HomeMy WebLinkAbout06050097 Application
City ofCarmel/C/ay Township C lV\ Permit #:l)&,05DO 11
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
Early Release
Permit: 'yY ---CZN) Trusses: _ Y ~ co~tr~::~;:~E
Lot Split: ~ Sump Pump: _Y ~ 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
(: " ...."'....".....'--
(.+oL , C
PROPERTY
OWNER:
6
:X:c
e-s.5er'"
LOCATION
&. PROJECT
INFO:
NAME OF UTILITY EXCA ON ONTRACTOR; PLAN COMMISSION I BZA
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERM
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOLITION \
SC~~~ i? d=~~
L)~- ~)
PHONE
5 7/- ~
FAX
10
CITY
STATE
ZIP
L) bCl 3"L
~
ZONING:
5'"
SQUARE
FOOTAGE: 2'2 4
SECTION
<i:,.o3<.
---
PLUMBING CONT
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1;1.
f\'(O mOO
Plumber's Indiana S
uction:
o International Residential Code w /Indiana Amendments
o
Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
.-Bl- POST & BEAM
o BASEMENT ~
WALKOLrr:_ Y---6-.1'1/
For Single Frey I!!lK~'t!K~~~~I' i FI1"\ll.'lels. and/or accessory structures, this permit is valid only if construction commences
within 180 hM~ori~Jan~ ,t i ~I~ and must be completed (Certificate of Occupancy issued) within IS months of the
issuance dat~ 't6tRtQQ,m~Mnn\f4Jawl!~br~ ~J.l Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
of State and Local (tJl)t]hf&mes for beginning and completing construction.
I, the undersiccdt:nr~p~fl.9rn'MllfI'\"rrv~J:\I\llIfT!JOCblrgement, relocation, or alteration of a structure, or any change in the use of land or
st~ctures re.aues1e'a b~is aj)w~ypn'~~c:01];!& WIth: andC~n~r.m to, aU applicable laws of the State of Indiana, and t?e "Zoning Ordinance of Carmel
Indiana _ 19UilZf2i9jarG~6:J. JddptM uI&l-WN&~lPi:c. 36-7 et seq, General Assembly of the State of IndIana, and all Acts amendatory
reto. I further certi that NA and Ooor drains arc connected to the sanitary sev.'er. I further certify that the construction will not be
or occupied n I a tifi, te ccupancyhas been issued b the Department of Communit Services, Carmel, Indiana.
LV: **************************************************~*********************
Filing Fees: / t (). ] F
INSPECTIONS REQUIRED: (/ /" /" ,)/ cJ
Base Inspections: ~ ~ 0
r Footing Lower Footing Under Slab /........
Cert. of Occupancy: ") 3-.J v
~ugh In) ~ rfi.ial Site -,
~ ~ "-:.:: ::.:::--' P.R.I.F.:
.r-/"2-0(,;,
Date
# Charged Re-
Reviews
Additional Fees
~
CV'6-;~ 1t1~..L-{ S -'2:2.-D&
Revlewed/App oved: Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL