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HomeMy WebLinkAbout06040069 Application "'WK". City of Carmel/Clay Township t)!'V permit#:OltlJt.j.()1)(~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: NAME ; I burY! /3/'0'5 (<:>;151- (6 STREET ADDRESS [./os- VIS4-", f)~ BUILDER'S EMAIl ADDRESS PROPERTY NAME OWNER: ~c=... 00 r z.4/&ki STREET ADDRESS 57'-7 fYleJo4l1"",.t p4c~ LOCATION LOT # SUBDIVISION NAME &. PROJECT 30 Z. --Jr/h .4///,'/>/ Gk" INFO: ADDRESS OF CONSTRumON 57'7 /1?C"A.aW SEWER UTILITY PROVIDER: LC. "--"'<0- I WATER UTILITY PROVIDER: C '" .-" yo,,,- ( NAME OF LfTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I 8PW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE); TYPE OF CONSTRUCTION: o SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY / of Units: r:y RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: o NEW STRUCTURE o jlDOM ADDITION(S) 1M"" PORCH ADDITION(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITION PHONE L?, I)) '?'II.{-O'l7?> CITY ~ IJ Ft-:X { 3'/7) 57/-/1'/2. STATE -x:;. ZIP 'Tb ZI? 0 PHONE BEST METHOD OF CONTACT: ~oo N jL':/1,,,-,,,,, ~ :;; 9 - 202 D Ft-:X CITY L+rp,~.J STATE :::z;., ZIP SECTION /0 ZONING: ~-3 \ i4 SQUARE FOOTAGE: S l. 4' ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) d 12.. 000. 000 I r(i.:~'T~~r---~-"-'-'-'- ... , ; i I !' 1..1 ~ i ' [ PLUMBING CON:r~ctOR:2CC6 , !:: i i I-'! I ' ' "I 'I i I ". ,II \ i I i ll:~3 I 006 '; Plumberis Indiana Sta~':JL~i!nse #:' I ! i '.:, L..-----.......-I'- ..Lc:::.==c.::J.-.----uJ ,.-- Which plumbing codes will b~,app1ied.to.the,cDnstrUction:_"__. o International Residential Code wI Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) PROJECT INFORMATION: /' ......--FOUNDATION TYPE: Early Release ~/ Manufactured ~ t ct' ) Permit: Y N Trusses: y ==' cons ru Ion area . - - - 0 C LSPACE Lot Split: _Y _N Sump Pump: _Y' ~ Does any part of the property lie within a special Flood designation area: -Y..JN (Check all that apply for the new o POST & BEAM o BASEMENT WALKOUT:_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 ~)E! Pfe1x=8~f~F-tt9CJl.J~~~J4il\iHllPin~.i.'.. flnd must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. '"&~T~crute pMtffi:sWs~t!~~ GtY!~1 Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration SubJeet toeomplionee witililllt fll@ltlalifllilltinning.ndcompletingconstruction. I, the undersigned, agre~~.ste~~d~c;;~lr~00O"SIf:tion, enlargement, rclo~ation, or alteration of a s~ruc ur or_in the ~se of land or structute>tequ_tlrif;dJ~~~~t!!mto.allapp~~ . ' gOrdm.nceole.rme! Indiana -1993" ~ 9 a'rr'd'am'tn"d'rHe; ,t'eduhHi!t9u~l! i ~ l.c. 36-7 et s.V .- " ,Acts amendatory thereto. I furtJiJ. c r IthGbmijMab,j1:G lTcGwa.! I:fihnccted to die sanitary sewer. furdier ccrti y that the construction will not be used or occupied until a Certificaf 'P!cyhas been issued by the Departmcnt of Community Services, Carmel, Indiana. ~. . ~. i. ,q ,.c;1'''.-''~ S'r S;c 'I~J~' Signature of OWner or Authorized Agent Print Date OFFICE USE ONLY: ********* Upper Footing Final P.R.LF.: C~;~I~ ,- Q-V-06 Reviewed/Appr ed: Dept of COmmunity Services (Date) S:Pefmits/Forms/ILP RESIDENTIAL Fee Received by: **************************************** /'7).3? / Ite; S-IJ I 53- So # Charged Re. Reviews Additional Fees 3?