HomeMy WebLinkAbout06010084-Application
City of Carmel/Clay Township c:::::-~ Permit #()/r;O I ()D<6j
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY /) /i
PROVIDER: I II
, ,
,~
FAX
3/'1 '?CJ'10035"
ZIP
46;(~?
BEST METHOD OF CONTACT:
L.tELL 7'( 53{, Lf'/SS
PHONE 3 I 7 S JII I'It
[L
NAME PHONE
t (C,) 115&F If IV 710JJS 77). 1.f{,2. b
STREET AODRESS t o;lO~ E vl(,Hlir6Ir: cm
whr,fRlG N ' ALl.. 'S''lD I fJ/)'AN~foLI>
BUILDER'S EMAIL ADORESS
PRo 1101 00 Q) SUGL<lI3IJL. ~f.T
NA'37l
STREET ADDRESS
:$
LOTb~
ADDRESS OF CONSTRUCTION
/1(53 L
~.
STATE
IN
FAX
cm
LA
/(K
t!/t,oJ ~
ZONING:
51
STATE
(N
SECTION
a
SQUARE r') I b
FOOTAGE: 0(
f
NAME OF UTILITY EXCAV ON NTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
IiZf RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
, I 0 ROOM ADDITION(S)
I <6 'I. I ~ iZl' PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Whi~h plumbing codes will be applied t constructio .
~,nternational Residential Code wI India mendmen
- d Uniform Plumbing Code wI Indiana Amendments
(Muiti-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
./ Manufactured I
_Y _N Trusses: Ly _N
/ / 0 CRAWLSPACE
Lot Split: _Y -.Y':N Sump Pump: _Y ~N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y -.LN
.6
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
For Single Family and Two Family dwellings, additions, re?},of.i_~!~ndipr,~"Qc~!~ry,.~~t~fQl${rfu~-'~fnit is valid only if construction commences
within 180 days of the date of issuance of the builf'trlg~~.1i,-:a"a_m~~~l)e~c9rI?-p~e~~q~(~e.J:;tifi~~~ ~f;Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject~I\~..;,~~~atAdi't1ffiiSiranve.-Rij.l~s~~~'h,~:$i:ate of Indiana (See 675 lAC 12) regarding expiration
time tram'es for r1g!~!lit:lg a:ml~om'Pleiing.C?'ri~ruction:._ ,'-,
I, the undersigned, agree ~hat any c~nsrru.ction, recon~tru~~9Il......e~~~~tt!,~I,?~~qMrqt)lt~IiitiOn of~tu!e, or any change in the ~se of land at
structures requested by thIS applicatlOn will comply wI{llSrld c1orliel'm to', 'ill'a:.EP.1ic~~a'XJ?f th~M,~\14fFa' and the "'Zoning Ordmance of Carmel
Indiana - 1993~ ( ~ 289) and amendments, adopted uIJ4\l"fl~h~rY Qf1A~~itI:beq, ~~1.1 :As~e'!rt'l:Jlf1irm ~tate of Indiana, and all Acts amendatory
thereto. I fur certif nl 'hen, bath, and fit5br' drai~s ~re ~nnect~~M~ry sewer. I further certify that the construction will not be
used or . ~ un ti of Occupancy has been issued by the D~p~tment of Community Services, Carmel, Indiana.
N Ic!J(AtL T PRoVO I7IAtJOb
Print Date
:**********************************************'**11*********************
Filing Fees: LSl:- 61
, INSPECTIONS REQUIRED: Base Inspections: /(, 0 ;0 # Charged Re-
CUDDer Fo_o~ng) Lower Footing Under Slab . J! jcJ ReViews
~ Cert. of Occupancy: _
r> Rough In Meter Base "/final ~
I ~ ~"..) P.R.i.F.: Additional Fees
\) . ,\ Js..u- J~Z7~f,
'viewed/Approved: Dept of (Date)
'.~its/FormS/ILP RESIDENTIAL