HomeMy WebLinkAbout06030099 Application
City of Carmel/Clay Township Permit #01,030091
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
~la,\'" Co,.,r.T
STREET ADDfESS
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BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
STREET ADDRESS
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LOCATION
& PROJECT
INFO:
LOT #
SUBDIVISION NAME
c...\
G'l>"'\ A,T....S
SECTION
7D
SEWER UTILJ7Q WATER UTILITY A /l
PROVIDER:JJ0(. PROVIDER: (:C?~
NAME OF lJTIUTY EXCAVATION CONTRAGOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYP~OF CONSTRUCTION:
rJt SINGLE FAMILY
o TOWN HOME
o 1WO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
r$ REMODEL
o . ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PHONE
~~fO 1:> ~l.o \
FAX
CITY
STATE
I ZIP
~""\l
BEST METHOD OF CONTACT:
PHONE
'504> A." ~
CITY
Q.,..
FAX
STATE
ZIP
"::L
L..ao~
SQUARE
FOOTAGE: \eoo ~
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND :tJEl-;::*::.-o ,_. -
U ~)~~ II '\:1 ~ In'I\,..I..
I -------, Iii
Iii
I:
I
_I
RMAR 1 4 2006
Plumber's Indiana
~C 98800
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
rst: Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release / Manufactured /
Permit: _Y LN Trusses: _Y 1.N
I I 0 CRAWLSPACE 0 POST &. BEAM
Lot Split: _ Y --LN Sump Pump: .JL. Y _N 0 SLAB fit BASEMENT /
Does any part of the property lie within a special Flood designation area: _ Y 1N WALKOUT:_ Y-LN
For Single Family and T)ro s, t , NSIiWQT~ssory structures, this permit is valid only if construction commences
within 180 days of the;Hl9je~..t6h~~r13'ilh-rom ~~..!tl!itt91W}TIpleted (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure peq:!Jft~~tt~~tlew:ministrativc Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
I"\I=PT nr:: ("'nlfl/l)r,fM 0 glljl/l'J!iAnd completmg constructIon.
I, the undersigned, agree dr5h.hy' tor"sUuchfl~'t~'l~lB<<WL~ i n, e ij;~1tlit\.llhS.tion, or alteration of a structure, or any change in the use of land or
structures requested by {bd,~~rGAla-M:t&hYi,l~ly\fCf~$:p1ffple laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopt~~~ iijtlJority ofrC~ ~~-'i et seq, General Assembly of the State of lndiana, and all Acts amendatory
th to. I further certify that only kitchen, bath,IJ~cHl!:f6\J~ns are connected to the sanitary sewer. I further certify that the construction will not be
us or occupied un il a Ce . 'cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Print
1:>-\' -<>(,..
Oate
OFFICE USE ONLY: ********************************************~********~***************
Filing Fees: /,;( Z "7 J
INSPECTIONS REQUIRED: I
Base Inspections: / f) ':l 0 0 # Charged Re-
/ ReViews
Cert. of Occupancy: . ') / )()
P.R.I.F.:
Z. TOTAL' fj/' 7 ~u',
kReceivr/{tl 1dt~ . ~ ~/~2/o,b
Upper Footing
G";-g;I0
Lower Footing Under Slab
Meter Base ~ Site
c
- 5- cb
(Date)
(
Reviewed/Appr ved: Dept. of Community Services
S:Permits!forms/ILP RESIDENTIAL
Additional Fees