HomeMy WebLinkAbout06050057 Application
'CityofCarmel/Clay Township permit#06jr;o(}S1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTILITY
PROVIDER:
/00 A./or
BUILDER'S EMAIL ADDRESS
<:
PHONE
3)7 ?3.r ;2,;2~-
1
STATE
FAX
317-83;j-
ZIP
yc,//o
CITY
-hwn
BEST METHOD OF CONTACT:
?A
<rr~1
PHONE
1, J (3)7:,7.3 Bloo
CITY_
, :k ,;;~,2 -L/7d.. $
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
IX'i SINGLE FAMILY 0 NEW STRUCTURE
t:'i TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units; _ "'".. "'~cR~~1
o MULTReMIDl.SED FO, , c,O, 'lE] I 'A~gS~R\' BUILDING
# OfSla~f"'t tn r.r"Irnp;i'_~1r1C>J \'v(~;.Oli rBET~GARAGE
o RESIDENTIAL Hffitate "!n!) l.cc[J! EjJd9>.'frACHED GARAGE
AddltIQA,",.R"""""'I'rFt~.).." L" ,,~, ,"'.O>.\J.Ir.=N
ut:.f"TTJF r.....Ch"I.f! ,.I 'r'.,<"lJtII"'I..!JU.lH'l.:l
PROJEcunJ'PI!JWMlON~EL I CLAY TOWNSHIP
Early Release INDIJlMllnufactured
Permit: _Y _N Trusses:
LOT #
SUBDIVISION NAME
FAX
3/7 :>7.3-9/w
STATE ZIP
~ Y-C.2C,O
SECTION
ZONING:
-/
SQUARE
FOOTAGE: ,(./ J9
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DAlE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'s (IF APPLICABLE):
n ,-:::::1.....--,
PLUMBING CONTMaOR1 \~""_ iE'~ U \if ~
'iUI
I
Plumber's Indiana sru~'icerIMW:- 5 2006
_Y_N
Which plumbing codes wi be applied to the construction:
o International Resi
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE
Lot Split: _Y _N Sump Pump: _ Y ~N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y LN
o
o
POST & BEAM
BASEMENT
WALKOUTi_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 1 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 r.c. 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 Certificate of Occupancy has been issued by the Department of Community Services, Carmel. Indiana.
Sig ~ ~ .(}HcI~ Wfj
~/8-~
Date
OFFICEUSEONLY:************************************************************************
Filing Fees: /33, -50
INSPECTIONS REQUIRED: .' C'6 50
Base Inspections: V\ ,
Upper Footing
Rough In
Lower Footing Under Slab
Meter Base Fina~
# Charged Re-
Reviews
Cert. of Occupancy;
P.R.I.F.: Additional Fees
d TOTAL' 4l> I 'Ii ~
dMiA 17, t- I~; L_
Fee Recel d bv - .:5';1 II , 00
Revie d/Approved: Dept. of Community Servi s
S:PermitslFormsjILP RESIDENTIAL