HomeMy WebLinkAbout07050153 Application
City of Carmel/Clay Township Permit #:07050 15~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8t Two Family: New Structures, Additions, Remodels, 8t Accessory structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
8t PROJECT
INFO:
SUBDIVISION
lOT # q(Q
ADDRESS OF CONSTRUCTION) QW{?Jl
,
- _.__ _ SQUARE r::::,o{)"I
FOOTAGE:-~1LTJe>I
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
om
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 APPLICABLE): ~IJ
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Which 'plumbing codes will be applied to the construction: : ~
~emational Residential Code wI Indiana Amend~ents
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
F CON TRUCTION: TYPE OF IMPROVEMENT:
SINGLE FAMILY ~ NEW STRUCTURE
0 TOWN HOME 0 ROOM ADDITION(S)
0 TWO FAMILY 0 PORCH ADDITION(S)
# of units:
0 MUL T1-FAMIL Y 0 REMODEL
0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
0 RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJECT INFORMATION:
Early Release Manufactured ~ FOUND~TION TYPE: (Check all that apply for the new
Permit: Y ~ TrussSELEAS W()fLCQ constructIon area)
-Y -7N S"hiA('t . NSTf8JyllQ~PACE 0 POST & BEAM
Lot Split: v N Sump"PIIfIIP' to arnpltan~ WIth all reg~\yn5 ..Q(- BASEMENT
Does any part of the property lie wiih' of tate n Local y~dfti!a: Y N WALKOUT: y,KN
,
For Single Family and Two Family dWellinRJ1lVi0fii;'()A~d/<r;IC~~"~"f.d8s permit is valid only if construction com~ences
within 180 days of the date of issuance of ili~ building permit, ustbecomple'W:H~~t?IfMfte of Occupancy issued) within 18 months of the
issuance date. Class I structure permits arc subject to the Gener ~A.:ive 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 thi5 application \'vill comply ...vith, 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 0 y kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or oc tpied until a C r 'fica 0 0 cupancy has been issued by t~e De a troent of Commun 'ty Services, Carmel, Indiana.
OFFICEUSEO Y:**********************************************"******,~*****************
Filing Fees: L 73, 0'-0
~PECTIONS REQUIRED:, ' ;[) 1 "/I
~ Base Inspections: ~ 0 __ v v
Upper F ,--Lower F~ Under Slab ~
---- Cert. af Occupancy: v S . )0
~ ~erB~ r::inal Si~. / ? {,/ ()O dd'
w&t/ ~ '.'H. .C;;AL" . '';1:< ~;";~'
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S;Permlts/FormS/ILP RESIDENTIAL ee ecelve v:
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5//(///07
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