HomeMy WebLinkAbout060300128 Application
City afCarmel/Clay Township V&', I ~* Permit #()foD3DJ~
RESIDENTIAL IMPROVEMENT LOCA~-PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
FAX
fly+. -'12 Z-
STREET ADDRESn
702"1
BUILDER'S EMAlL ADDRESS
f'llV &<.
ZIP
bLI("O
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
OTY
STATE
ZIP
LOCATION LOT # (/7
& PROJECT -2-
INFO: ADDRESS OF CONSTRUCTION I' / 0,: I . SQUARE 2. /
t tYJ <J jr" . i ;v< _ MAR I: I F)l5'!~~E: J' 10
SEWER UTILITY C r 0 WATER UTILITY /' ESTIMATEd COS\, RLCONSTRUCTION: -'J '
PROVIDER: 'J ({ CJ PROVIDER: L"'I'-- fJ1.. e I (EXCLUDI1G LAND VALUE)- - ..L/(J 00 c.l ,9.JL-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN C~MISSION I BZAI BPW DOCKET A' ) -----:#=0 030 tf!S-
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDI PERMIT #'5 (IF APPUCABLE): -{ (A- ( /::, 1<-' ......JJ: }>/
TYPE OF CONSTRUCTION: TYPE ~ ~ : PLUMBING CONTRACTOR: I" ~ % ~'\
.~cINGLEFAMILY ~~' CO',~, / /' ".. ~
.JL-'~ Os ''IS 01,-' ~ ~ ..0
g ~~~:~I~~ l)- t~ >'vII!) el I ~(5~niliana State .cense #: ,~~.
# of un,'ts'. 0 ('ijiel Co~:eglJl. 0'(/ CJ }'.. ~
o REMO B tv;."" VMS. I' 7 ....>.
o MULTI-FAMILY 0 ACCESS<7J\iht!r~ S~IUmbl~gCOdeSWillbeapPliedtotheCOnsb'uction: .,
# of Units: 0 DETACHED~"T; tional Residential Code w/Indiana Amendments
o RESIDENTIAL (For 0 ATTACHED GARAGE r.~L,:'. .
Additions, Remodels, Etc.) 0 DEMOUTION 0 Df/ifilJBI Plumbing Code w/Indlana Amendments
(MUlti-Family Construction Code)
SUBDMSION NAME
rr.:<
ZONING:
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
,/ Manufactured /'
_y _V N Trusses: Y N
. =:;.r-
Lot Split: _Y VN Sump Pump: _Y _N ~~:LSPACE
Does any part of the property lie within a special Flood designation area: _ Y c..-1i
o POST & BEAM
lS-HASEMENT
WAlKOur:_Y ~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopted under authority 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 funher certify that the construction will not be
used or occupied until a Ci IDeate of Occupancy has been issued by the Depanment of Community Services, Carmel, Indiana.
--;::! -r-L -<<, r R L- 6=/Z.O UE
Signature of Owner or Authorized Agent Print
J -/7 ~Q.(
Date
OFFICE USE ONLY: **************************************** ********************************
Filing Fees: ~ ~ r::: 0
INSPECTIONS REQUIRED: - ~
Base Inspections: r;2 ~ 7,..:> 0 # Charged Re-
ReVIews
Cert. of Occupancy: ~ ( ){J
P.R.I.F.: /.;2 6- /- c1 tJ Additional Fees
~;2:3 "3 7, (,0
-tVDL 3 ,- y:S-()(o
Lower FOD
der Slab
Rou h r B inal Site
uJ~_, ~
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitstForms/ILP RESIDENTIAL