HomeMy WebLinkAbout07050150 Application
City of Carmel/Clay Township Permit #: 07tJ5, 016'0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
SEWER lJTILITY li-
PROVIDER: ~
stMff 1 7 200lIP
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DO KET
NUMBERS; TAC DATE(S}; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~' SINGLE FAMILY
CT TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release /
Permit: Y N
Y~
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
v: N
""'-;=N
Plumber's Indiana Sta~-I-ic
1059[0/
Which plumbing codes will be applied to the construction:
~temational Residential Code wI Indiana Amen~ments
o Uniform Plumbing Code wI Indiana Amendments:
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Lot Split:
o CRAWLSPACE
o SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
o POST & BEAM
t'Q--flASEMENT
WALKOUT:_ Y vN
Sump Pump:
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 months1of the
issuance date. Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding e~piration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, teconstruction, 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 Jaws of the Stare of Indiana, and the "Zoning Ordinance of Cannel
Indiana - 1993" (2-289) 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 Eloor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or I upied until a rihc e of Occupancy has been ..sued by ~~m~t oc;~ Services, Carmel, Indiana, dw! D 7
pnnt~ Date /
OFFICE USE ONLY: ********************************************~*************************
Filing Fees: %.(' ,9? ()
INSPECTIONS REQUIRED: '/ "'2';0'/7
Base Inspections: {L~ _{L # Charged Re-
Under Slab '-/ ReViews
Cert. of Occupancy: .:5- :;-. S ()
P,R,LF,: /01 61 dO Additional Fees
~ ~~7'~ ~ 7<2711-elO
Fee Rec~
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slte
Reviewed/Approved: Dept. of Community Services
S:PermitsfFormsfllP RESIDENTIAL
(Date)