HomeMy WebLinkAbout07050071 Application
City of Carmel/Clay Township permit#070~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICArrION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
.I
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
STRE
NAME:
STREET ADDRESS:
LOT#: /33
ZIP:
ADDRESS OF CONSTRUCTION;
, ,
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
NAME O. F UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET _1:\\ c:
M8E~ TAC DATE(S); AND/OR COUNTY WELL AND OR 'F ~'f\!lUCTlt:1fIO :::>'
~,~~~~gESIGNATION(S) Subject to co 'all ~~ j1l:@ulat oli\ij( MAP PARCEL fo,. ,o~
IT: of State ana Local CuJC3, 0, ,A :"""-
TYpFIllfiilftliJ(R61t&~!JIl U N I ONTRACTOR:
~~EL/CLAYTOWN~ Cd,~
o ROOM ADDITIOt!liIDIANA Plumbers ,ndiana State Licens #:
o PORCH ADDITION(S) " r-7] IY'~
o DECKADDITION(S) U~lLl-
o REMODEL . . h I Which plumbing codes will be applied to the construction:
_ Basement Finis on y ~
o ACCESSORY BUILDING ~ international Residential Code w/Indiana Amendments
o DETACHED GARAGE .. .
o ATTACHED GARAGE 0 UnIform Plumbing Code w/Indlana Amendments
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_v iN
_v -:i.N
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
LV_N
~V_N
o CRAWLSPACE 0 POST & BEAM PIER
o SIJ\B ~ BASEMENT (WALKOlfT:_vLN)
Sump Pump:
For Single Family and Two Family dwellings. 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 permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 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 dra s are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan has been issu y t artment of Community Services, Cannel, Indiana.
Print
~ -9 -0 7
Date
OFFICE USE ONLY: ************* ******** ***** * ************ ** * ***** *** *~* * W***** * ***** * ************
INSPECTIONS REQUIRED: Filing Fees: 7f'~c2 0
Lo~er F"\ ting Under Slab Base Inspections: c::::;; '8'"7 .i if'
~ G I' 3 Cert. of Occupancy: <-.55 - 2:> 0
Meter B Final S. e / c2 I c)
_ P.R.I.F.: / /:,. 0 Additional Fees
V~0 tF~o
Fee ReceIved by: Y Date
# Charged Re-
Reviews
Review djApproved: Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL
(Date)