HomeMy WebLinkAbout06040149 Application
City of Carmel/Clay Township eM. Permit #OiooLfOI y..~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME A PHONE FAX
VIEWEO.-! IrND 'S5&C. LtC 3J7-SSL/ -U~Jt JJ7-8~'f-/9!>
STREET ADDRESS
496
CITY
STATE
N
ZIP
Lf&/s8
SV/(..[E
BEST METHOD OF CONTACT: ? /J
{,r:;l-l-: 517-~?B -~F{P7
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
~ ('} E: @.. If I EW ELz 1-/. Lo l'VJ
k5 LA6tJ VE
NAME
SA I^1E
STREET ADDRESS
PHONE
FAX
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
1 1 / SECTIONrINCJ.I )'lONING: 7:>1 11"'\
E5 t7F {"A./CST 0?-1I-'f ~;tJlJ< T UJ/
:(:?58 0nch/e 'ReP.,
Manufactured FOUNDATION TYPE: (Check all that apply for the new
../ 'IE construction area)
_Y ---1LN Trusses: _Y -=-N
o CRAWLSPACE
Lot Split: _ Y ---A-N Sump Pump: L Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area:
LOT #
Z
SUBDIVISION NAME
lint-A'
ADDRESS OF CONSTRUCTION
SEWER UTILITY WATER UTILITY
PROVIDER:Ct.-A'1 PROVIDER: ;I', tAl, G.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLA~.GOMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY wELl;:ANoi R SEPTIC PERMIT #'S (IF APPLICABLE):
....-:: _"""l \t"". \
TYPE OFCON~~~~~ \
& ~~,-r~~----
o ~~''--lY '2. ~ ~
o M~~~fU : lyt8~ ,
# 0 i'
o RESID or
Additio ,Remodel
P
F IMPROVEMENT:
EW STRUCTURE
OM ADDITION(S)
CH ADDITION(S)
RE ODEl
SSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Early Release
Permit:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCT!.
(EXCLUOING LAND VALUE)
PLUMBING CONTRACTOR:
FI,E Pt-UrYJ,R/Nf?
Plumber's Indiana State License #:
G P tC\ LJ D()O ZL/
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)
o
~
POST & BEAM
BASEMENT
WALKOUT:
y .x; N
Y -.&N
Fo~ Si~gle Family a e '. 5, a JIl.on~1 rcilwl;kJ~~~or accessory structur~s~ this permit is vali~ only if c~ns~ruction cominences
WIthm 180 days ofSbbj.8GtdO~I@, ~IH,ll1cg_E.e!!!llt:~r\'dmust be completed (CertIfIcate of Occupancy Issued) WIthm 18 months of the
issuance date. Class I structurtlP6tnb$ ar.c~b~6i3l!~~eral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
~I= r.n M M ~J'll1'fll1n8ffij\M~IiiS; and completing construction.
I, the undersigned, agR~gI tonS1:ft'iction, rF:)PJp~t~~WA'\ll~elocation, or alteration of a structure, or any change in the use of land or
. structures requestec0!lHf; .tQARM~pl}.#tm, ~n8 tdXf'Mit't'd, aU applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
, Indiana -199r (Z~ 289) and ame ments, q<N.Pt}l~ authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
. t e o. I further certify th. only kit en, l:ladl, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
ed 0 cupi d ntil ertJlica.ct: 0 Occupa.ncy has been Issued by the Department of Commumty ServIces, Carmel, IndIana
~t)'€ V,~W~'iH t.1-ZI-~(p
Print Date
USE ONLY: * ************************~******************-~*.~*-~~**~*er*************
FIling Fees: Lrj{ oU . ./
. INSPECTIONS REQUIRED: : J -'77. ....-.. # Charged Re-
~ - _ ~ Base Inspections: ~ F ..;, v
<...!!.pper Foot~wer Footi,;g-- Under Slab 3 ~ A ReViews
_ _V Celt. of Occup cy: s;-. , ~ (.I
~UghIn ~rB~ ~. al Site / (,1 00
P,R,I.F,: _ ' _
I ~ '
l!Ei;j;2.7
Additional Fees
5-3-0
Reviewed/A roved: Dept. of Community Services (Date)
S:PermitsjForms/llP RESIDENTIAL
30