HomeMy WebLinkAbout06030190 Application
. City of Carmel! Clay Township Permit #: eYeO 58/90
. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Fa"mily, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
f--
JUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTIUlY
PROVIDER:
NAME
CU.LY
PHONE
FAX
tr.cwr7fof...1
OTY
~ATE
BEST MEniOD OF CONTACT:
BUILDER'S EMAlL ADDRESS
NAME
Cht"1ff"L /L~I7&f1-r /14""7
STREET ADDRESS
I CIV(<- >9u,/"tY"
. PHONE
co..,,*(lltoV 'S7f-lI1'l.
OTY
FAX
STATE
ZIP
LOT #
SUBDMSION NAME
ZONING:
SECTION
ADDRESS OF CONSTRUCTION
/30 $, JAJ4trL/AJ&"
WATER UTIUlY
PRoviDER:
-20 Scw7t-1 4-'t<Xitr(../<JE.(
jl.OJtJ - '25( t? '2.'" J7. s' W
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTIUlY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
"~ # of units:
D MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE:
Permit: _Y _N Trusses: _Y _N construction area)
. 0 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
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
(~tIleIc 0 ROOM ADDmON(S)
rJ n.. 'J-f 0 PORCH ADDmON(S)
='ij~O 0 REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
)i!f... DEMOLITION
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o Intemational Residential Code w IIndiana Amendments
o Uniform Plumbing Code wlIndlana Amendments
(MUlti-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_V_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit 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 pennies 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" (2-289) and amendments, adopted under authority of I.e. 36-7 et seq. General Assembly of the State of Indiana. and all Acts amendatory
.... .."'._"'"'''''''"'''' '''',",'''''---"''''''0'''__. '--''''"'''''f1'
used . . Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
LIU .., fXPJ I /J11t~.. f jl<rPOV'IC"/1f#>'7 ~ ~1. ,,~
Print Da
OFFICE USE ONLY: ************************************************************************
Filing Fees:
Lower Footing Under Slab
Meter Base Final ~
A-
(Date)
~~" # Charged Re-
Reviews
0f'~a~d~tiOnal Fees
~OTAL:
o.j)~~ 1), /v;//r111
Fee Re<ewed b : - 4/; q {rHo
Upper Footing
INSPECTIONS REQUIRED:
Rough In
Base Inspections:
Cert. of Occupancy:
P.R.I.F.: