HomeMy WebLinkAbout06060018 Application
1/ V
City of Carmel/Clay Township V (,J Permit #:ObOboo 18
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER of
RECORD:
NAME 'h . lei'
'w"oll w,-,'1 -\-. 8."", 'r>
FAX
5499
311 '&'-1~ ;:).'j/3
STREET ADDRESS
'-\,'-\ 6,-",d \<2. b,-.,'V<?-
STATE
::r:n
ZIP
'-l &>03.;).,
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
=.......;\1<t- <;D 'Nill ",r-i 'n--\b",ildi", c..o..- . GD"" e.~" or- f'hc:x-.~
NAME. . . t PHONE FAX
w. II 'N,,-,,\h+ e,,,,, \di,.., cor-I" =-"\<;/'1'"154'9"{ =-if "'4~ ~~3S"
STREET ADDRESS CITY STATE ZIP
"''1 G~"c:l k.. b,ivl?... c:. ct.r ""' eo I ::c-('\ Y<:.o"'J...
LOCATION LOT # SUBDIVISION NAME SEmON ZONING:
oSlS villa e 0-+ \i\J<Z,,,,,-+ c.\ '" SOO.."l PI-ID
lk PROJECT
INFO: L"nQ. S +r<z.e;t. c:. OJ""" N"> <2-1 >-jG.03~ SQUARE '-lll~
FOOTAGE:
::s \f\ per', o.r t: 'xc c,\i ~+;,...,
SEWER UTILITY
PROVIDER, c I '" '1 Tvv f' R"'l D
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN CQMM
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR Sfi
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(MUlti-Family Construction Code)
~
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
_Y -X-N Trusses: ~Y N
o CRAWLSPACE
Lot Split: _ Y ..)LN Sump Pump: $- Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y
o
~
POST & BEAM
BASEMENT
WALKOUT:_ Y
N
N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply 'with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of r.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 occu ied u t' a CenHlcate f Occupa ha' been issued by the Department of Community Services, Carmel, Indiana.
r. . . 1 .1
C. \N, I ;<'I'Yl Wri ')h-l'
c.\ I \oe
Print
Date
OFFICE USE ONLY: *********************~* **********************Jf**~!"****************
Filing Fees: "2f fR u. ~
INSPECTIONS REQU ~~ASED Fa @~?Tr~JJ.CId@~ '^ 71 ' 50 # Charged Re-
er Footing otin ubjm!!l~ l!/lmPi.'ance with all r~gu\a.1I0ns 53~?'l ReViews
~ . c~~nd Lo~~rt8€lfJ€\i:.cupancy: , ,~
_ IletKnrIn-J ~r Bas~ ~T Q~i0l'A'tJ1Uf~JR.Y.~:ERVICES / , Additional Fees
CIIY OF CARMEL / CLAY WNSHIP L.f!f "J r 0
INDIANA OTAL 'J ()\, lQ
(p- ':.tJ
Reviewed{ Appro
S:Permits/Forms/ILP R
(Date)