HomeMy WebLinkAbout07040179 Application
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City of Carmel! Clay Township Permit #: 0 7t>40 r7q
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
I
BUILDER
OF
RECORD:
NAWe/lmtU7
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STREET ADDRESS:
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PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME OF UTIllTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY wa(.AND/OR SEPTIC PERMIT #'5 (IF APPLlCABLE):
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\/. '/)Vrh Sf'e 'Consl, TAX MAP PARCEL':
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PLUMBING CONTRACTOR: . 0 TO
ACorn PIl{mO/f/tI
PlumJll:f'S India~a Jtate License ,,::) /
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o
Which plumbing codes will be applied to the construction:
%Intemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
Lot Split:
_Y){N
_yXN
Manufactured
Trusses:
Sump Pump:
yKN
XY=N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB BASEMENT (WALKOlfT:_Y,X N)
For Single Family and Two Family dwelhngs, additions, remodels, and/or accessory structures, this pennit 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 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 or structures
requested by this application will comply with, and confonn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (2-
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 sanita ewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy has been issued by the Department of Co unity Services, Carmel, Indiana.
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Print
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Signature of Owner or Authorized Agent
D.le
OFFICE USE ONLY: ****** *** ******** ****************************** ********************* **** *********
INSPECTIONS UIRED: Filing Fees: ,I 0 t.; 1. ('0
Base Inspections: ~ ,Fr;, ,~O
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Upper Footing
Under Slab
# Charged Re-
ReViews
Cert, of Occupancy:
P.R.I.F,:
Additional Fees
roved: Dept. of Community Services
sjILPRE$IDENTIAL
J/-ZCo
(Date)
Date
Fee Received by;