HomeMy WebLinkAbout06030172 Application
CityofCarmellC/ay Township d5-permit#{h02/)/7~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME M
RECORD:
PHONE
./flQJ
FAX ~O
BUILDER'S EMAlL AODRESS
fYU..
BEST METHOD F CONTACT:
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET AODRESS
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT # r 3 SUBDMSION NAME
ADDRESS OF CONSTRUCTION
SECTION
ZONING:
SEWER UTlLITY
PROVIDER:
A { /1' SQUARE C
' {IT" L,tL FOOTAGE::S C'
ESTlMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
:1.5 ct:D
1P 0(;,0301'7)
I fYll1J
IMPROVEMENT: PLUMBING CONTRACTOR:
STRUCTURE Pa.u.-I jff1.'1'A..
M ADDmON(S) Plumber's Indiana State License #:
PORCH ADDmON(S) 1017 7 rJ
REMODEL .{-
ACCESSORY BUILDING Which plumbing code. wUl be applied to the construction:
DETACHED GARAGE ~ntemational Residential Code w/lndiana Amendments
ATTACHED GARAGE
s, Etc.) DEMOLffiON 0 Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: f
Early Release f Manufactured t I .lOl:lND~TION TYPE: (Check all that apply for the new
Permit: Y N Trusses: Y N L./ _onstruction area)
- - ^ crrO:~Rf\~~~ACIrRUC~fIt)ST & BEAM /
Lot Split: _Y N Sump Pump: Y B];,NErl"-" "d' '51 AB -,.~.. I rl8'\SEMENT
~Jlh~ 't ~o COrT\'illdiYlO With ~ I regu 0
Does any part of the property lie within a special Flood-uest~'i\atl~J1J!~fld ~c:il:1 il!s, WALKOUT: Y , N
For Single Family and Two Family dwellings, additions, remodels, 9~ptlic~soe'jJfuHuteSN'. e~ta\f. y if construction commences
. within 180 days of the date of issu~ce of the .building permit, aIl4~~!j~~..c<:>,mp1~~rt,if~~tOf~KP> within 18 m?nths o~ th~
ISsuance date. Class Y structure pernuts are subject to the GeneralfAdm.ihl~rU\-e1Hil~ ~.~~ ~'{a,~ ofYnmana (See 675 lAC 12) regardmg expIratIon
time frames for beginning and completing~ct:tOn.
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 Cannel
Indiana -1993n (Z~289) and amendments, adopted under authOrity of l.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I funher cenify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or oc upied until a Cert ate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~y G,(CZjJ
#'
o MUL ~
# of
o RESIDEN
Additions,
3- d-1W
Date
OFFICEUSEONLY:************************************************************************
Filing Fees: 'f--?rJ- 00
INSPECTIONS R IRED: .
Base Inspections: ,;;; {, 7 ,- () # Charged Re-
r 0 ReViews
Cert. of Occupancy: 'J I ()I
P'R'l.F'~: /~,' c/ aG, Additional Fees
TOT ( (~;;-?<3'pO. CO
, '-7-(2 /: ., ~
Fee Reteived by:
ppe Under Slab
~eter~Cfina, ~
o
(