HomeMy WebLinkAbout07020137 Application
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City ofCarme//Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
TYPE OF CONSTRUCTION:
.:R::-sINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc,)
BUILDER
OF
RECORD:
PHONE:
515-;}..
FAX:
PROPERTY
OWNER:
s
cm:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
SECTION:
I
ZONING:
+,V
SQUARE
OTAGE: /35 c
SEWER l1Tl
PROVIDER:
ESTIMATED COST OF CONSTRugON:
EXCLUDING LAND VALUE) .:p
70
FLOOD ZONE AREA DESIGNATlON(~) /
FOR THIS PROPERTY: X
01
2007
PROJECT INFORMATION:
o
o
o
o
Which plumbing codes will ,be applied to the construction:
~temational Residential Code wI Indiana Amen~~entsi
o Unifonn Plumbing Code w/Indiana Amendments
Early Release
Permit:
Lot Split:
_Y ---.0
-y --V
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Ch~k all that apply for the new /
construction area) ~\ I ~1Y110hedkA:nttW/ t!Rth
o CRAWLSPACE 0 POST & _ BEAM _PIER
o SLAB ~BASEMENT (WALKOUT:_Y~
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.
t, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in _~he use of-lane. or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ord(nance of Carmel Indiana - 199r (Z-
289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts am datory thereto. I further c'ertify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction '11 not be us or occupied until a Certifib.te of
ancyh.. bem issued by the Department of Community Se[Vice Carmel, Indiana. , ,L, .0.? ~ /
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___________ Da" .
OFFICE USE ONLY: ********* **** **** ********** * * ********* ************ * *** *J~ ****~J*********** ******
INSPECTIONS REQUIRED' Filing Fees: .1"3. --S
U F t' L F t' un'der Slab Base Inspections: I/l () ()
pper 00 '"g ower 00 '"g
\3--5- {;
-
# Charged Re-
Reviews
Si~
Cert, of Occupancy:
P,R.I.F.:
Additional Fees
Reviewed/Approved: Dep, of Community Services (Date)
S:PermltsjForms!IlP RESIDENTIAL
/
,
Fee Received by:
Date