HomeMy WebLinkAbout06050139 Application
City of Carmel/Clay Township v~ Permit #:~D'5DI.::IF/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NA':Ie ~rJ T. .5c~oJ e\ ef- Ci. ~<.lC . PH08'i Y - L{
STREET ADDRESS
. ~<JCl<!"' 0e,)T Q-b .
FAX
87..3 - (,Cf90
ClOY
2..rlj}.l ~ vi LU::'
STATE
T~.
ZIP
'f (,0 1
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME ,,~..
~&
PHONE
FAX
STREET ADDRESS
ClOY
STATE
ZIP
-
LOCATION
& PROJECT
INFO:
LOT # SUBDIVISION NAME SEmON
15 Wi)DuS T UJIl-(.,I~~ C t'C<- \
ADDRESS OF CONSTRUCTION
~ D~e~Db~
ZONING:
SQUARE .
FOOTAGE, G:,1~
SEWER UTIUlY
PROVI~tJ\
ESTIMATED COST OF CONST~U.fTJON:
(EXCLUDING LAND VALUE) "H1Jo DOd, ()o
.# nh050 /38
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA j BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
. '-AfCOw)
/;;:c. ~
PLUMBING CON,
f}o[... 1::. iJ
Plumber's Indian IStil Lil'l'n'i" #: "ji Iii
I~ I 7 7 . II MAT 1 8 2006 I' I ; Jj
l,. l..!,! i!.~' i f
Which plumbing code will be-appliec:Uo.the.construction:j ~.~ :
G-li1temational sidential Code wI Indiana Am~ndme~ts
.""--"._~
o Uniform Plumbing Code wI Indiana Amendmen-.:s"- ---
(Multi,Family Construction Code)
~-~-r0li~~~'__~=, i'i- 'j
'"Tn L-U Iii )11
'-,".:;
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
- ./ construction area) :L
Permit: Y V'N Trusses: Y VN
- - .~ - 0 CRAWLSPACE 0 POST & BEAM
Lot Split: ROOsEtfF SU~Pilmp: _Y _N 0 SLAB CB-BASEMENT
Does any parS9"~ ~~C~i'U11 ~T~~T~tllt designation area: Y VN WALKOUT: Y N
For Single FaI1j!h~_a.;:!~ TWo~i\.WkllJi\g~la(Dtjtl~, remodels. and/or accessory structures, this permit is valid only if construction commences
within 180 d~he@itt QJ~1VN'NtrrQu~~~rpl\t.t41d must be completed (Certificate of Occupancy issued) within 18 months of the
issuance dat~ O~C~FfN1\lll,ts ir>..s,ubj~~H~ db'1EriP Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
t:L li~eTrE.i}WNSMfPhmg and completmg constructIOn.
I, the undersigned, agree that any c$N~NAec'onstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application \:VilI 'comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of I.c. 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 or cupied until a Certificate of Occupancy ha n issue Department of Community Services, Carmel, Indiana.
- f/! f{~ 'JI~ .fUE';1
Signature of Owner or Authorized Agent
J/IB/O{.
Date' ,
***~** ************~**/~***~A*****************
. ')frih Fees: I Ob-i6. aU
, ase Inspections: 1 3d. 00 # Charged Re'
~_ r3"""'-; ReViews
___' -'-"; Cert. of Occupancy: ~. ;)~
Final ~ite I .., Ii n
P.R.I.F.: rf....~, ' Additional Fees
- (
TOTAL: J /0.1 ()
t;;'7.7..ob '
(Date)
OFFICE USE ONLY: ********
Reviewed/Approve Dep . of Community Services
S;PermitsfFormsfILP RESI ENTlAL
Fee Received by:
u