HomeMy WebLinkAbout06030079-Application
City of Carmel/Clay Township Permit #: () ~()-::IJ07~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
I (YIt)'1J-/Y
tic? />1 E... S
PHONE 5-3'[' tJ81f7
FAX
3(7- S 3t;,-U9?/
STREET ADDRESS
pp
cm
{!If/?/1ArL
STATE
IAJ
ZIP
-1(, cf?Z
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME Sr ~L..
FAX
PHONE
STREET ADDRESS
cm
STATE
ZIP
LOCATION
& PROJECT
INFO:
ESTIMATED COST OF CONSTRUcnON:
(EXCLUOING LAND VALUE) '-175 DOl>
SUBDIVISION NAME
131": l Lk: 1tJ60 p
SEmON
ZONING: ~ - I R~<;
E..~71}713
RumON
MINk. 't:
SQUARE
FOOTAGE:
SEWER UTILITY
PROVIDER: {;.,
WATER UTIUTY
PROVIDER: Cfl f-./l^ E-L
()
NAME OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE):
S-rl-V.e.
5lnii:// g~
PLUMBING CONTRACTOR: _----::::-;
/ll-flIN C,flt/L- ~~~\\
Plumber's Indiana State LiceR~~' 'ii% !,~!}_~;--- \ '
. \'\r =' -- , .
.4G (10 >'2 \ ,I ",) 111.1
. l..'.JJ
Which plumbing codes will be applied ~ 't'he stru(1ioilt \ \\
I\C\\I \lit'" ----
~ International Residential Code wflndiana Amendments-----
o Uniform Plumbing Code w/India~~A';;,~ndm~ ___-----
(Multi-Family Construction Code) ~___---
PROJECT INFORMATION: ----
Early Release Manufactured FOUND~TION TYPE: (Check all th pply for the new
P't Y vN T Y VN construct.'on area)
erml : ~ russes: A-
. - 'J ;( ~'E'I ';E;J.:c-AAWlSPACe.", ,~Q.., P.QS:;-A~EAM
Lot Split: _ y ~N Sump Pump: Y _N _" ~. 0 SLAB , '. - . , ~ -BASE~1fT
Does any part of the property lie within a special Flood deSign~ti~\1~~~f:;~_':,': '.'XS(: ,:'N,~':':_.";~<',~:'WA~~:_ Y----L-N
For Single Family and Two Family dwellings. additions. remodels. and/or atcessary S~I.VC~!~~':'~~h(p~r)J].~tiiS:V~!id,~O~l>"~'~' _ ru~tion commences
within 180 days of the date of issuance of the building permit, and must PeiC?'l}lplet_~d,,(C~rti.fi.~a~f of Qq;upancy issu~d) V(j.t . 18 months of the
issuance date. Class I structure permits are subject to the General Admini~rhh"'c R:i..J'es"r1'frh~ 'Stlt~o[ Ihdianal(Sce..675 lAG i egarding expiration
time frames for beginning and completing constrl\CJ@j"~i'\iA
I. 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 will comply with, and conform to, aU applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana. and all Acts amendatory
thereto. I 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 occupied until a Certificate of Occupancy has been issued by the Department of Community Services. Carmel, Indiana.
~
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:
~ NEW STRUCTURE
o ROOM ADDffiON(S)
o PORCH ADDffiON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
ktJI !-I
3-i/J -.1(;,
Signature of Owner or Authorized Agent
Print
Date
OFFICE USE ONLY: ***********
'***************** ***************~**'*r* *******************
D: slrO FilingF es: Cj{,4 _0
I'~] ./ 0 Base nspections: ,---:J 6 ~ 50
nder SI'lb7 . -
ert. of Occupancy: 5:1 ;-0
P.R,I.F.: 'c;Z C, 0 Additional Fees
TOT~: _ /.1td-Sd-fl -0
~Jl?4u{f]) /rd i-~/7'
INSPECTIONS REQUI
~I"" rootlR~ower F~
In
# Charged Re-
Reviews
Fee Received by;