HomeMy WebLinkAbout06030031 Application
City of Carmel/Clay Township D M Permit #: OiJ() '1. O1lJ L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE
'" goo 77'). 'f6/..t
FAX
3/13'1 0035
WIrL/(ci(
,4fOLIJ
BEST METHOD OF CONTACT:
E-NIL oil CELL !.-7'1 SJ6 If'lJ-.5
PHONE
3/? n; 7/1/
STATE
(#
ZIP
STREET ADDRESS
Sfll6iPN SQ
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
P OV010o @.. S"fjcGLo6#L .IJ/=-l
NAME ,c
'ON~Y
FAX
LOCATION
&. PROJECT
INFO:
STREET ADDRESS CITY
GMIIIT( R.. /1tl
LOT # SUBDIVISION NAME
Sr TO~[Htocl fsrttr&
ADDRE~ CONSTRUCTION
.)7 C/(A,.J/,/r- f)~
STATE
ItV
ZIP
460TL
ESTIMATED COSTiOF CONSTR _ N:'''~'''i '~",
(EXCLUDING LAND :v~~u_~~.;~ ( .~e2-_:, .. }60..o__. _~_
, J J Ii!! '
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET Ii'" < I -. j i i
NUMBERS; TAC DATE(S); AND/OR (OUmY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): 11 n \ I ')(''In 1 i i I 11
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CON+~CrOR: #kU ji 1 U!:
ef SINGLE FAMILY I L__ _j1..,~j,. -"--.._.. ..J I,:
o NEW STRUCTURE LV V,
o TOWN HOME c::J/ ROOM ADDITION(S) Plumber's Indiana.Statll.License #: .___1
o TWO FAMILY (Z PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc,) 0 DEMOLITION
ZONING:
IC-
SQUARE ( i'"
FOOTAGE: "
SECTION
'1
SEWER UTllIT'(
PROVIDER:
WATER UTILITY
PROVIDER:
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: ,
./-/ ~ FOUNDATION TYPE: (Check all that apply for the new
Early Release ./ Manufactured ~ construction area)
Permit: Y L- N Trusses: Y ~N . ./"
..---- 0 CRAWLSPACE trJ POST & BEAM
Lot Split: Y....Lft' ;"mp Pump: y' 0 SLAB 0 BASEMENT_y . ~'
Does Ycr~:'Il.f;!h.J ~rtJi!.~J~,jlIjil\JOililta/ll Flood designation area: _Y LN WALKOUT: v-N
For SStgtejBamil)Vafid;T~;faIhfiY tWJt\Iii\Us: ~i'dl~U?~~odels, and/or accessory structures, this permit is valid only if construction commences
within 180:daY0tf9tatGte.ptjs!ua6BJ~86ilding permit, and must be comPU'RlJme' S.W' hf' 18 months of the
issuano:..dai5fo~e-oMMU~~~neral"Ad"ministrative Ie t f e gardingexpiration
lJt:: .,4tQ egmmng and com pIe c t
I, the~i~, ~E~~nQ.A~, leY , nlargement, relocation, or alteration of a structure, or any change in the use of land or
struct~~s"'r~quested by this ~N~ comply with, and conform to, all applicable laws of the-State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 19 .. (Z- 289) and aHJ~~nts, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. ther tifr. hat 0 kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
q;pi t" C "cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
lJ/Cffl1fL TPf<ovo b~R.06
Print
Date
Rough In
LY:*********************************************~*~***********************
Filing Fees: / ~ I. 7 q
PECTIONS REQUIRED: / / > ----/0 # Ch d
Base Inspections: _ &.tJ ') arge Re-
Lower Footing Under Slab I /j '---/1 Rev,ews
Meter Base ~~;~:----) Cert. of Occupancy: J; .2..!/
~ ~ :=/ TOJ,W /' (:'. ~ % 3 7;"-:~'
~~~/(-~L-
OFFICE USE
Sv.r-"
Reviewed/ApD ved: Dept. of Community Services
S;PennitsjFormsjILP RESIDENTIAL
Fee Received by:
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