.56
P.R.I.F.: 12 (; /. (J () Additional Fees
Lj7 ~TJ)O~ tld-L//fl d
~\. f'
Fee Received by: Date
# Charged Re-
Reviews
Site
Cert. of Occupancy:
(Date)
S:PermitsjFormsjILP RESIDENTIAL