HomeMy WebLinkAbout04120057 Application
City of Carmel/Clay Township permit#:~7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PE 0 CONSTRUCTION: TYPE OF IMPROVEMENT:
SINGLE FAMILY ~ NEW STRUCTURE
o TOWN ~~EASED FOR CdlSlSffijd~AliDNrON(S)
o ~O/~~Ject to compliance wfW all'QlYlHa\moonON(S)
o MU~TI~FAMILY or ~rate and Lodi:Co~PDEL
#ofulillS:PT OF COMMUNI~ ~~W~UILg~NG
o RESI~l{]Ifo'CARMEL / C~y :m~~~~GE
Additions, Remodels, Etc.INDIANID DEMOUTlON
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for the new
Early Release \ /' Manufactured V tr cti )
Permit: ~ Y N Trusses: ...ao. Y N cons u on area
. . -V - \... 0 CRAWLSPACE 0
LotSpht: _~N SurnpPurnp: _~N ~ SLAB 0
Does any part of the property lie within a special Flood designation area: ~Y ~
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS ~
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
SEWER UTIlITY
PROVIDER:
WATER UTIlITY
PROVIDER:
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FAX
ZIP
ZONING:
SQUARE
FOOTAGE:
1~1
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
-I
PLUMBING CONTRACTOR:
~ I (;Y;y
Plumber's Indiana Sta License #:
/or70 1
Which plumbing codes will be applied to the construction:
)Q, International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
POST & BEAM
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 orj
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 l.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 further certify that the construction will not be
used 0, cupied until a f.j, te of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
10& 0qrcro
Print
/L-6-(J'!
Date
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Filing Fees: .57 go . I 0
J..~ () , {) lJ
Cert. of Occupancy: 6"ZJ . t> ()
P.R.I.F.: 627" D <0 Additional Fees
. i::: ~A~.: :#/~/S:~O v/
o /11 ;,;2 -dl t- {J 0./
Fee R cei d by; ~
Base Inspections:
# Charged Re-
Reviews
ervices
(Dale)