HomeMy WebLinkAbout06050056 Application
"'i:iiy'ofCarmel/Clay Township Permit #:0/;0. 500.50
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
t?e<:-I C:5"-k.t J)-v""~'J??4 ;}/7.573.8/00
CITY
-M '5'-1 .5"u~:?tJtl I~/s.
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
Q6 SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI.FAMIL Y 0 Ai=\;~SSORY BUILDING
# of Units: I:\~CHED GARAGE
o RESIDENTIAL (For . I ~S-';F. 01~~HED GARAGE
Additions, RemodelliJ;it'/;,P', "II DEMOLITION
r'v N\\\"
PR N?C,0' "I GO',f)'3' "ICt:.S
~ \0 Ii . ,,~I.(,I:;"'.N c.,\o.?<"_~cc;.dl?
Early "-1i'J.\.B ". -, 'I PIIariufi!jrt.,,,,,,"
Permit: 0\" \n~N~\)',~Ttil"s\'~' Y N construction area)
\' ~ '~k I 'vI... - - 0 CRAWLSPACE
Lot Spli~t:.? ~N\\~t)IF",i~P Pump: _ Y vN 0 SLAB
Does a(Y\l"irtq,f the pro~\'rty lie within a special Flood designation area: _ 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 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of I_e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. rther certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used 0 cupied until a Ce tificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
S ~ c:-~I pgtrr~ {3,ffj
OFFICEUSEONLY:************************************************************************
Filing Fees: / :3 3. (:) 0
INSPECTIONS REQUIRED: ions:' (J 5. t) 0 # Charged Re-
Upper Footing Lower Footing Under Slab &IW~: "0 0 , 0 0 Reviews
Rough In Meter Base Final ~
~ P.R.I.F.: Additional Fees
PROPERTY
OWNER:
BUILDER of
RECORD:
c~wc;;~
/00 .-1.h rft;
LOCATION
& PROJECT
INFO:
COT #
SUBDIVISION NAME
ADDRESS OF CONSTRUcnON
80 E 1/6,,";' $',1.
(3; r/??t!/.
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
NAME OF UTlUTY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND(OR COUNTY WELL AND(OR SEPTIC PERMIT #'5 (IF APPLICABLE):
PHONE
FAX
;3/789';;--,;291..3
ZIP
Yt:./ /0
:J17-B3~;;2~:>-
,?J.,TY
.t:Jo c
STATE
.:z;
BEST METHOD OF CONTACT:
~tm',,"o('e~
FAX
';317-t;>73?'IOU
STATE
...,...
ZIP
f"~;l"D
SECTION
ZONING: f< - I
SQUARE
FOOTAGE: ,.u #
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE~r~~..fZ~: (7~' ;c;~:~-\-~-~;'~.--"--_.~_. _ --
',' iI ~=l::'~'''''':AII\c_. '.':.'1'
I l Vl)JV'~ ~._--] i
ill-' ill Ij
PLUMBING CONTRAdlb~: MAY - 5 2006 1III11
IU U 'iuJj
I IL-'
Plumber's Indiana StattLicense #: ~
Which plumbing codes will be applied to the const..-uction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y ~
0-/8-~
Date
TOTAL:
Fee~~~ 17.
ttHo
3:"'/1/ / t/(p
Reviewe Approved: Dept. of Community Services
S:Permits/F msfIlP RESIDENTIAL