HomeMy WebLinkAbout07050008 Application
City of Carmel! Clay Township Permit #: CD 7D5(!))O'i
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
For Single Family and Two ramily 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 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 structur~s
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 occupied until a Certificate of
Occupancy has been issu the Department of onununity Services, Carmel, Indiana.
',j1)AN NS
U5EONLY:**********************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
BUILDER
OF
RECORD:
NAMEPUA-
SYlEr ADDRESS: N.
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
SEWER lJTlLfTY
PROVIDER:
o
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
_Y'-"N
_Y~/
'-'Y _N
~_N
Sump Pump:
Print
OFFI
NSPECTION . QUI RED:
WWing Under Slab
se ~Site
fJJJl
Reviewed/Approved: Dept. of Community Services (Date)
P.R.I.F.:
S;PermitsjFormsjILP RESIDENTIAL
PHONE:
SIS-;)?&J
CITY: STATE:
CAi2M
ZIP:
2-
BEST METHOD OF CONTACT:
QA-AAIL
PHONE:
FAX:
CITY:
STATE:
ZIP:
SECCfooOb-A
ZONING: .s -1-
SQUARE " ,} 0
FOOTAGE: lJ?'t^'t
MAP P
. (9 'f00;35-
PLUMBING CONTRACTOR:
I-\-ArYl VYl ~ ,-\DNS
Plumber's Indiana State License #:
c.Pt DDD I 0\
/.000
Which plumbing codes will be applied to the construction:
~temational Residential Code wI Indiana Amendments
'""'] Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (~ck ~1I);h. at aP.R!v for the new
construction area) rl N I..:::, H5u Wi E:ATL-l
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB Q.,...BASEMENT (WALKOUT:_Y_--N)-
:SHEPliFeD
~
Date
TOTAL:
c2 ? s-o
,'7')' S{)
J:A (?/ m
.
?t:;C :)A
l v
cO
# Charged Re-
Reviews
Additional Fees
Fee Received by:
Date