HomeMy WebLinkAbout06020082-Application
City of Carmel/ Clay Township v0 Permit #:OIcb:2tJDf?;;J...
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, &. Accessory Structures
M f ct d FOUNDATION TYPE: (Check all that apply for the new
T anu a ure y VN construction area)
russes: ~
J /' - 0 CRAWLSPACE 0
Lot Split: _Y _N Sump Pump: ~ _N 0 ~LAB 0
Does any part of the property lie witJ;llia~lliiQfile~MS,hf;JI..!ItiTl?Ny K
BUILDER of
RECORD:
NA
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
SEWER lfTILIT}i -H? I. I 'D WATER UTILrTY\ , _ AA~ . IJ
PROVIDER; \.,;, I'" lJ....I PROVIDER: LfiUVll~
NAME OF LfTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR CotrNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
f,c""'~""~
TYPE OF CONSTRUCTION':,"-
lfSINGLE FAMILy/~<lf
o TOWN HOME / c-:::'.\
o TWO FAMIL vI, ,~)
# of units:/((,.{:i,> I
o MULTI.FAMILYI
# of Unit~c:';/ "
o RESIDENTiAL (For ~
AdditionsV,' emod~ EtL
" '
"
"'F-
EW STRUCTURE
ROOM ADDITION(S)
RCH ADDITION(S)
EMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATIACHED GARAGE
DEMOLITION
Early Release
Permit:
yt-2-S
PHONE
FAX
CITY
STATE
ZIP
SE
ZONIN~ _(
SQUARE '~~
FOOTAGE:~, ~
ESTIMATED COST OF CONSTRUCTIO
(EXCLUDING LAND VALUE)
;2tl-53-5tJ,
=fI: 660 ;< 0073
PLUMBING CONT CTOR:
-fh,IL/I tS5/1'1~
Plumber's Indiana State License #:
810 ,'7i I
Which plumbing codes will be applied to the construction:
ClJ..-tiitemational Residential Code wi Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
POST & BEAM
BASEMENT
WALKOUT:_ Y V1'f
F S' 1 F 'I d T F '] d II' U H(lCt"O C r" '''I' . . h' "I'd I 'f '
or mg e amI yan wo amI y we In s, adul lonst rc}p.9 . e .~AP,Qto.r..jl<;ff~6qO:"s.!!Uctures. t IS permit IS va I on Y I constructIOn commences
within 180 days of the date of issuance of the building p&-rm~~,ahtl 'ni?b:lf,~~'otr(iU.~.fr(c:;,e.Aiii'Ate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits arc ~fi!qo t1*tc(W@.~At\4iu\Mt1tltea-aMstV l\.t~e of Indiana (See 675 lAC 12) regarding expiration
-fW1~I"'Wl:Y1 ' in~ l\fl'I c1\"f'"f~~
I, the undersigned, agree that any constructCA le&-m~ct'tdt,'~ cot. ~~ion, or alteration- or~ structure, or any change in the use of land or
structures requested by this application "\\ill comply with, and confo able laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana ~ ]993~ (Z~ 289) and amendment-n, adopted under authority of l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. ] 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 DC uRied until a Cercif}c f Occupancy has been issued by the partment of Community Services, Carmel, Indiana.
r ('" ~ r r
Df71~~?
OFFICE USE ONLY: ************************************************************************
Filing Fees: '/ ;U;, .,;2 0
INSPECTIONS REQUIRED: ,) ILl, 00 # Charged Re-
Base Inspections: '7 -I,
/1' / Reviews
Cert, of Occupancy: J , . J 0
/0/., G! 00
(j;2.. ;).. .5 cJ- , '70
-5 --0
Lower FDoting
Under Slab
'--.'.
P,R,LF,:
CV'tf ,:~ HL~ :'?-l-Ob
ReviewedjApprov : Dept. of Community Services (Date)
S:F'ermits/FormsjILP RESIDENTIAL
Fee
Additional Fees