HomeMy WebLinkAbout06050030 Application
0~ '/
City of Carmel/Clay Township Permit #()b050tL3f)
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
I
BUILDER'S EMAIL ADDRESS
C..e. o+ev
PROPERTY
OWNER:
N~~
,U
.e~
STREET ADDRESS
OctrYl..f
LOCATION
& PROJECT
INFO:
SEWER lITl
PROVIDER:
NAME OF lITlLITY ATION C GOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
ar-smGLE FAMILY
o
o
A \
\TYPE OF IMPROVEMENT:
'" '
:\~ Ik.. 51 RUCTURE
~\ ".' , ROOM ADDITION(S)
'\ '\gORCH ADDITION(S)
<.-' F\EMODEL
o ESSORY BUILDING
o ACHED GARAGE
ATTACHED GARAGE
DEMOLITION
FAX
075...;;1.31'
STATE
ZIP
PHONE
FAX
CITY
STATE
ZIP
ZONING:
':)1
SQUARE
FOOTAGE: 5 8'6 '7
ESTIMATED COST OF CQNSTRUcnON:
CLUDING LAND VALUE) () 37 I ()
-#=-O{,O 5 002 g
PLUMBING CONTRACTOR:
~/h7crt~ ~~
Plumber's Indiana State License #:
c..P / {)f""Y")O / () /
.
Which plumbing codes will be applied to the construction:
'\(1 Tnt,:arnational Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wflndiana Amendments
-(Multi-Family Construction Code)
",
M f ct d FOUNDATION TYPE: (Check all that apply for the new
L;) anu a ure --&-. + I
Y T N constructIon area) r R
russes:
. - --;:::::-." y"\ 0 CRAWLSPACE 0 POST & BEA
LotSpht: _Y ----L!::!.-/Sump Pump: ---LLL-N 0 SLAB A BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y ("N') WALKOUT:_ Y
For Single Family and Two Family dwellings, add~~~~p~tONr accessory structures, this permit is valid only if construction commences
within 180 days oftlu;,~~WS~{!)q:i>OA GAd~ilg-p~rn\h".~~QtWtt'isbe completed (Certificate of Occupancy issued) within IS months ofthe
issuance date. Class I ~;e~ermi5'Trl15'~~g.'W't!t\;aI1~ffiii~~'diii.inistrativc Rules of the State of Indiana (See 675 lAC 12) regarding expiration
SUbject to G "r tiIE~f!~~innin.B.~nd completing construction.
I, the undersigned, agree that any dlJh~~fkl:tio<A~~~KPlf~rwFt.V_HS~ht,S.loCa[iOn, or alteration of a structure, or any change in the use of land or
structures requested by t~~~ '0OM.~y..M.ftl:, 'arid co ntHH.QI1.4tfiicable Jaws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993~ (Z~ 289) alrd'ifl1eM~eAth ~"au1;~or ;,,~t!:':'~~t et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certif)(!)\"ift{n~tL~l}}J~!t t~fWR, ~rains are connected to the samtary sewer. I further certify that the construction will not be
r occupied until a Certificate of Occup.i)tlo!~'p,g,n issu he Department of Community Services, Carmel, Indiana.
ule v-J~~0
Dt:
_INSPECTIONS REQUIRED:
~~er F~ Lower"Footing Under Slab
LRo;;gh~
OFFICE USE ONLY: **************************************************** *
Filing Fees:
Base Inspections:
Cert. of Occupancy:
5N 1. S-O
SJ, )D
P.R.LF.: / J. (, I. ()O
$.- TOTAL:' Ii J )0t . r;O
FeeRece~ a U Hdtbr 5 )oJO,0
Site
(Date)
# Charged Re-
Reviews
Additional Fees