HomeMy WebLinkAbout06040109 Application
BUILDER of
RECORD:
o#t
City of Carmel! Clay Township Permit #C1f)lfo 1Cf!
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-F(fj~"tfotIje'!ily: New Structures, Additions, Remodels, s.. Accessory Structures
onnon Inshaw
NAME
PHONE
FAX
';
STREET ADDRESS
Indianapolis, IN 46250
CITY
STATE
ZIP
NAME
PHONE
FAX
PROPERTY
OWNER:
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
s.. PROJECT
INFO:
LOT #
v.:T -
SECTION
ZONING: J _ /
QUARE t;". ~ /)
FOOTAGE: J /v 0')
A
SEWER UTIUTY II J /WI\TER LITY /J /l 1. TV) " i/
PROVIDER: Ul /::~ '<:R~{DER: CLUV J ~
NAME OF UTIUTY EXCAVATION CONTRACTOR;:PXA
NUMBERS; TAC DATE(S); AND/O~.~~,~N1j'~E(l A
/' /",:' .',r
TYPE OF CONSTRUCTIONi::~/
I)j SINGLE ~A~Il:y'\V '='J '1)
o TOWrt'l"~/ "
o TWO ~~IL ~<<::-
#ofUri~ \"
o MULTI-FA" t:Y
# of Units:
o RESIDENTIAL
Additions, Remo
UCTURE
RO ADDITION(S)
RCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATIACHED GARAGE
DEMOLITION
PLUMBING CONTRACTOR: -=f:F {}bO L/ 0 I 0 ~
~T WDJu J
Plu ber's Ind na State License #:
/ IX)., DD(),!;t 7
Which plumbing codes will be applied to the construction:
f1i International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_ y LN Trusses: ~ Y _N construction area)
,/ \1 0 CRAWLSPACE
Lot Split: _ Y ~N Sump Pump: ----L.. Y _N 0 SLAB
Does any part 0"""'"" Ii. hin a special Flood designation area:
"YC'~ r
For Single Faroil lW~ torrttly~~addl'llO~1 re JQ~r accessory structures, this permit is valid only if construction commences
within 180 days of the datltSt ~e oi'tft'f ~t ffi. pJitegLtlelti~mf be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Claf)eP'ft'~'ffl:iej:lpJl's Mgu~€Ia:b scral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
vr l,.,UMMUNI~PfyJ.QlU.flg and completing construction.
I, the undersignM,I~e ~a.@~AMl=tlm{rNI1.,*~i'rl5n~~lm.ti:, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application YiiJt.s:~tnp't1lwttlhr aJi(~UM.d~t?pplicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendmentU~4:N:Aier authority. ~fyt~ -1l-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and Goor drains are connected to the sanitary sewer. I further certify that the construction will not be
use? ,occupied un,i1 a C tiReate of oeeupa~e; been issuedq bW;/i;:;;;2 :?17~VJ7;;/:; ,:;l" Indiana.,; _ / 7-0&
Sign ure of w er or uthoriz Print Date
PROJECT INFORMATION:
Early Release
Permit:
Y
k:-N
o
~
POST & BEAM
BASEMENT
WALKOIJT:
yX
N
OFFICEUSEONLY:************************************************!fA*********************
Filing Fees: Z9;Z.r20
_INSPECTIONS REQUIRED: '7 ? '7. ~O
-e- _ "'\~ Base Inspections: d-, J
~per Foot!JllY (!ower FO~._. Under Slab ., ..:....5-3 J S- 0
Cert. of Occupancy:
~) 0eter~~ S~ P.R.I.F.: ,~7:(/iJ-
# Charged Re-
Reviews
C 'fr1-- ~ C\. It /~ '-1- (p-~
Reviewed/Approvld: Dept. of Community Services (Date)
S:PermitsfFormsfILP RESIDENTIAL
Additional Fees