HomeMy WebLinkAbout06030121 Application
City of Carmel/Clay Township Permit #:Ot,D30/:Lj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME Y<..ffl1!l.OSC. t::S ~6-P~ONE <gl./? -~~c.f~
'OrREITCJ~ss ;) 15.9 Atle S. (,(/. CITY fJ1cL ~ ~ATE
BUILDER'S EMAlL ADDRESS
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
'OrREIT ADDRESS
LOCATION
& PROJECT
INFO:
SUBDMSIO~ VIS f'I+-
ADDRESS OF CONSTRUCjlQ.N
, 03 rAf./S, CT,
SEWER UTILITY Ll A WATER UTILITY
PROVIDER: CI'Y( fi1 ec....--- PROVIDER: C ~ 111 E- L-
FAX
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/,~/ ~;.' FOOTAGE: " .;z;)..
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ESTIMATED CQ.ST OF R1JCTION:
(EXCLUDING LA~ALUE) /I'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
PROJECT INFORMATION:
Early Release , /" Manufactured , /'
Permit: Y ~~ Trusses: _Y ~N
VN . /' 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: K-Y _N 0 SLAB ~BASEMENT
Does any part of the property lie within a special Flood designation aftla:L -. -Y-~,~ '-'''''' ,WALKOUT:_Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory sdt~~tis!'this-'i?efrnitisya).i~9~ly if ~~ns '" . Nommences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of.9c.<;:~pancr:i,Sfi~~~).Witlim~-H3tbRt;.ths of the
issuance date. Class I structure permits are subject to the General Administrative Rufespf tlie:State.of Ill(~i~nal (See 675 lAC 12) regarding expiration
time frames for beginning and comr:el}i1lgcons~~ct~6ft,:~'C!'!;i::fL} f\ i{ 'Y' SE:Q\f/0j::C"
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, ora1t:ehmon..ofa.stru:cnrre"ora~y.ch.ange in the \1seMland or
structures requested by this application will comply with, and conform to, all applicable laws of the State of I~ana~ _~a tlie ;;'Z<!Ining '~~pf Carmel
Indiana -1993" (Z~289) an amendmen opted under authOrity of I.c. 36~7 et seq, General Assembly of th~~bHfl~ana, and all Acts amendatory
thereto. I furt at only kit en ath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
us or oc til Certif}cat 0 'Ccupancy has been issued by the artment of Community Services, Carmel, Indiana.
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lY~ CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
Authorized Agent
lYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
BK ExWA.trAlf,.
PLUMBING CONTRA OR: zlPCJh{J 301.20
/J11 L /II EX... 'll{ /1f 6/ N ~
Plumber's Indiana State License #:
-.FC- Ie; ~ tJoo"i" 1
Which plumbing codes will be applied to the construction:
o International Residential Code w}Indiana Amendments
'it) Unifonn Plumbing Code w Ilndiana Amendments
"\ (Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
3!Jt,/tJ(n
Date I t
OFFICEUSEONLY:*********************************************fX*************************
I -?J/JJ-:' 0 Filin~ Fees: fLL '77/0
INSPECTIONS REQUIR!,D: 10" J- /ta'se Inspections: / ;;2 (, 2:::'0 # Charged Re-
Upper Footing ~wer Ftfot~ Under Sial! // , .-/ --"0 Reviews
~_/ Cert. of Occupancy: ~ J
Rough Meter Ba '~- P.R.I.F.: 1r;2 (/ f) 0 Additional Fees
~ 7;A'L!;t ;3 ?j;-{)y,
Fee Recelv d by;