HomeMy WebLinkAbout06030148 Application
City of Carmel/Clay Township ~ Permit # (J/; 03 tJ /'fJ
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of ~E
RECORD: 'Vi
PROPERTY
OWNER:
STREET ADDRESS
SctYY)
LOCATION
&. PROJECT
INFO:
LOT #
O/q
SEWER lJ1l4rv
PROVlDElL'Ij
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):
,
~ CONSTRUCTION:
NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~r~E:vv ~IRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GAc -
o DEMOLmON
PHONE
575 d..33J
ZIP
cm
STATE
ZIP
SECTION
&A-
{,.,j33
ZONING:
$'/
SQUARE
FOOTAGE:
07
a?
3,;2r;-
I
LI
ESTlMATED COST OF CONSTRUCTIClff.
(EXCLUDING LAND VALUE) r
PLUMBING CONT~OR: _
lifh'1rYJ g Vl~ +h c....
lumber's Indiana State License #:
CfJ OQ:V /6 I
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release 'Manufactured F ND~TION TYPE: (Check all that apply for the new,
P"t Y /:,. T ftN onstruction area) !.J....,-..LA.
erml : ~ russes: ~\H
" -? \ 0 CRAWLSPACE 0 POST & BEAM ("" ~~
LotSpht: _Y ~ Sump Pump: _N 0 SLAB 0 BASEMENT ~
Does any part of the property lie within a special Flood designation area: _Y ~ WALKOUT; w,y
For Single Family and Two Family dwellings, additions, remodels, andlor 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 Rlflt;E:6! ~e .ga..!~f!f~~raJ:~'~m~U~N:tg expiration
timeframesforbeginningandcompletin:~construction. r;'-, '("; .' h [I I ".
. .. . wU ):et..~ L',--l ',):, I.)".~lnc."' "llt a re atlon
I, the underSigned, agree that any constructlon, reconstructlon, enlargement, relocatlon, or teratlOnt q~,~}i~S~~r' o!.,~y' 9lang~~tye use ofland or
structures requested by this application will comply with, and conform to, all applicable laws of theCState oHndiana,lana'the~"~oHmg Ordinance of Cannel
Indiana -1993" (Z-289) and amendments. adopted under authority of LC 36-7 et seq, Ge!jg!!l\1,jetijNy oLt!!e:Stit~ENnfljilfa,~fallIi@l!~datoty
thereto. I further certify that only kitchen, bath, and floor drams are connected to the s~M"".sew~ I fu~ .c:.lftifyftl}.a;F-?9I\~~~ not be
us r occupied un . a Cercil1cate of Occupancy has been issued by the Departmeht'of totdmufrity Sei-VIces, Ciritrel: fudW:n'aY
- ~ UY"P '~A !d It
n IC-.f 5t-e.U/tnou,"c ,~ A tJC:,
ature of OWner or Authorized Agent rint Date
OFFICEUSEONLY:***********************************************~***********************
Filing Fees; cf3/ '70
INSPECTIONS REQUIRED: 'I'" . "'0 ed
~ ~ :J'\ Base Inspections: ~~ Z ) # Charg Re-
/lJ~ting <. Lo~ FoDting Under Slab I Reviews
<...~.--/ - Cert.ofOccupancy:~. S-o
~iI!i~ ~ Final ~ P.R.I.F.: / :l C; / 00 Additional Fees
C _ /l'irrAL~O
~~~ /' 4_
Fee Received by: -