HomeMy WebLinkAbout06020110 Application
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City of Carmel! Clay Township Permit #()d):{O / /0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
MErnOO OF SQNTACT:
b-;n.-."\.'/
FAX
NAME
PHONE
)'Ib -2 7 62. FAX 1Y(- 122
STATE
..;Dv.
ZIP
Yt2ytJ
PROPERTY
OWNER:
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOH }fY
SECTlON ;J
ZONING: 5' (
ADDRESS OF CONSTRUCTlON
(( (j )3
SEWER ummv r' '/" /'
PROVIDER: l, / j{ tJ () C ~,;t,n-,~
NAME OF ummv EXCAVATION CONTRACTOR; PLAN cOMMisSi0~ / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELlANliiOR'S "RMlT #'S (IF APPUCABLE):
......-:: 'Ii ~,',Ii \.':;:?
TYPE OF CONSTRUcnOri;';"', \g;.':\ ~ F
!Q/SINGLE FAMIlY\ \::;,:-~';':>/
'. '.\
o TOWN HOME,' ') \ " " 1.?' c:J ROO
o TWO FAMI~\\~\ \-\:'0 0/' A~I?
# of Units, , \ "\ REMOD
o MULTI-FAMILY% w, - SORY BUILDING
# of Units: " DETACHED GARAGE
o RESIDENTIAL ( r ATTACHED GARAGE
Additions, Remo c.) DEM0LIT10N
PROJECT INFORMATION:
E I R I /' Manufactured _ ~ FOUNDATION TYPE: (Check all that apply for the new
ar y e ease~, C/'v construction area)
permit~ _Y ~ Trusses: "~_N s--tRAWLSPACE 0 eQST & BEAM
Lot Split: _Y _N Sump Pump: ~ _N [O.r$LAB er--BASEMENT ~
Does any part of the property lie within a sp':..cia~,!o d,:.~~g~~t'3i~UCT'~1'L--r(' WALKOUT:_ Y_N
For Single Family and Two Family dwellings, a 1,. ons:~~~f,:.!nd/..()t';lic~BrfJh-4 'iMe1~ . 'pennit is valid only if construction commences
within 180 days of the date of issuance of the fiiRiillfig:~~~~4.,mustd'c...~pleteaJ{Genmcate ~ Occupancy issued) within 18 months of the
issuance date. Class I structure pecm.its are sub~ect to the ~~c:raJ...;.1\A~g-fRfae~~~J't! F~l;i~tai:~lndiana (See 675 lAC 12) regarding expiration
tlI'l".fr.am'lS fer:EegllllllDg ijijd=mpleVI'&fP'lf1lWHliIW'l\ p
I, the undersigned, agree that any construction, reccMs~cJiot;. ~~ent; tel~clitto~) al~'hIOtt structure, or any change in the use of land or
structures requested by this application will comro \\fir.}{, Mcohfd'ahl:b, air iD~kC(il\>~ laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopted under authority of I.c.l~seq,~neral 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 occu i until a Certi/icate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
tJ L Ci< ()C~
Prijlt
SQUARE
FOOTAGE:
5'J77
ESTIMATED COST OF CONSTRUCTlON: q V /
(EXClUDING LAND VALUE) ./- / 0
rJdd. ...ILe--
\' :f:I: 6 (, 0 ::1..1/ 0<].
/u.. Y~AfOK.
PLUMBING CONTRACTOR: 0";:,,.0 '\
{a/I {l..--.aw ~-e,~~
Plum r'~ Indiana State License #: 0 ~ .~ ~~
/'" )-'j'O '7 "t:,....'ir>
Which plumbing codes will be applied to the construction: ~
@.-tntemational Residential Code w /Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
-I
Sig~fe of Owner or Authorized Agent
'2-2/.-Cl'6
Date
OFFICE USE ONLY: * **** ***** * ****** ********* ********** **** ** ****** **** * ***(J**************
INSPECTION UIRED: Filing Fees: CY;.7 r;t /()
Base Inspections: ~ 0 --7 ..> # Charged Re-
Under Slab C>Z. ( . Reviews
Cert. of Occupancy: 5'/ <"0
. ",I 0
c;lL v..
Rough In
Site
Additiona' Fees
P.R.I.F.:
~
,
Cv"-~ H)~ -Z.'Zr"'06
Reviewed/Approv : Dept. of Community Services (Date)
S:Permlts/Forms/ILP RESIDEmAL