HomeMy WebLinkAbout07040186 Application
City of Carmel! Clay Township Permit #: 07mD ~'?5(P
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
E OF N R TYPE OF IMPROVEMENT:
SINGLE FAMILY ~ NEW STRUCTURE
TOWN HOME 0 ROOM ADDITION(S)
TWO FAMILY 0 PORCH ADDITION(S) "'ot...
# of units: _ 0 REMODEL N ~
o MULTI -FAMILY ~f{\~~~ Which plumbing codes will be applied to the construction: ""~~
# of Units: RELEASED R5e~tlEe\~lons r'<i1lntemational Residential Code wi Indiana Amendmentf
o RESIDENTIAL (For S bject to co la liT,u"'~GE 'F
Additions, Remodels, ~tc) of Sta~n&~~m~ERV\CES 0 Uniform Plumbing Code wi Indiana Amendments
OF COM/;J!t)'i'lnTO p (Multi-Family Construction Code)
PROJECT INFORMATIOJ'IIEPT LAY TOWNSHI
Early Release ~ OF f,f~~~EL ,(,2,~ FOUNDATION TYPE: (Check all that apply for the new
P.t Y N T 11'1'1 Y N construction area)
erml : russe .
- V - 0 CRAWLSPACE 0 POST & BEAM
lot Split: _Y 6..-N Sump Pump: Y _N 0 SLAB R BASEMENT _
Does any part of the property lie within a special Flood designation area: _Y j(.N WALKOlfT:_ y-X-N
LOCATION
lit PROJECT
INFO:
LOT #
SEWER lJTIlITY
PROVIDER:
NAME OF UTlUlY EXCAVATION RAOOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR DUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit. and must be complcted (Certificate or Occupancy isslled) within 18 months of the
issuance date. Class I structure permits are subject (0 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, enlargemem, relocation, or alteration of a struCture, or any change in the use of land or
structures requestcd by this application \vill comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 199r (Z- 289) and amendments, adopted under authority of l.c. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sa . . ry sewer. I further certify that the construction will not be
use r cupied u til a Certificate 0 ccupa cy has been issued by the partmc t of Communit $ervic s, Carmel, Indiana.
L/-dJ -07
Print
Date
tA
ttliL YJJf
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormsllLP RESIDENTIAL
(Date)
************************/*A* ** ~~*****************
Filing Fees: LV '3 ~ zjJ
. d cf'7
Cert. of Occupancy: 5 5
P.R.I.F.: / J b / 00
~ TOTAL' {f~
~{tA.A/'\ (l , _~ ( ~
Fee Rece,v bv 1 /..2 I !) ~
Base Inspections:
/11
) 1/
;--cJ
# Charged Re-
Reviews
**
~ECTIONS REQUIRED:
Gppe~ F ng ~g Under Slab
~~e~ Sit0
Additional Fees