HomeMy WebLinkAbout06050082 Application
City of Carmel/Clay Township Permit #:Ot(JSdOg-,;L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family,&. Two Family: New Structures, Additions, Remodels,&' Accessory Structures
BUILDER of
RECORD:
NAME ?
-1 '
STREET ADDRESS
IZ-BQg
BUILDER'S EMAIL ADDRESS
Z Q.;l.DI.L<,lA-
PROPERTY
OWNER:
sB2-LI
)Ied" 1::l"
LOCATIO
8< PROJECT
INFO:
LOT #
.:; ~U IV;I~N NAME
; PLAN COMMISSION / BZA I BPW D CKET
L AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
NEW STRUCTURE
ROOM ADDITION(S)
ORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
P
PHONE
?: /1-- ZOl-DI/o tv
FAX
"?11--91::'--6s
PHONE
STATE
IN
BEST METHOD OF CONTACT:
ceil Zo l-tJl 1R.;"
FAX
Ii
ZIP
C)~'5
51
CITY
C;z..< rW2 (
STATE
I
ZIP
<-Io0.o:S c
SECTION
Si '~
ZONING:
SQUARE
FOOTAGE:
t..j 138. 2;
ESTIMATED COST OF CONSTRUCTION: J
(EXCLUDING LAND VALUE) I
06i::)
PLU~BING ,CONTRA':OR: COt>1fOVly.... ~c-t..:,
1M, J Ie..u./K.-"'- IZ1a1Vl~ -9Dk. ,~t~"-D
~Iumber's Indiana State License #:
Pc. 88l.eDIOZ-Z - 'RicK.:r. Part-or"}
Which plumbing codes will be applied to the construction:
JtJ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi'Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
@ / / construction area)
:~~i~elease _Y _N Trusses: _Y_N
/ \/ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~N Sump Pump: -",,-Y _N 0 SLAB ~ BASEMENT
Does any part of the property lie within a special Flood designation area: _Y _N WALKOUT:_ Y_N
For Single Family .VCI)~ . oIlI~_' . rpAtJeiFlnJlJl/0r accessory structures, this permit is valid only if construction commences
within 180 days o. . att~~ lssuanc~:of tlie UllIl;!8IP'erml~,..<w~.w.ust be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. clas 4 " _ . 'Mfl!l,cnt!jltf ffier~QM~tIRd~inistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. , ',., fI! "I~\!il'~nd ~~&Iill!!l:ll;r beginning andCO)TlPleting'AB'-' Nmila!Uk
I. the nndersi!We~, a~~<'GeJMMI!1~lil~I@ER9I1G@S1t. rel<jOation. or alte!.~ of . r ,n land or
structuresrequeste~:"s li~Q.qo;(V1\hGonrPw.f"i,t;~...~\>R.w.~18~app1i~blclawsofdi.c I., . . ofCarme1
Indiana -1993" (Z~~ a, . " e~~y~tkJ\(~lauHY*Yb"~7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify t~at o!liy.kitchenrNDIAfij~or drains ~are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. ':zl? 5. e..--.. gob ~,,_.~e-...-- ~ h-Jo w
or Authorized Agent Print' I Dat~ I
OFFICE USE ONLY: ****************************************************~A*****************
Filing Fees: ) 3 3 _ ) U
INSPECTIONS REQUIRED: ' ///, tJ 0 # Charged Re-
Base Inspections: __
Upper Footing Lower Footing Under Slab r-O ReViews
C fO C"'l, ~ '
ert,o ccupancy: ~ cd
"'Rough J::- Meter Base cFin~0 Site
~ P.R.I.F.: Additional Fees
C\ro-..;~ ~l'-:'~ <;;-10-06
ReviewedjAppr ed: Dept. of Commumty ServICes (Date)
S:Permit5jFormS/ILP RESIDENTIAL