HomeMy WebLinkAbout04120085 Application
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City of Carmel/Clay Township Permit #:(J)4/WOf5
RESIDENTIAL IMPROVEMENT LOCATI N PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
FAX
3iT
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SECTION
ZONING: --1
S -...J-
SQUARE 8-0"\
FOOTAGE: 0
SEWER UTIlITY
PROVIDER:
~IG
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) "10, 000
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT ,'S (IF APPUCABLE): II, 'j}
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOl1ll0N
c;;j;;)
Plumber's Indiana State License #:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc,)
PLUMBING CONTRACTOR:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: j
Early Release j Manufactured FOUNDATION TYPE:
P 't Y N T Y N co~ctfon area)
erml : russes:
/ / 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 LN
(Check all that apply for the new
S!/POST & BEAM
LY BASEMENT
WALKOlIT:_Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building pennit, 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, rdocation, or alteration of a strucrure, or any change in the use of land or
strucrures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -1993" (Z~289) and amendments, adopted under authority of LC. 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 'ed u 'a Cer;,rificareofOccupancyhas been issued by the Department of~frm~nity Services, Carmel, Indiana, " _ '
\ \. (lc-epb::\ch ~
na of ' A horlzed Agent Print Date
OFFICE USE ONLY: **********************Cm~~~~**************J'.* ******************
,fl\ELEASED FORv'~ilj'~~ F~8\ ' . V
INSPECTIONS RE<t~!o compliance witfi a. e\J' <l.t~ons J 11 j..J 0
;,," ) , c;l"le,and I ocdlasecIMpectlons: _ U '-I- ·
Upper Footing Lower Footing URli~::iaD"J1I-'NI",1 C:(::;R\lICES '.r-~ tJt()
~F CO iIi ". u ~~:91"Otffj~\?I: -2U ~ __
CROugh I;;:) Meter Base ~.!ij~MEL / CLAY lOW __
, iNDiAN~R,I.F,:
# Charged Re-
Reviews
ReVie
S:Perm"
(Date)
Additional Fees