HomeMy WebLinkAbout06050086 Application
City of Carmel/ Clay Township Permit #:Ob0500f?h
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME (J )L f2 bM7~
STREET ADDRESS
7'-/"" q S~i'iMr~7 13
PHONE ...,
:)17- '-/'fO- '-/1/ (
FAX
CITY STATE
L.JIJ uj.
itl
ZIP .
'-jt;J.<{-o
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
C'-"::;t-(AM'E" A
PROPERTY".. "
OWNER': U'-"\" i ',," u.JAt R.-A2/
. . " STRffi ADDRESS C'
- /3#11 -JI 0 -rs IV croll
SUBDIVISION NAME v,'j/a
~
01
PHONE
gJI{- [104[;
CITY
.<,', CM/JIiVL-
"p.. . Jw::-
J,jh.-;-t' Cl-rI
FAX
STATE
ZIP ,
jAi -:/.1;:::;'10-
LOCATION
&. PROJECT
INFO:
LOT #
SECTION
ADDRESS OF CONSTRUCTION
/3'-1[;1
5; 07~f,.1 tJtJf.l 5-r
SQUARE / Q /
FOOTAGE' / !O
SEWER UTILITY
PROVIDER:
LITY
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 8'500, 00
NAME OF UTILITY EXCAVATION CONTRACT
NUMBERS; TAC DATE(S); ANDIOR COUN
COMMISSION I BZA I BPW DOCKET
lOR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE
o
o
o
F IMPROVEMENT:
NEW STRUCTURE
OOM ADDITION(S)
RCH ADDITION(S)
R MODEL
CESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
PLUMBING CONTRACTOR:
/1/ /A
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o 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
~ v construction area)
_Y ...J/I"russes: '. _Y ~N
:7 _ 0 CRAWLSPACE J8i POST & BEAM
Lot Split: ,---r-.Y _N Sump Pump:,;. _Y LN 0 SLAB . 0 BASEMENT
Does any part o! the property lie within a special Flood designation area: _Y YN WALKOUT:_Y~N
'-~"'-~_. - . - "\ ":-- ,',
For Singl!' ~". - .ii<Ani:I;~'''~ dF~.' '~mdels, and/or accessory structures, this permit is valid only if construction commences
within I ' a ~ftWe at 0 .i~Ju ,0 -, _ ~g.'j'Jt!.nfl.it, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
issuanced ~ ...... .... lilli...m....M ~..ilje...~I~eral.AdministB.DEf aH[aa~~6M. I.+CI2)regardingexpiration
of ~l,s,\~ a~?,~()O~1 C~~frames for begmnmg an 0 et r o. !r-li &J ~
I, the undeID~J!lIra0FtlS_' S~'1"f' ~W1G""gnlargement. tdo o. e t. <llI \<ll'liiinge in the use of land or
structure~l't49'~.by,tP.i .ss . . 10 C mi21twith~.lancrconform to, all applicable laws of the State of Indiana, and the "'Zoning Ordinance of Carmel
Indiana -~9~"\N~~ a _ ed~lN.6hiWof I.c. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further rtify._~ t (nt' ItJ:N~th, and fl~'0i dr'ains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupi ntil er' lcate ~I Occupancy has been issued by th Department of Community Services, Carmel, Indiana.
tl.tJL 1Z66li'''L S-I/-o6
Early Release
Permit:
Date
OFFICEUSEONLY:********* ****Cl*1**~ ****** *****************/**************************
,~r FirgFees:/<(') OrJ-
INSPECTIONS REQ IRED: / ?(,
ase Inspections: '" -:) V # Charged Re-
~ootin.9> Lower Footin . /0 Reviews
Cert. of Occupancy: ,).3. J . 9' 6&/0
~OU9h IV Meter Base / (V! 00 S/ /.9/~Zition~ F'iiiJ/es '
P.R.I.F.: _ /.. I
. ---::Ii :P
TOTAL: ..p.- L/ J"/O).
;;J..1 (~1 (). 14)e.cI rL ~J~ ~ Ii? / cJ{o ~
Fee eceived by ~ / ( ,../ ..
Cf'''-~ <::
ReviewedjAp roved: Dept. of Community Services
S;Pef'mits/FormsjILP RESIDENTIAL
-06
(Date)