HomeMy WebLinkAbout06050071 Application
City of Carmel/Clay Township (>> Permit #: OfpfJ6Do7 r
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
FAX
STREET ADDRM40 Allison Polnte Blvd. #200CIlY
PROPERTY
OWNER:
NAME
STREET ADDRESS
STATE
ZIP
BEST METHOD OF CONTACT:
FAX
CIlY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEWER UTILITY IJ /\ J ............. .1 A
PROVIDER: LLULJ r UL
WATER UTILITY 11 /'I J., r\r) A "
PROVIDER; l;.WU I LK---C-
ZONING:
SQUARE
FOOTAGE:
!k14S
/84
ESTIMATED COST OF CONSTRUqrW: /) / .
(EXCLUDING LAND VALUE) f.1I / O'l u
I1flYUJ{Lflo.
NAME OF lJT1LJTY EXCAVATlON CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
_Y~N XY_N
J v 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y --"'LN Sump Pump: _Y...6-N ~ SLAB . 0 BASEMENT
DoesanYPMeBii~!l9~i€E9Nf!1'n1l~od designation area: _Y X- N WALKOUT:_Y N
For Single M '!~ ~t9v9~. . I~ra~lri~l ~~......~ J~hl, ~rJeels, and/or accessory structures, this permit is valid only if construction camme 'ces
;' __ within 180 days of t~~tetJr f9tu;trM!l~ ~fU;lUng permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuan~ dat.tI)~P1f1 ~~t;j NtWjS8~t.19~AdminiStrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
f"'! TV ("\1= " /. ijn:v:,t{\lVlh~1Q 'nning and completing construction,
I, the undeM~deB, ~e ~~~ u&1brf:';~cdn~~~~h? gemem, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this appli4N@tANAnply \\lith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993~ (Z~ 289) and amendmems, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto, I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used r occupied until Certificate of cupancy.has been issued by the Department of Community Services, Carmel, Indiana.
( WflAIA!O\/ fI_lNJHI)~/
OFFICE USE ONLY: **********************~*********************'**************************
, IlFiling Fees: (g iB3 . .5" 0
- SPECTIONS REQUIRE . .. ,.... " t'77 ..,.. /,
__________ -;; Base Inspections: A I ...J l.I # Charged Re-
Upper Footing') Lower Footing Under Slab 'r:-- 75 50 ReViews
Cert. of Occupancy: .0.
~I Y "S~? 00 Additional Fees
TOTAL: "LK'J./,!; 0
~Y'"It; Q I1J{.~-..) 5-1I-c6 /~~~
ReviewedjAppro-kd: Dept of Community Services (Date)
S:Permits/Forms{IlP RESIDENTIAL
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
ill # of units:
JJI MULTI -FAMILY Vlh
# of Units:--->>L-
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
"
",'
..;.~ ....
. \'
Rough In '
Meter Base
TYPE OF IMPROVEMENT:
r1\ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Print
~"".() III
('of 't-.p ~~
@~~'l2..~
tls: 1. "v.>\.
{,
.~
PLUMBING CONTRACTOR:
PY1r;:r~1?!i:e License #:
ID9.00{]S7
Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana Amendments
00 Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
5--/- 0&
00"
Fee Received by;