HomeMy WebLinkAbout06030088 Application
City of Carmel/Clay Township otlA Permit #04,tJ30()>!8
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
NAME
BUHRER'S EMAY- ADpRESS
Oiv.J!>t>.A..c.ll '\J ~..{.-+ N-<:
NAME ~ f'p.
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTILITY
PROVlDER:C eft v.J 1)
fl-
WATER UTIUTY , J
PROVIDER: ~l) .5
PHONE
$'?
STATE
:::t:J>..I
ZIP
PHONE
FAX
s.{-
W,,-fvv
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OtCONSTRUCTION:
G>YSINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE IMPROVEMENT:
NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
.,/ Manufactured /'
_Y --=----.,pr Trusses: Y VN
,/" "7 0 CRAWLSPACE 0 yOST & BEAM
Lot Split: _Y _N Sump Pump: Y =N 0 SLAB (WBASEMENT
Does any part of ~~~.prop.c. 'F\'il!:@)!!I/@:T;fI\a68lil~gnation area: Y IN WALKOUT: Y ~
For Single Family ~li.;~fM1ibr:~d'W#Um~id'M~gn~. e ~~ i, an Id~ accessory structures, this permit is valid only if construction commences
within 180 days o"fcrle'datc q(iss_~~e cn~~ b..qildiig..ffeiMl~ and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class.! struc~{!rSPfJ~r~71!~l,p'f~fqtfeqf2~~trative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
lJEP I U, \...."'#, .l.\; 't'tfu~ ~rap'\~~l-'ftb.lf&l}}'fPE*-if~completmg constructIOn.
I, the undersigned,~~~ (~,tF~hj5DtrJcfug~tlon~~atglri\ent, relocation, or alteration of a structure, or any change in the use of land or
s~ctures req~estecHJy thIs application \V~~p.~.A. and c~nform to, aU applicable laws of the State of Indiana, and t~e "Zoning Ordinance of Carmel
Indiana - 1993 (Z~ 289) and amendments, adb~led under authonty of I.c. 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 Certifica of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~" LA.b~""2'ILA< I /J
Sign re of Owner or Authorized Agent Print - Da V j
OFFICE USE ONLY: ************************************************************************
Filing Fees: /2/(, ;3 D /
Base Inspections: ;:J (, '7 yO # Charger
Rev;/
Cert. of Occupancy: 0-/. .s() /
I d, 6/. 00
-I ;Z} ;1r;
PROJECT INFORMATION:
Early Release
Permit:
INSPECTIONS REQUIRED:
(Opper F~~Lowe~ Foot~ Under Slab
~eterBa~nal ~
CV'4-:q His~ ?rl<{-o6
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
P.R.I.F.:
Which plumbing codes will be applied to the construction:
o I~national Residential Code wI Indiana Amendments
rv1Jniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)