HomeMy WebLinkAbout06020130 Application
City of Carmel/Clay Township Vl.~ Permit #()&,O~O /30
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
STREET ADDRESS
\\\'0 ~o"''-l
STATE
J ZIP
bc~\\
NAME
~b
PHONE
"';)\""1 _'5& ~L..
CITY
FAX
""
'-'.
BEST METHOD OF CONTACT:
,~
,
\\G.~~ . U"<>I'\. \ :\I\~
PHONE
~n c:.:' \u\q
.~ CITYGa.,.-meJ
FAX
PROPERTY
OWNER:
NAME
STATE
\~.
ZIP '"h.032
ADDRESS OF CONSTRUCTION
~~Ii.
SQUARE
FOOTAGE:
~
LOCATION
&. PROJECT
INFO:
SECTION
ZONING:
\.0
lac"
SEWER lmLITY
PROVIDER:
CLt..--?
a
0=. Ql;l
TY;{tJF CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
/ # of Units:
111 RESIDENTIAL (For
Additions, Remodels, Etc.)
BPW DOCKET
~ (j's (IF APPLICABLE): ',\ i, . .
TY flfte~~~: PLUMBING CONmRlfcTOR: - iilt ;.
~~o <;>~ Co (\ 'ir,\1 Ii ,,'
o N ~lll-6> ~ ~l.. V'":~\~. ""85 ", I,!
o RO 1'0 <5'~lumber's In~l"na Sta Qce~J #:0 J i U! j
c:VPORY.JiI.jil D ~'L ~/,I , aD loUoLl '-' I
rtJ REMOlW./ 0. ;:;'000; /'s. C> . .. ,
o ACCESS~ii?lu riI~ a~ . !(~bing des will be applied to th~ construction: J
o DETACHED \1AR!(GE-() '9~ 0 P.q,mational Residential Code w/lndiana Amendments
o ATTACHED GARAGE""IA o...t . . . .
o MOLmON y~ \.~Un'fonn Plumbing Code w/lnd,ana Amendments
DE \Sl~^ (Multi.Family Construction Code)
PROJECT INFORMATION: ,''-
Early Release ~ Manufactured /: FOUNDATION TYPE: (Check all that apply for the new
Y Y N construction area)
Permit: ~ Trusses:
. - 7 - 0 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 LN
o ..A"OST & BEAM ;:
~ BASEMENT
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 I 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.
It 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, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
In . ana -1993" (Z~ 289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th eto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
use or occupied unt'! a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
Signature
-r6.~-? ~. 'hllol.olit'9\\'l.
Print
a ~d4 ,Ol.o
Date
OFFICE USE ONLY: **************************************** ********************************
e., Filing Fees: / 7- ~ . 7.6
INSPECTIONS REQUIRED: ~/3 Base Inspections: '; tJ 7. 0 0 # Charged Re.
Upper Footing Lower Footing Under Slab Cert. of Occupancy: 67 . 50 ReViews
~. Meter Ba e Final 5i"
~. P.R.LF.: ./ -- Additionai Fees
\;0"- ~TO~Ah/ Jt;:I\8 7. U
/y~~_/DjtrA~~,
&/JJ "
Reviewed/Approvea:- Dept. of Community Services
S:PermitsjForms/ILP RESIDENTIAL
(Date)
Fee Received by: