HomeMy WebLinkAbout06040102 Application
r\ .
r j.o12l~<. -" CityofCarme/ICIay Township {/M-permit~~
.:.~,:. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
'''00 .' For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PHONE
f()9L/
FAX
2/& gO(g1
STREET ADDRESS
3'855 E
9 (c ffl
tvlD
STT<e::
cm
IND
LS,
STATE
IN
ZIP
..qro216
e
Iz.tl
BEST METHOD OF CONTACT:
!'tEs, ,CO ;208, -4094
H M ES:
PHONE
208,40Q4
FAX
21f.o. eo&, /
PROPERTY
OW!\IER:
NAME
STREET ADDRESS
SA;lV\t
cm
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT #
T3
SUBDIVISION NAME
1\5 '/
SEmON
2-
ZONING:
ADDRESS OF CONSTRumON
(P5lo ,LLEN H UKS CI Rc.L
/ /1) /t~~ :;~ATE_R UTILITY
,w f.J . '..z' ~9YI~~';;GAR [VI
--..-~I ,. \. ,..- ^ . '~~~
CTOR; PLAN COMMISSION / BZA-! BI'WOOCKET
WELL AND/OR SEPnC-PE'RMIT#'S (IF"APPLlCABlE):
---,I; ;:!
I .1) i/I !Ii
TYPE F,J~ROVEMENT:
v I" / II
~ NEW STR0cWRE
o ROOM-.b6~rn,6N(S)
PORCH ADDTON(S)
REMQDEL
ACCESSoRY/BUILDING
DETACH ED GARAG E
ATTACHED GARAGE
DEMOLmON
SQUARE
FOOTAGE: 3'54 I
SEWER LfTILITY
PROVIOER: Ct.-A Y
ESTIMATED COST OF CONSTRumON: ."
(EXCLUDING LAND VALUE) [J 2 ~ L, -5 S I .
J .::tJ=. q;.O i 0 0
HeLL T ER
TYPE C N R en
g SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PLUMBING CONTRACTOR:
'TAU L c. S M In!
Plumber's Indiana State License #:
rz/O'l T7 {
Which plumbing codes will be applied to the construction:
~International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
'" ./ \.---" construction area)
Permit: _ Y ~N Trusses: _ Y ~N
......., .B' CRAWLSPACE 0 POST & BEAM
LotSpht: _Y _N Sump Pump: ~Y _N 0 SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y :x- N WALKOUT:_ Y ~N
For Single Family aRti1MiASa~~&Uils~ tbh;r 66els" an lor accessory structures, this permit is valid only if construction commences
within 180 days ofctffij.Jeb'tq8~~lmdnEb\\lI~lpHliiR',I@'\~lrt'itst be completed (Certificate of Occupancy issued) within 18 months ofthe
issuance date. Class r structur5rgrn.~ 'Hi.q@1~w~eral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. f"\~ 11 ~l,tiR'A~~tfAnQl!ree5 and completing construction.
I. the undersigned, agtlIiti3tfaQfiHGM!Mtft{,lli~o'tfslrbctr6~ehYfrgSlneWr-rclocation, or alteration of a structure, or any change in the use of land or
structures requestecfb.l~ IDF~~~flf3ti.P\. '6nl \;g~ftQaf,llrapplicablc laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199J" (Z~2~' ~n~ amendments, qrJQJ1I\tt4,l.\flPKr 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, l:f.N.~MiM11~r drains arc connected to the sanitary sewer. I further certify that the construction will not be
use pie ntIl a Catlficate of Occupancy has been Issued by the Department of CommunIty ServIces, C.lrmcl, Indiana
"SU<<I('\\9-\ C \eD.n/ 01./-1 ()&
Print I Date
EONLY: *********************************************j!1~*'!********************
Filing Fees: ;L.:;t.j . -? 0
INSPECTIONS REQUIRED:, ') ') # Ch ed
Base Inspections: c-L~o<. 00 arg Re-
~pper FootinQ) Lower Footing Under Slab '~3 '--0 Reviews
- . Cert. of Occupancy: '>. )
(Rot;g~ ~ r';inal ~~. At:; I
~ ~ ~~ ~RI.~. .
C~~
CV'6-;r;tH)..~ '1~'2q- gn
Reviewed/Appr Od: Dept. of Community Services (Date)
S:Pef"mitsjFOfmsjILP RESIDENTIAL
Additional Fees
Fee Received by: