HomeMy WebLinkAbout06020127-Application
City ofCarnrel/Gay T~hip Jt7 -. ,aod(IJ 1,2}
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME ~, PHONE (J'1 J - 'j' ]()" /"'
L-d I~y G,15J-,-ULhU/" Iltc CJ -,
STREET ADDRESS CITY STATE
5'f~c vl/wop/dO);J/i.<- i'!cv/"",I /1'1
BUILDER'S EMAIL AOORESS,..-- 7/ _ BEST METHOD OF CONTACL ern tv' /
rD/~ L-X- Iv:> @ :;60' /;okt,.J, h LJ t-
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
~PEC
STREET ADDRESS
.--...---..--
FAX tJYJ.-1J8 i
ZIP
'-/(,,(/33
PHONE
FAX
CflY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOTI '1-1
SUBDIVISION NAME
W-=urb f;;> ~..j,II"-",,,s C--.....:ECTlON
ESTIMATED COST OF CQNSTRumON: ... ,
(EXCLUDING LAND VALUE) ':f. UJ,Dc->U. If.->
.--- ~_ ~m:~ r1 ',\ ...;. - , , '
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET ~I , ~e H.-,') h.:::; U Y/ j..._.::, Ii :.
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "S (IF APPLICABLE): If, c Lr y , '}' ~cd-"'t Y7r;;iZ:T.i~'i ~I'i 5:3
: I I. . ~ I ; 1
PLUMBING CON 0
e Cu.--f ~/
Plumber's Indiana tate iEense-#:
P /1(,0' 100
ADDRESS OF CONSTRUcnON
/ C."ldlNc,Ju- bnVL
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER: C,;...- /1'>_ I ul, I ,
(:1 f!- hi/)
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
9< NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
SQUARE go' "'"
FOOTAGE: I J
Which plumbing codes will be applied to the construction:
Gi!f International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release / Manufactured /
Permit: Y N Trusses: Y V N
. - v 7.. - 0 CRAWLSPACE 0 POST & BEA~
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB )8-...BASEMENT _
Does any part of the property lie within a special Flood designation area: _BJt:tJ~~ED FO~~ CIlOhI
- UDI6C to como lance WI al r u
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, tfilsl'crm1f ~ valia 9n!y tl_ co')..~tPls.tjp...n.....c ommences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of oft'Ur?Jm:y i<Ss'ri'e'd,Wfff1ift18YJiffin.hs of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the SD~ PITn~a((SY~1t\,.tN~T?fgf!HEfig\t.ijil6&n
,ime frames for beginning and completingcnnsf<lj'i'i9nnc: (:llq~EL I rl AV TnWNSHIP
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteratiMLdf J str6ttu'tt: M a c.~e"1t1'1:h~ l1se df1and or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and $i.l f4liN~rdinance of Carmel
Indiana -1993~ (Z-289) and amendments, adopted under authority of I.C 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendawry
thereto. I further certify that only kitchen, barh, and floor drains are connected to the sanitary se\ver. I further certify that the construction will not be
used KUPied until a Cmificate of Occupancy has been issued b/:D;~~mZ(!o; ~::::unitY Services, Carmel, Indiana, 2 _ 2- 'i -0 "-
Signature Of~ Agent Print Date
OFFICE USE ONLY: ************************r****************~ ****************************
{pJll' VI" Filing Fees: ~ t . e;'(J
INSPECTIONS REQUIRED' ~r ~
:!>'\I/'ll5tase Inspections: , ~tJ 'Charged Re-
Upper Footi Lower Footi Under Slab /1:110 ~.(, Co ReViews
~l~ Cert_ of Occupancy: , , 'X~' a.
P_R-IF: I ^{~ I,. () 0
TOTi~:,. , y-t~~)531 0, 0 ()
~'" '-:;' /
1
"3/3 eCe
Final
Site
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Addit(onal Fees