HomeMy WebLinkAbout04120056 Application
City of Carmel/Clay Township Permit #:~"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
j;g"'SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDmON(S)
o TWO FAMILY Q PORQlflP.DlIION(S)
# of units: RFI FA<::ED FOR~O~oI:jEtJ.C IIUN
o MULl1-FAMIL8'ubject to complian~ wiiom!SOOIII1l<WIIJllING
# of Units: ef State flnd(]JJc~B!AOI'lBD GARAGE
o :~~~~~R~'QJa11r. E?f.) COMMYN mJl1;~~
CITY OF Cf~RMEL CflCt>AlyIOf5WrlJSHIP
PROJECT INFORMATION: INDIANA
I FOUNDATION TYPE:
EarlY.Release \) Manufactured \ 1 . construction area)
PermIt: ...+-Y XN Trusses: -,^-Y N
~ 0 CRAWLSPACE
Lot Split: _y. Sump Pump: _Y A-N "&;(.SLAB )
Does any part of the property lie within a special Flood designatior(';,~a: _Y 4LN
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
ADDRESS OF CONSTRUcrrON\ 3t.f 0
SEWER UTIUTY
PROVIDER:
(.5
WATER UTIUTY
PROVIDER: ~
t-I~.
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABUE):
STATE
ZIP
ZONING:
SQUARE _'\.1. I J.
FOOTAGE: C7.l \ -,
ESTIMATED COST OF CONSTRUcrrON:
(EXCLUDING LAND VALUE)
i.
PLUMBING CONTRACTOR:
--- r;;
/-::-d--r / /'tt...
Plumber's indiana s~icense #:
/1')'\ 7' 0 r.
.:JiCh plumbing cod s will be applied to the construction:
""" International Residential Code w flndiana Amendments
o Uniform Plumbing Code wflndiana Amendments
(Multi-Family COnstruction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_Y~N
For Single Family and Two Family dwellings, 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 Carinel
Indiana -1993n (Z~289) and amendments, adopted under authority 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 drains are connected to the sanitary sewer. I funher certify that the construction will not:be
used or cupied ~ntil erti/icate of Occupancy has been issued by the Departme~t of Community Services, Carmel, Indiana. I
/2.. --6 -0;4
Print Date Il
I
***********************************************~*****************
Filing Fees: S7f:f. I u
SPECTIONS REQUIRED: ..., //11). '" ~ # Charged Re-
Base Inspections: ^-4.-- (L !.L
....- 0 ReViews
Cert, of Occupancy: ~f) . tJ _
5-27,00
TOT~ Is
_ M ,~ I')"~ #
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P,R.LF,:
Additional Fees