HomeMy WebLinkAbout06030056 Application
City of Carmel/Clay Township Permit #: tJCJ,b 3 tiV t (p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAM PHONE FAX
RECORD: 4 D Ii II.-L eU'r[ol^ fJ o/l^Cj 7/1- <;7/ -/1-6LJ 7/1'5g/-/J-19
STREET ADDRESS CITY STIJ ZIP
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BEST METHOD OF CONTACT: ~ s<; 1-:(-
JlUh1 . tt. t! () J"'- t!E..LL - n ~5'lo
PROPERTY NAME )7~NE_)55_ ~)bb FAX
OWNER: €-p K~o '--VI A 1<-
STREET ADDRESS
'7'11- <) ,v. Uff/ING-r.J/..J 6dO
CITY
/AJDPI.-')
;;6,>'10
LOT#.,,~
~ -
ADDRESS OF CONSTRUcnON SQUARE c?
'))-0 IL <; L -11 r!/J I./'1 E L r;;/J 0 J :J- FOOTAGE,/d 0
SEWER UTILITY ~ ~\'L _ESJIMATED COST OF CONSTRUCTl.. ON:
PR~VlB!'R. _ " . _1<2_ ~LUDING LAND VALUE) 1;20 000. 00
NAME OF UTILITY EXCAVATION CDNTRACTO ,PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
LOCATION
&. PROJECT
INFO:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
~UL TI-FAMIL Y
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION.: /
Early Release J. /
Permit: Y --=-ry
Lot Split: _Y ~
Does any part of the ro
\' .-.- ~'.' "
l~~~~'~~~.:::j~r
:\
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
O~OM ADDITION(S)
DORCH ADDITION(S)
c:;} REMODEL
o ACCESSORY BUILDING ic ~ u co es w e .~~hed to e construction:
o DETACHED GARAGE liiferna lona "Residential Code wI Indiana Amendments- f11
o ATTACHED GARAGE ell /(
o DEMOLITION "0 Uniform Plumbing Code w/Indiana Amendments -fnJ"",
~ (Mu)ti-Family Construction Code) !3r''fff
FOUNDATION"TYPE: (c'!.eckFa I'that'~pplyfor th~'neW-I'~'
Manufactured . / Co;?:st.- iOi1iii'ea) "7" -G-q;Wfo-ortUJ.-ttl/
Trusses: Y ~ _-
CRAWLSPACE ['J fiOST & BEAM / .,'
Sump Pump: _Y _N 0 SLAB ,~" / CV BASEMENT /"
od designation area: Y ~ WALKOUT: Y / N
For Sing~'f~f~ ffi~~~l\V:1msaW~atM:ttii8ls, and/or accessory struet t l~r~ls -p y. qms~l n commences
withintS~;aayi'of'tIie8~J~riS~i: Coatr " 4Wgpermit, and must be complcted(C I ~~_ _~s )MaTh 1 onthsofthe
issuance date. Class. PJtnit~:Atb}g:h~are.t~t1Q:.t.hh x!<;<u;<i' I Administrative Rules oft S ofTriiliana(SCC'0751ACTI) 1 mgexplranon
DEPT OF COi\~MUNIlY;{~I;IJ{el.~Rginningandcompletingco on I
I, the un~~~e~wt:t1t't . i\(:df~MIilment, relocation, or altera n f srrwi~, 01 awr cJwe\~ 10 th u f land or
structureH~cfut'st~ ttrtn.'pptl'ca . mply witt: a~d~c-;nform to, all applicable laws of t S of l~a, and~el~ing 1 'ce of Carmel
Indiana -1993~ (Z~289) and ame ,ted under authority of LC. 36-7 et seq, General As b f the State of IndIana, and all
thereto. I fu ther certify that only ki -he ,_bath, and floor drains are, connected to the sanitary selL -
r pied until enjfl at 0 Occup ncyhas been i tkd by the Department of Co unity Services, Carmel, Indiana.
~i4 7J C(,Y -. I L-L.
Print
OFFICE USE ON Y: ********************************************Z:Z*****~****************
Filing Fees: ~ :Z)
INS ECTIONS REQUIRED: 'i
Base Inspections: / () ? 00 # Charged Re-
ReViews
Cert. of Occupancy: 5/ .50
Upper Footing Lower Footing Under Slab
~~In--:~eter Base ~'f0
P.R.LF.:
AddiUonal Fees
;f/~s?7 c;2 f
I-~:I b(J:iJ00
3-1
(Date)
~ TOTAL'
^ IXA^ I
FeeR ed ,~ ~ ~.
ReViewed/Appro d: Dept. of Community Services
S:PermitsjformsjILP RESIDENTIAL