HomeMy WebLinkAbout07050100 Application
City ofCarme//Clay Township Permit #:.07050 /00
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NA
3L/7-73I1s
ZIP
4 c;/'/F?
PROPERTY
OWNER:
FAX
LOCATION
& PROJECT
INFO:
STATE
I-
SECTION
3
tJ
ZIP
40D33
ZONING:
SQUARE
FOOTAGE: q
NAME OF UTlLITY VATION CONTRAcroR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
ESTIMATED COST OF CONSlJUCTION:
(EXCLUDING LAND VALUE) If :2'1() 000. 00
,
TYPE OF CONSTRUCJlON:
[:0'" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
-S])H
TYPE OF IMPROVEMENT: PLUMBING CONT' I . crO'R;
0' NEW STRUCTURE l1LLl f.lr:\:! l6 nwi th fOOl i !:
o ROOM ADOmON(S) Plumber's India~aull~.'lte License #: i i ,.J i '[
o PORCH AOOmON(S) I / '7 '7 7 I " i '--' ,
o RE~?E~ D . l- :
o AC ~~!-l~LDING Whi~lumbing codel~i11 be applied to the co_nstruction~_.----l
o 0 rca~;q~c- Ud'Intemational Residential Code w/lndiana Amendments
8 ~~0~&6%~ PIi' oS Unifonn Plumbing Code wflndiana Amendments
cYi.';"'9" Or- !'7!e "$I)C" ,V~}i'FamIIY Construction Code)
, YO r- 0 $I)(j I.. - Y-/I/h tt~
Manufactured ~ C1ltj Ot11ll1U OC<f~ WPE: (Check all that apply for the new
_Y I/I~ Trusses: L\~t::/N/CI\;/-rtJ,.!:i". '1a
-:-./. 'D '/, ~~WLSPACE 0 "'-poST & BEAM
Lot Split: _ Y _N Sump Pump: ...k::.... Y _:'~::0'L:v. ""'I l' QD ti:'~ !l2( BASEMENT
Does any part of the property lie within a special Flood deSi9n'1tion are 0J. ~ ....6' WALKOUT: Y ~
PROJECT INFORMATION:
Early Release
Permit:
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 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
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 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 sanitary sewer. I funher certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
. ,a.B' '
Loi, 1-1. (?); RD50NG - ilEN I:Nl'
Print
sJg/()'7
Date
OFFICEUSEONLY:**********************************************!~~**********************
Filing Fees: /0) T. f
SPECTlONS REQUIRED: 'J 6? 1 /'
. 'j ~ . '" Base Inspections: "J' () , ) # Charged Re-
pper Foot, ower Foot, Under Slab ~<'"" :it) ReViews
Cert. of Occupancy: 0 ) .
P.R.I.F.: ~ J ;;2- b;' If 0 Additional Fees
y~~G5'fJ,P()
Fee Received by:
Sit;---".
---
Reviewed/Approved: Dept. of Community Services
S:Permlts/forms/ILP RESIOEtfTIAl.
(Date)