HomeMy WebLinkAbout06030161 Application
City of Carmel/Clay Township Permit #: 0 ~{j3D/fol
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Early Release ~. . Manufactured ~
Permit: Y --6.Jj/ Trusses: -LY_N
-r::\ ~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: Y ~ Sump Pump: _Y ~ ~ SLAB 0 BASEMENT
Does any part of the property lie within a s d designation area: Y ~ Y eN!
_ _ ........" r"- I I
Fo~ Si~gle mm.~ ... ~ .-.~.):~n~~~,~ag~ti~~~et~\.si and/or accessory structur~. his permit is vali~~~~~ cp.~mences
Wlthin 18<BlJ.Yf~M:Ui€daterc:nlSSUanc~ ofih'e If.qlI4t!!gpernut, and must be completed (Certific~.te of Qccupa:m:y Issued) WIthin 18 m,qnthS of the
issuance date. Class I strpqqrtpentiiti are su5jeef'to'iHe G.ene~dministrative Rules of the S9te~1ndiana (See 675 IA~ p~-"egartJ:~hg~~iration
- n;:; r'~NiMUNntJft>';:!ihi!I;WfrG6Eg;imingandcompletingconstruc\iF,l\\ on07 17 7, \:I'l'l' \ \'.J\\
I, the undersi9'Ja~~e_etliat :hflt&~011CIi?I1 rrcon~p.n~ttnent, relocation, or alteration o~, f;nrq:ure.-<rr any cbange in the use Of lall~, <;>r
structures rCfCN~ 13fI1i.GWBcMQil~ ~tY With~cfcoiifOrm to, all applicable laws of the State1df rhliiana, and the "Zoning Ordinan~e 19f Carmel
Indiana -1991" (Z: 289) and amen~ffi~ ~ under authority of LC. 36-7 et seq, General Assembly ~~ tb~\ ~~~_<:?.L In~a;(3;D,q~a,rr;Ai~tra~~Oatory
thereto. I funher certify that only kitdien,'hatli: and floor drains are connected to the sanitary sewer. I funher certify t~t the construction will not be
or cupied until a ~ meare of Occupancy has ~n iC the Dep=t o~ comm:jrvi~eS' ~1.;";diaDa:~;;~ 3/0 /0
re of Owner or Aut orlzed Agent Pro t Dati
OFFICE USE ONLY: ** * ***** ******* ****** *** ******* ** ******* * * *** * * ****** **** ****** * ** *** ***
INSPECTIONS REQUIRED: Filing Fees: CE 3;:2 , ~
Base Inspections: ? s? . # Charged Re-
Under Slab . I...-.'TI Reviews
Cert. of Occupancy: ~ 0 (../
/ 'L~l ,00
~;2.
BUILDER of
RECORD:
PROPERTY
OWNER:
rnQ
LOCATION
&. PROJECT
INFO:
TYPE OF CONSTRUCTION:
, 0 SINGLE FAMILY [_' . '
~OWN HOMEI0tL UUJ I r1
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
6\NEW STRUCTURE
d ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Final
Site
P.R.I.F.:
-
C\r""-_::<:t/1.J/~ 3-30-0,<;
Reviewed/Appro : Dept. of Community Services (Date)
S:Permfts/FoITl1S/ILP RESIDENTIAL
Fee Recel
:sPH[S -a3S0
5f5~3
STATE
ZIP
630
PHONE
BEST METHOD OF CONTACT:
t.::.- rYlQ.',
FAX
CITY
STATE
ZIP
ZONING:
SQUARE ,
FOOTAGE: J5 '7 -3
ESTlMATED COST OF CONSTR.'!fT10N:
DING LAND VALUE) Y I
{rf!8
PL~NG ONTRACTOR: _
/YY7l'h1rr.S~ -1-11/ ./
Plumber's Indiana State License #:
C to / O:XJO /0 /
o .
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Additional Fees
3{)