HomeMy WebLinkAbout06010144-Application
City of Carmel/Clay Township P j;tJ Permit #: O~Olg'l.fi
RESIDENTIAL IMPROVEMENT LOCA4lION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of Npo
RECORD:
PROPERTY
OWNER:
LOCATION
l!t PROJECT
INFO:
NAME OF UTIUlY EX VATlON CTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUcnON:
er-sINGLE FAMILY
o 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 ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PHONE
575-,;{3&J
FAX
3?; 615-~-3 I
BEST METHOD OF CONTACT:
E -
PHONE
FAX
CITY
STATE
ZIP
ZONING:
S
SQUARE
FOOTAGE: &1088
ESTIMATED COST OF CONSTRU~N:
( ING LAND VALUE) 'f d 6'-1 '53 d
PLUMBING CONTRACTOR:
Bo....mW1 a- ::Ons Inr
Plumber's Indiana State License #:
c..f> I r1("'Y')d J D / I
Which plumbing codes will be .pplied to the construclio'n1J 2 7 2006 ;
~temational Residential Code W/Indi~na A~e,n~~ents~__J I
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
\0~.,t~':.....-..t
\" "lL J
_ '~_~____ .-' / LS
PROJECT INFORMATION:
Early Release is Manufactured $t
Permit: Y Trusses: Y N
o CRAWLSPACE
Lot Split: _Y N Sump Pump: Y_N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y
-------.<-
FOUNDATION TYPE:
construction area)
(Check all that apply for the new
..y'v (I., :\
o POST & BEAM UI'\~"'1 sfJeo
~ASEMENT ~~
WALKOUT:_Y N
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 1 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. ~
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a strucUlre, or any c~ange 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 Cannel
Indiana -1993" (Z~289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana: and ~'^~ts ~'mencIatory~
ther o. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be
,used occupied until a Certificate of Occu1.'ancy has been iss the Departmeut of Community Services, Carmel, Indian:, D'. ~O/;; <a m' j
Si ature of Owner or Authorized Agent b-
OFFICE USE ONLY: ** * * *** * ** * ** * ***** *** ****,~ ** *** ** ***** * *** *****~* ";.*M* *;~t:, * *** **********
FIling Fees: / (/ U' t2Y'
INSPECTIONS REQUIRED: ,,// "7 --c:J Ch d R _
~ NW~~pectlons:-z..L? /, ) # arge e
"...-upper Foot'" wer Foot, " Under Slab 'if C\ ' 'I'" '~;. ~() Reviews
........- - c1~O.l AVl3MfJ:ilWhfl!i@an",,:tu.oJ :::>. :J
6?oUghI;;o-,MeterBa~inal ~3SAJ.ltfl.Q.~WJ,08::l01d3a ) [7< 6( 00 Additional Fees
'sapo:) IB801'P\J~ 81lJ1S 10. . _
,,"1 SUO!llJln6uJ liB 411M 8~Lle'ldwoo 011} 'i ;?G;2.3 - J> 0
U tllSN~::l S .;(
Reviewed/Ap :"Dept. of Community SelVices (Date) .
5:Permlts/FormS/I ENT1AL Fee Received by