HomeMy WebLinkAbout07030218 Application
City of Carmel/Clay Township Permit #: 07 D20o.J8
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME:
RM;\-
STREET ADDRESS:
Ii
I'
-----,.....--\
TYPE OF CONSTRUCTIO]f: ----r;TYPEiOi='tMPROVEMENT:
..-- ::::::---~"" \1 ~Ji~~-'-'II 'II
I2r SINGLE F~MI"LYe r(fi \0 '>&-NEVMT\l.\iCTURE
o TOWN HOM. ~-0 to ~//~ 0 ROO~\A,?p'ITION{S)
o TWO FAMILY \ \" 0 110RCH A~DITION{S)
# of uni~:~~\ _ ., (J diJC'ii>ECK\A'Ql>~ION{S)
constructed- IS \/11\\\ ~ 0 REMOpa:'
time: \ \ =-sasemeht Finish only
o RESIDENTIAL\{F \ _------0 ACCESSDRYJUILDING
Additions. RelDh 'rs.-EtC:1 0 DETAetfEDGARAGE
\ ________EJ-ATTACHED GARAGE
PROJECT INFOR~1'I01\I: 0 DEMOLITION
Early Release
Permit:
Lot Split:
y"N"
y-tf
Manufactured
Trusses:
Sump Pump:
/Y_N
/Y_N
CITY:
o BEST METHOD OF CONTACT:
\ LA.L.TE m
.~G
PHONE:
FAX:
CITY:
ZIP:
STATE:
SECTION:
ZONING: .s - 1
s
(3
~g~~~E: 4-35.9
ESTIMATED COST OF CONSTRU
LUDING LAND VALUE)
Plumber's Indiana State #:
r j) I DO DOl D I
Which plumbing codes will be applied to the construction:
~temational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 I Pp~~ ~ ~W1 dJ5ll
o SLAB ~SEME~d<o&fB~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences 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 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 or occupied until a Certificate of
Occu cyhas been iss d by the epartmen of Conununity Services, Carmel, Indiana.
\.If) A-N rJ e &HE:PttFse..O
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Print
lab
w~
Reviewed/Approved: Dept. of Community Services (Date)
S;Permits/Forms!ILP RESIDENTIAL
"3/d-/f101
DatJ
TOTAL:
* ******************
c,()
;;2 Jl. )()
5"3. s{)
/d. (,/ Of)
-;f<",,~ lIt
# Charged Re-
Reviews
Additional Fees
fo
Fee Received by:
Date