HomeMy WebLinkAbout06030174 Application
City of Carmel/Clay Township 0,~ ~ permit#:r'Yo030/7~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of NAME~;1U)NcI
RECORD:
STREET ADDRESS
111 '2. '2.
BUILDER'S EMAIL ADDRESS
p../(.. t2.0el+ L.IN
PROPERTY NAME S'~
OWNER:
STREET ADDRESS
LOCATION LOT #
8r. PROJECT 0
INFO: ADDRESS OF CONSTRUcrrON
II '2..2- BRAdFO
PHONE 'i'1(,.- cJffl
CITY c.fIr;Ie.~
FAX
S"i/-9 IS::?
STATE
pu.
BEST METHOD OF CONTACT: 3
IJoL . ~Y'1 ~ s7/- 'It S
ZIP
~~~::1 3
PHONE
FAX
CITY
STATE
ZIP
/J IACR...-
SECTION
O~
ZONING:
~-I
SQUARE 5- q ) L
FOOTAGE: T.
SEWER UTILITY I A I I WATER UTILITY
PROVIDERCalfl1e,'1 v /11- PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLANdJt.1I1ISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WE~ANO/OR'SEPTIC PERMIT #'S (IF APPUCABLE):
./.~ ///-. \\ '\ \\
.. 1"1 \~, \
TYPE OF CONSTRUCTION: \\ <::-c~ /TYPE, I ROV ENT:
O ~o \\ /' \\~~ A'I
8 ;~;~~~~~~~~v::~s~ ~A:~~~~J) Pluq1bers I~(iir~~m~n~ #:
o MULTI-FA;:;;: {, tto p/IIl R~If1r\f9t:Id.ON Which m ~ns"Jiie~i1~be::'ap~lIe to the con
~ R:S~6~~~~~~F.,or. OF t M rc~~~iiilons ,0 International Residential Code wI Indiana Amendments
Additions, Rema, .0, ^ I1ii1. ",~~V/CES '0 Unifonn Plumbing Code w/Indiana Amendments
, M"",'",t:'7't!LA'Y (Multi-Family Construction Code)
PROJECT INFORMA'fION: " INDIA TOWNSHIP
'\,/'~ NA ~ FOUNDATION TYPE: (Check all that apply for the new
Early.Release Manufactureif' construction area)
Permit: Y N Trusses: Y ~
- v:. - O,;CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N ~ SLAB
Does any part of the property lie within a special Flood designation area: _Y ~
~LA~
GrlY)eJ
ESTIMATED COST OF CONSTRUCTION:
(EXClUDING LAND VALUE) .; :3 000
p~ -:10+1 N
PLUMBING CONTRACTOR:
o POST & BEAM
o BASEMENT
WALKOUT:_Y lY'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
strucrures 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 - 199J" (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 further certify that the construction will not be
used or occupied until a Certificate of Occu 'PJ1cy has been issued by the Department of Community Services, Cannel, Indiana.
~ ~eH~N
Date
OFFICE USE ONLY: ************ *:\'*
(b Filin Fees:
NSPECTIONS REQUIR D:j I .
\J ,\ \/\. Ba Inspections:
der Slab "\\ \ ~
" i.\ ert. of Occupancy:
'--.\0 .
Upper Footing
Lower Footi .
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# Charged Re-
Reviews
Additional Fees
(Date)
Fe