HomeMy WebLinkAbout06050124 Application
City of Carmel/Gay Township ~rmit #:j)[e050 \ 'J ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SUBDMSIDN NAME
ADDRESS OF CONST!<UcrrON
'-IDleD - L\()L\O
LlJt
ltJLlvlS .
PHONE 70S ~ 1
mY \ fljDY6.
STATE
ZIP
BEST METHOD OF CONTACT:
STATE
/
ZONING:
SQUARE
FOOTAGE:
00
NAME OF lffiLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET ,,\ '
NUMBERS; TAC DATE(S); AND/OR COUNlY-WElJ. AND/O~~ ~ERMrr #'S (IF APPllCABLE): UOi \'
_~;.tt, I'\h
TYPE OF CONSTRUCTIO~: 'TYPE' F' OVEMENT:
o SINGLE FAMILY I dP \\\\1\ I' \
, N I UCTURE
o TOWN HOME, '\" \ \; \~ 1-- 0[ ~ii1 DmON(S)
o TWO FAMILY" \III\~ \ IJ 0 ,I DDmON(S)
',...;" # of units: '" --=El:==il. 0
'I" MULTHAM1L'(.\'I.:;.._-=:==-::;:::::c----O ACCE YBUILDING
# of Unl~:I, ~ ACHED GARAGE
o RESIDENTIAL-(oor 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON
PROJECT INFORMATION:
Early Release V
Permit: _Y ~N
Lotsplit: _Y IX N
Does any part of the prope
\ ft..
PLUMBING CONTRACTOR: ~
~Il.lmhlf)~ o".~,
n;8SfJWi:gs se #: .&'~.
Which plumbing codes will be applied to the construction: :r.,. >
"
.0 International Residential Code w/Indiana AmendmentS:J'tt"
}lQ Uniform Plumbing Code w/Indiana Amendments ~
(Multi-Family Construction Code) ~
FOUNDATION TYPE: (Check all that apply for the new
<:onstruction area)
o CRAWLSPACE
bill SLAB
ial Flood designation area: Y XN
y ~
o POST & BEAM
o BASEMENT
WALKOUT:
For Single Family and Two F~}Kf~~~CIf5~ ~I of,fl;c~o!y structures, this pennit is valid only if construction commences
within 180 days of the date of~;d:;ice;U':itdi~~ errm II m ~1:JP~~ted (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structureE,.ermits a~ flrrli~t ~~strative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
uEPT OF' if~WI~1!!ifM~etingconstruction.
I, the undersigned, agree that afTYIq1Jf'5,["P1~~.A~~ctipl,);o.fj~~G.,,ftl.~<W,.Qr alteration of a structure, or any change in the use of land or
structures requested by this appucanon WllI cmtlplylMth,"add ~~ tb~~Maws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z'289) and amendments, adopted unliNli)~of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify t only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not: be
used cupie un :U;; ofOccupancyl= been issuej;j;epa7!;';;7uniry Services, Carmel, IndUna. .{~jOfr;
ner or Authorized Agent Print 0/ Dale
OFFICEUSEONLY:******************************************************~****************
Filing Fees: / '1 CJ /, 0 U
INSPECTIONS REQUIRED: ' I OD
Base Inspections: \ () . 0 0 # Charged Re-
Upper Footin Lower Footing nder Slab 3 ,., ! 00 Reviews
--- ~ Cert, of Occupancy: _ ^' _. _
~r~) Site P,R,I.F,: ZS &Lt,. 00 Additional Fees
t1~B~~',"~ 't'b~~'1~~TAL'i if/OJ 17g,.. 00
l I~ <;- ?oIV/ _ _ ,vI, fl. .c--
Reviewed/Ap roved: Dept.ofCommunityServices (Date) J ~ > (~-!f ~l.,P
S:Permlts/Forms,'ILP RESIDENTIAL Fee RecelV by: