HomeMy WebLinkAbout06030187 Application
City of Carmel/Clay Township Permit #: vre D dO{<g 7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
UILDER of
RECORD:
NAME
CUfL Y f>7ICAur7tof...1
STREET ADDRESS -P.O. B her
PHONE
FAX
CITY
^ L ~.--t::: STATE
'Yl(A'~L
ZIP
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTAcr:
PROPERTY
OWNER:
NAME PHONE
C,M"'ItrL ILt>Ptw-j'JI1frtJ7 a..,McIJ'J,OLI 'S71-l(.1"L
FAX
STREET ADDRESS
I crv(<" >9u,I"rr
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
SUBDMSION NAME
SECTION
ZONING:
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCTION
/30 OS, JAJC;I!!:"t./~"
WATER UTILITY
PROVIDER:
'20 so,,:;?/-! 4,"""trt.I<-'E" SQUARE ~
,1(.0.10- 25( f.~ '1." sf. s, W FOOTAGE: ~
ESTIMATED COST OF CONSTRUCTION:
(EXClUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABUE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
g ~~~~E:~~~LY f'AJ>~IV~\ g ~~~~~~;~(S)
o TWO FAMILY UJr" 0 PORCH ADDmON(S)
. # of units: ::On ~ 0 REMODEL
MULTI-FAMILY VJ" 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) ')8( DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Manufactured
_Y _N Trusses: _Y _N
o CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
o BASEMENT
WALKOlJT:_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 Cannel
Indiana - 1993" (Z; 289) and amendments, adopted under authority of I.e. 36;7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I funher certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will n t be
used CertiFicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
L~r ~. cx..o.J I f}I'Hs01... f /l~PooJ""'/~
Print Da
OFFICEUSEONLY:************************************************************************
Filing Fees: ~
INSPECTlONS REQUIRED: f () ) .
Base Inspections: .Q, Y . \ # Charged Re-
Upper Footing Lower Footing Under Slab J2j/V ReViews
. ~"te ' Cert. of Occupancy: vi . ~, '_~
Rough In Meter Base Final I ~1II V'O
P.R.I.F.: (!) I,. Additional Fees
1 .
TOTAL:
O()f, Fee~-a-~~ 17.
Reviewed! proved: Dept. of Community Services
s:PermItsjForri'lS/ILP RESIDENTIAl
(Date)
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