HomeMy WebLinkAbout07070182 Application
1-
City of Carmel/Clay Township Permit #:()7D7DI1J~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
Manufactured FOUNDATION TYPE: (Check all that apply for the new
V X. construction area)
____v ~N Trusses: ____v ~N
l( ...: 0 CRAWLSPACE
Lot Split: ____ Y ~N Sump Pump: --f..:>. Y ____N % SLAB
Does any part of the property lie within a special Flood designation area: ____ Y LN
BUILDER of
RECORD:
NAME
STREET ADDRESS
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
E
.5
I
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT #
SEWER UTILITY
PROVIDER: Ct. If.
WATER UTILITY
PROVIDER: C
,e,AtE/--
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
Q{ SINGLE FAMILY
tJ. TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITJON(S)
o PORCH ADDITJON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITJON
PROJECT INFORMATION:
Early Release
Permit:
PHONE
FAX
CITY
STATE
'EL
PHONE
,
l
CITY (;
C-T
SQUARE 7/
FOOTAGE: I t:> 8 !J
e..AI<,<fE.L-
ESTIMATED COST OF CONSTRUcnON: 00
(EXCLUDING LAND VALUE) Ie 76,000 -
Dt
Cfl:570R.
PLUMBING CONTRACTOR:
(;{fo 15 F f<.. ;;? 4.JJc>
piu ber's Indiana State License #:
c-.fJ 901)1)(') '-I--
Which plumbing codes will be applied to the construction:
f1.. International Residential Code w!Indiana Amendments
o Uniform Plumbing Code w!Indiana Amendments
(M~lti-Family Construction Code)
o
~
POST & BEAM
BASEMENT
WALKOUT:_ Y 1N
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,
t. 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 \-'-lill comply with, and Clm arm to, plicable la\VS of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - J99r (Z~ 289) and amendments, adopted under' ~rity of LC. 36~7 seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and fl drains are connected 0 the sanitary sewer. I further certify that the construction will not be
used 0: ~cupled untll CertIli te f Occupamy as been Issued ~e epartment of CommunIty SerVICes, Carmel, IndJana
~I J. ~Y/J AI (:"/) / 'b
Signatu Pr'
7btj67
Date
*J2'****************
***************************
,
Filing Fees:
Base Inspections: fJ7 ,S-O
Cert. of Occupancy: ; <i) .:)0
~ P.R.LF.: /02 C/ tJ()'
?II ()7 ~fiOTAL;J ~;27'7(". tJ{J
(Date ~;I~
Fee Received by:
Reviewe
S:Permitsl
# Charged Re-
Reviews
Additional Fees