HomeMy WebLinkAbout04120076 Application
City of Carmel/Clay Township Permit #:04 J:lDD71o
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
STREET ADDRESS
12..~l?..r
WA.<t'
PHONE
317 .n.'
mY
BUILDER of
RECORD:
M L
IN
P
l.{'O"3~
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
....+v~""'e "'co.Co""
NAME
Mle. A
BEST METHOD OF CONTACT:
e. """I
T.....~I-(4JJ
PHONE
~17 rl.f.oI.LfI
CITY
FAX
STREET ADDRESS
12.~~ A...rrW1toJ ~r
ZIP
'{(.O~3
IO~ING: 5 J
i~CIo.RE
FOOTAGE: -- 1000
LOCATION
& PROJECT
INFO:
LOT #
Sr
ADDRESS OF CONSTRUCTION
BAs
SEWER UTILITY
PROVIDER: CAll.HeL
OMMISSION I BZA I BPW DOCKET
R SEPTIC PERMIT #'S (IF APPUCABLE): tV-
o
rJ
STRUCTURE
M ADDmON(S)
H ADDmON(S)
R DEL
CESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLmON
Will haYe
KctLjh-in
Plumber's Indiana State License #:
be
..
rc:..
PLUMBING CONTRACTOR:
PROJECT INF
Early Release
Permit:
Wh~ plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y ./ N Trusses: _Y ,/' N construction area)
./ 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y"":::""N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y / N
o POST & BEAM
0" BASEMENT /'
WALKOUT:_Y~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction comrriences
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 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. ,
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land oi
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of CaImel
Indiana -1993" (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 further certify that the construction will not be
used or cupied tll a Certilicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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OFFICE USE ONLY: ****************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing
Meter Base
**********************************************
i1ingFees: /')....5. r9()
Base Inspections: I 0 1/. () G>
Cert. of Occupancy: 51J. 0 0
P.R.I.F.: Additlonal7
ei. TOTAL' t r~.t
.. 7/1(LVt rr .; lh 12/~/Pt;-f'
Fee Ret.ved : ",.
# Charged Re-
Reviews