HomeMy WebLinkAbout06050185 Application
City of Carmel/Clay Township Permit #: tXQ06:D~
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:
PHONE
-a
CITY
"OC-t:t:63o (2
FAX
575-C;JJ/
ZIP
03~
BEST METHOD OF CONTACT:
e-
,
FAX
CITY
STATE
ZIP
ZONING:
3/
/ 691, CX)
NAME OF UTlLTfY E CAVA ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S}; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
Manufactured ~
Trusses: Y N
r' 0 CRAWLSPACE 0 POST & BEAM
Lot Split: Y l N.J Sump Pump: Y N ~-,LAB - 0 BASEMS~T_-:-::;;r _ ::; \
Does anylillaQJA@B!lIqp~ . Food designation area: _Y ---W-:::;-;::;;:Vf~Lrr~7 \':";Y,\:, \\\ N
; ,For sillgle Faro y~a~W-fWJ_yQQ.r~aU.d*latlornrdels, and/or accessory structures, this ~~~jt i\~~J.ili;ohl~irfo~-;;~ction cb~~e~ces
; . .~thi.n 180 da.rs o~t&t~BdtLneai Olgbeiiling permit, and must be completed (Certificate o~ ~cs~~ancy issued) within 18 mont~s,oflt~e
i~ua:nce dJt}E~~~MMPi'fVtrr~Q iJJ.Io.i:it;,)Jeral Administrative Rules of the State of'In'di~na (See 675 IA.C 1~ reg~lIing ~xp_iraiion
r./TY nJ= ri. , . -a/ml1r\(~beginningandcompletingconstruction. \\\\\ \ \JI~'{ L ii.-.
I, the und'crsl~ed':'agr~~'lH~M~tC:I.tAVra::eWNSHiptrgement, relocation, or alteration of a struc.ture: br any change in the ~s_eofland or
structures requested by this ap~A.#ifomply with, and conform to, all applicable laws of the State of In\fikn'a.lAnd t~Zoning Ordinance of Carmel
, Indiana - 1993" (Z- 289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the St~te of-Iriiiiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary se'\ver. I further1certify that t~onstruction--will not be
cupied until a C~tjfica,te of Occupancy has been iss9ned b the Department of Community servi!:9'hCam~I:Indiana. . I
. ---,-nlC!.--f/ IJfev,;fn()u/c 6/~/tJ?
ture of OWner or Authorized Agent P . Date
OFFICE USE ONLY: ************************************************~~*********************
Filing Fees: 6 J?cr d ()
. INSPECTIONS REQUIRED' c2 7 2. ~o
8 Base Inspections: - - ~ -
pper F~O.t g '---'. ~tf
. Cert. of Occupancy: 0 '-' _ c>'
n P.RJ.F.: /~6/(JrJ
TOTAL: # ?~~Q ;;Z 0
~I/ ltbdcb+ S)~II?~
Fee Received by: I
TYPE OF CONSTRUCTION:
ffrSWGLE ~~. -,~
~ TOWN H E7Cj/ee-.;
o TWOFAM -- -
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
--,Y ~
.~
TYPE OF IMPROVEMENT:
<Q, NeW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
I~
C-r..-~
Reviewed/Ap roved: Dept. of Community Services
S:Permits/forrnsjILP RESIDENTIAL
:> -[..6 -Db
(Date)
Plumber's Indiana State License #:
(' r'/CX::OO /6 /
Which plumbing codes will be applied to the construction:
~ternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re-
Reviews
Additional Fees