HomeMy WebLinkAbout07050062 Application
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City of Carmel/Clay Township Permit #:0705~O(P)...
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WElL AND/OR SEPTIC PERMIT #'5 (IF APPLl
~
BUILDER'S EMAIl ADDRESS:
BUILDER
Of
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
STATE:
ZIP:
LOCATION
&. PROJECT
INfO:
LOT#: \ Sl
ZONING:
ADDRESS OF CONSTRUCTION:
SEWER UTILITY
PROVIDER:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
~
o,.~.o-t,
All
@8..~' ,.
-"a:.,.1 ~
Which plumbing codes will be applied to the construction: :>"
t/J International Residential Code wI Indiana Amend~ents
o Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
Lot Split:
_V.:'LN
_V.xN
Manufactured
Trusses:
Sump Pump:
'kv N
X V=N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
o CRAWLSPACE 0 POST & BEAM PIER
o SlAB eI.. ..BASEMENT (WALKOlIT:_V~N )
Foe Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences wit:hin 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS months of the issuance date. c;:Iass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginni,ng 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 l.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 sanitary sewer, I further certify that the construction will not be used or occupied until a Certificate of
Occu cy has be~n issu b e epartment of Community Services, Cannel, Indiana.
..---.-:::
.5'-9-07
Print
Date
LY'***************************************************** *** ***********************
. ~~ O'
Filing Fees: <...! 51
INSPE~ONS REQUIRED: 'J 7. /0
, ") Base Inspections: ,..J..) # Charged Re-
pper FO.ot! ~n~~ FQoting Under Slab :.,.. '<". .,--Ii Reviews
=-- Cert. of Occupancy: ~ ..> J v
ouglJ:IJt _ e r se Site J 7/ I 00
P.R.I.F.: Lex: '" _ Additional Fees
{J~ TOTAL: i',23f'J_ft
Reviewed/Approved: Dept. of Community Services (Date)
S:PennitsjFormsjILP RESIDENTIAL
Fee Received by:
Date