HomeMy WebLinkAbout07060016 Application
City of Carmel/ Clay Township Permit #()'7()~tJDI ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
.. For Single Family, Town Home, Be. Two Family: New Structures, Additions, Remodels, Be. Accessory Structures
SEWER UTILITY
PROVIDER: C 0-
NAME OF lJTlUTY EXCA ATlON CONTRACTOR; PLAr((O~~ISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WEtfAND)OR'SEPTlC PERMIT #'5 (IF APPUCABLE):
/'-. (~:-:/. '\ \\\
FLooO ZONE AREA DESIGNATlON(S)-;\ ~iI7'1~~
FOR THIS PROPERTY: /",c:.;' \\/' \\
/~\t/?/ \\ \
TYPE OF CONSJRUcrioN:'::--- OF" .
J>lt"'SINGLE);AMIL\iV .. 11. J:iir N RU
o TOWN H~~ J \~\\ DOOM A ONeS)
o TWO FAMnX ~ POR DDmON(S)
# of uni~ i K ADDmON(S)
constructe t REMODEL
time: _ "Basement Finish only
o RESIDENTIAL ( ACCESSORY BUILDING
Additions. Remo DETACHED GARAGE
ATTACHED GARAGE
DEMOUTION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
LOT#:
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
14,;)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_V iN
_V -.2LN
Manufactured
Trusses:
Sump Pump:
--.X.V_N
~V_N
FAX:
STATE:
ZIP:
Gr
BEST METHOD OF CONTACT:
~
:>
PHONE:
FAX:
CITY:
STATE:
ZIP:
SECTION: 1
ZONING'
bbDD 15'" I
TAX MAP PARCEL #:
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the'new
construction area)
o
\O~O
CRAWLSPACE 0 POST & BEAM _PIER
SLAB ~ BASEMENT (WALKOUT:_V--X---N )
For Single Family and Two Family dwellings, additions, rem~els, an ~~Ss:s~ryA'Fm\:A\~s, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and mus ~e~~.y~i"8ite of Occu.e."ancy issued) within IS months of the issuance date. Class I
structure permits are subject to the General Admin~~~ S o~we~~~ ~~'a (~~C 12) regarding expiration time frames for beginning and
, . t::\..~P' o~?\\~)\'II!~~p~~',l\':';-I<\\~
I, the undersigned, agree that any constrUCtlO~~~,~\<i?i~ ~lergeri1tI}~, ff~';ID:~r ~M~ ~ structure, or any change in the use of land or structures
requested by this application will comply With,~\5nfoll!l\t~~1taPfW~~l6.Paws.ofr\Rt: ~kJ~rIndiana, and the "Zoning Ordinance of Cannel Indiana - 1993~ (2-
289) and amendments, adopted under authority of LC. 36-7 ~f~H~.(V>*I~I)\~'~ the State of Indiana, and aU Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to t~a\y\e'wer~~ilehh ~(Iijlt the construction will not be used or occupied until a CertifiC;J.te D~
o cu ancyhas been issu d y the epartment ~~\iiScrviC ~}~diana.
, C' . ... G\' -;;.130/07
Date I
OffICE USE ONLY: ******************************~~*********************N7**** **** ***************
INSPECTIONS REQUIRED: FIling Fees: ~, J 0
. -. Base Inspections: ;:) -;>7. <)()
pper Footmg Low r Footm Under Slab
~ Celt. of Occupancy: ~ ~ ()
. Final' Site' ) oZ :! ;0
P.R.I.F.: . ,
r.1f'8-~ '4- ft~;)-e-/ (.:..-rz.-o7 "~~C>T.~!.;~'" 4, .2f:!siJ,,,<O
ReviewedjAppr\wed:' Dept.ofCommunityServices (Date) /' ~~Ld~
S:Permits/Forms/ILP RESIDENTIAL
# Charged Re-
Reviews
Additional Fees
Fee Received by;
Date