HomeMy WebLinkAbout07060280 Application
City of Carmel/Clay Township Permit #:01()(oO:A'iD
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX:
PHONE:
NAME:
BUILDER
OF
RECORD:
PROPERTY
OWNER:
ZONING,
LOCATION
&. PROJECT
INFO:
s-
SQUARE
FOOTAGE: 5 J q
SEWER llTIUTY
PROVIOERCi
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDjOR COUNlY WELL ANDjOR SEPTIC PERMIT #'5 (IF APPLlCABLE),
It
TAX MAP PARCEL If:\ LJ \ \ ~ \
lli\\ \ JUN 9 2007'1 I
PLUMBING CONTRACTO~: UJ J~
lBuJ E $,.,;-nl I L________
Plumber's Indiana State Li~!!m;.e.#:_-.~.._---- ~
I,.
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE.flF IMPROVEMENT:
rJl5" NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATrACHED GARAGE
o DEMOLmON
TYPE.llF CONSTRUcnON:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
IOi771
Whi.9f"plumbing codes will be applied to the construction: i
(5!{ International Residential Code wI Indiana Amendn:aents
o Uniform Plumbing Code wjlndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Ly_N
....JLy _N
_y-&
_Y~N
Manufactured
Trusses:
Sump Pump,
Early Release
Permit:
Lot Split:
o
o
CRAWLSPACE 0 POST & BEAM PIER
SLAB ~ASEMENT (WALKOUT:_Y ~)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences 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 pennits 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 -1993n, (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 further certify that the construction will not be used or occupied until a Certificate of,
Occup.mcyhas been issued by the Department of Community Services, Carmel, Indiana.
" .
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L..,r/.; A. B;Rbsc>,,\(;.~HE/JI;t.lE
Print
Date
OFFICE USE ONLY: ************************************** ******* ********** *** ***********************
INSPECTI UIRED: Filing Fees: /.-/' ? &0 ~
r-'~ ~ "cf'J<{?
\....Upper Footin'g...-' ower Faa 9 Base Inspections: ~ ~ :
-0:. - , Cert. of Occupancy: ~ >''/ u
P.R.I.F.: / ,2 {, ( 60 Additional Fees
~ ~JA~; ~ f/ ol5~ 7, In
~~~V~~
# Charged Re-
Reviews
(Date)
Date
Fee Received by:
~