HomeMy WebLinkAbout06050149 Application
City of Carmel/Clay Township c;M- Permit #Gn5o/4-9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
(j(1L
PHONE.!V6 ~.27 (2-
;:.
FAX
;f~, -
STREET ADDRESS
02J~
CITY /"7'>
STATE
-
ZIP
1:(62 (,0
NAME
BEST METHOD OF CONTACT:
" '"" < I?V.., '/
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT # :;2 l/) SUBDIVISION NAME C ~
ADDRESS OF CONSTRumON
SECTION
3
ZONING: 51
/e<-(c... _<lit.
SQUARE
FOOTAGE: Y 'i 16
SEWER lJTIlfTY
PROVIDER:
CT/{c..;p
R lJTILITY r /'
ER: L. "'-A I"\~
\
NAME OF lJTIlfTY EXCAVATION CONTRAcroR\~'
NUMBERS; TAC DATE(S); ANDjOR'COU ~ '.' tUNO
./,/' '. ) \~
TYPE O~ CONSTRUcriON;';;:>
CY5ING~,f~Y~/" 'b
o TOWNI;l9M~ ~\ ~ \
o TWO FAMU:'t\ ","
,.,.,..:
# of units: \
o MULTI-FAMll'y~
# of UnitS:'~\) ,
o RESIDENTIAL For":' ,
Additions, Rem's, Etc.)
/1--- ( J<.<.
Ew
ROO DITION(S)
o ,,' ~ CH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
e
PLUMBING CONTRACTOR:
E C(r/ 0Y" '-/
Plumber's Indiana Stat€! License #:
/,), f<J 'I
.
Which plumbing codes will be applied to the construction:
~rnational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ./ Manufactured ./
Permit: Y N Trusses: ./Y N
/' ./ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: Y ~N Sump Pump: :=;; =N B"SLAB B""'BASEMENT
Does any JlilII~iI!&~r Flood designation area: Y ---1\i WALKOUT: Y ~
For Single am~ Sf", q.':$9~iI).flr4w:lt~aJdl~~els. and/or accessory structures, this permit is valid only if ~onstruction commences
within 1,80 d~!~ ~'" ii~.a~~Uhb.OQ!{ft~i}n~ permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance d~d:>~"@rU0l!l~,~i5~tQ.th$...General.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
CITY nj::~,.... tl?rfe.~~Gaegmnmg and completmg construction.
I, the underslgnl-:d;-tfgreHi\.fiM:~sirCduAYeCJ5€)6NNA~gement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this app~tsfefA'tJJAomply with, and~d:torm to, all apphcable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2- 289) and amendments, atlo'pted under authority of r.c 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 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 occupied until a C tif}cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
12 L C--tt c) C6
Print
FOUNDATION TYPE: (Check all that apply for the new
construction area)
>-/7 -d G
Date
OFFICE USE ONLY: **********************************************yW*********************
Filing Fees: b-()
INSPECTIONS REQUIRED: ' "
Base Inspections: d11 ,)'0 # Charged Re-
ReViews
Cert. of Occupancy: 5' '3.:) 0
/;; C-/OO
f/ 02?;}, :'{J
Upper Footing Lower Footin Under Slab
~terB~ ~
c.r.1..> 11'';..0 r- 5-"2'2-0{,
Reviewed/APp~ept. of Commumty ServIces (Date)
S:Permits/FormS/ILP RESIDENTIAL
P.R.i.F.:
Additional Fees
~;'
..-'~-