HomeMy WebLinkAbout06030187 Application
City of Carmel/Clay Township Permit #: ()(P,(J 30/<6'l
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
,'"'
JUILDER of
RECORD:
NAME
CUlJL Y
tr. WI U;7 to/-.J
PHONE
FAX
~
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME PHONE
CtlIlHlff'L /L~Pi!sVUt.-oI' J<16V7 co..,,,,,,,n,o</ 57/- 2./1'2.
FAX
STREET ADDRESS
I C,V("- 59u,/""..-
CITY
STATE
ZIP
LOCATlON
&. PROJECT
INFO:
LOT #
SUBDMSION NAME
SECTION
ZONING:
SEWER UTIUTY
PROVIDER:
ADDRESS OF CONSTRUCTION
/30 'S. ,1AJt!7~i.pJt>
WATER UTIUTY
PROVIDER:
'20 Yo,,:?/-I '€-"P'itrL./</E t/
!l-O,lO - '25( t -:2" J7.
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SQUARE ~
FOOTAGE: fC./
ESTIMATED COST OF CONSTRUCTION: ~
(EXClUDING LAND VALUE) ~
Dial ~13~1C-
i31cl-}\
S.W
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDmON(S)
o TWO FAMILY LoIIIII'VIAf,' 0 PORCH ADDmON(S)
.~..Di # of units: ''''' ~ 'C..''aI 0 REMODEL
MULTl-FAM~O 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) ~ DEMOUTlON
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE:
constJVctlon area)
Permit: _Y _N Trusses: _Y _N
. 0 CRAWLSPACE
LotSpht: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indlana Amendments
o Unlfonn Plumbing Code w/Indlana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOlJT:_ Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if constnlction 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 dare. 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 Carmel
Indiana - 1993" (Z- 289) and amendments. adopted under authority of r.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 n t be
used . . Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
L~r ~. IX-P.J I f}IIt<sO'h,. f /l"'P""""'/'f#Vr7
Print Da
OFFICE USE ONLY: **************************************** ********************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
Upper Footing
Rough In
Lower Footing Under Slab
Meter Base Final c9
P.R.I.F.:
Reviewe /Approved: Dept. of Community Services
S/ILP RESJDEtfrIAL
~ ~ TOTAL:
~DCI,
Date) 0 f1a.J^_
Fee Rece ed by: '<II
17.