HomeMy WebLinkAbout07030202 Application
City of Carmel! Clay Township Permit #; 07 () 3~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
s
ZIP
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
\ - *" '-\~
FAX
PROPERTY
OWNER:
ZIP
SEWER UTILITY
PROVIDER:
LOT' J1
AD;;;' ~~RU~J:::t:.u
WATER UTILITY
PROVIDER:
SECTlON
ZONING:
LOCATION
&. PROJECT
INFO:
SQUARE
FOOTAGE: Z'Z 7
TYPE OF CONSTRUCTION:
ritr" SINGLE FAMILY
"D TOWN HOME
o 1WO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~o PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
I I
~ JII
Inl".
( I:i
1,1'
Plumber's Indiana ~~~ .li.~e_ri~ ~:,';~ -.'J ~0 ,~2.J \~J;
<:t,\O SS?)(QS "- -"-"-------------~
Which plumbing codes will be applied to the construction:
~nternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
" V construction area)
Permit: _Y A-N Trusses: _Y A-N ~
. V V 0 CRAWLSPACE '.\~ POST & BEAM
Lot Split: _ Y A-N Sump Pump: _ Y LLN 0 SLAB C. ~ BASEMENT
Does any part of the property lie within a special Flood designation area: ~ liI~'3' 9"ALKOUT:_ Y-J!--N
For Single Family and Two Family dwellings. additions. remodels, and/or accessorx~ r~s..tN\~~$. ~~~. ~ construction commences
within 180 days of the date of issuance of the building permit, and must be co~e~~~~Yr!5~,Qt (fa) 1 sued) within 18 months of the
issuance date. Class I structure permits are subject to the General Admini~R~~~r~~~1n~~ ee 675 lAC 12) regarding expiration
time frames for beginn~~:t..fi;pfC.~~ <it>. t"
I, the undersigned, agree that any construction, reconstruction, enlarge~~, r ~tl~$ rit\ ~R Oi\a'~~furu-.t ure, or any change in the use of land Of
structure' uested by this application will comply v..>ith, and conform to, lica6i'~~ "S(~~s.(] iana, and the ~Zoning Ordinance of Carmel
Indi _ 19 r (Z~ 289) an endments, adopted under authority of LC. 3 '7~t s GW1ep~~i~\i).~ he State of Indiana, and all Acts amendatory
ther o. I rther certify at 0 ly kite n, bath, and floor drains are connecte e ~~ sewer.''1.-further certify that the construction will not be
us a or upied until Cat i teo cc has been issued by the D ~~t of,Community Services, Carmel, Indiana.
/~~,,')S/l.~ ""5.~.cn
~ Date
LY:************************************************************************
Filing Fees; / -=3 :3, :5'd
INSPECTIONS REQUIRED: '
Upper Footing Lower Footing Under Slab Base Inspections: II,~I
e Gc= Cert of Occupancy: 5~
ough I Meter Base Final Si~")
_ ~ P.RJ.F.:
# Charged Re-
Reviews
0"0
S-cJ
c-r ~'-' -07
ReviewedjA roved: Dept. of Community Services (Date)
S:PermitsfFormsfILP RESIDENTIAL Fee
Additional Fees