HomeMy WebLinkAbout06060026 Application
City of Carmel/Clay Township (/~mit #:()~O~O~.1Ip
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
FAX
.s; 6)- (;)<;5
STATE
.::TN
ZIP
</&0
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f i \ '\ \ .l::: ,"PHONE
! i l i!,
ii /1\
W.\! I 6
i! \ \ \ \ c\ltJN - 1 200
SUBDIVISION NAME/ _ ~ ~ ~'L,---.---.-
^-.,f)C()/), S
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT~
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRU
'-II ;;) '1
Cia \
;"d OW ,tV/!
WATER UTILITY /) I.
PROVIDER: l ti,e /YI e
NAME OF lJTILITY EXCAVA ON CONTRAC\OR; PlAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
OO! SINGLE FAMILY
tJ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
.._,,# of Units:
o . .RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
":,;. ,J _':"_::.: ["I \ H
. ......--- \\, i'
ill Iii
I \ ~ II
i'\ '"
, I stATE
Ii .))\
-SECfibN.1 J
ZONING: --5 _ .
FAX
ZIP
SQUARE 5 u q
FOOTAGE: 7 ~ I
ESTIMATED COST OF CONSTRUcnON:
(EXCLUOING LAND VALUE) r;) I 0 500
;l)e~,e'--1/ ..Jf ()b~600,;25'
PLUMBING CONTRACTOR:
L /) /Y1er.~/ca /
Plumber's Indiana State License #:
PC 8)()~L/S40
Which plumbing codes will be applied to the construction:
}ii International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
-i Manufactured FOUNDATION TYPE: (Check all that apply for the new
v' construction area)
_Y N Trusses: ......L-Y _N
V v 0 CRAWLSPACE 0
Lot Split: _ Y ---JL-N Sump Pump: ~ V _N 0 SLAB ~
Does any part of the property lie within a special Flood designation area: _y-I-N
POST & BEAM
BASEMENT
WALKOUT:_vLN
Fo~ Si~gle Fa~ily an1ii. . o!iaAllil. .. .~ .... <:!I. .1& add., iti.O. TIS, rem ?dels. and/or accessory structur~s~ this permit is valid, only if co.ns~ruction commences
wIthm 180 days oft.. _~~CE~~iT~iJ'1I;Nt be completed (CertifIcate of Occupancy Issued) Wlthm IS months of the
issuance date::~lass I ftlpl~,~~13~€F~.,~~~I~.' lit faistrativc Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
,J 'of.Stai-f):"t",d'tIBr: r:, .r egmn, Wand completmg constructIon.
I, the undersigned, agrl"JJ:b-~Y-<;i!!'~\!<JIl"jl'i'lIH~ru~'(!&ar~~me. nt, relocation, or alteration of a structure, or any change in the use of land or
structures requested ~:nli~ a _ lr~tiokW1~H~~R41~~EDt!l~fC(e' applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 2~;;;Y . cGAAM~1~~~tv~,~-'I2ji;~t seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen,"~iltb:<SJ:ti~r~dr'a/n~aleY ~~..1 to the sanitary sewer. I further certify that the construction will not be
used cupied un il a Certificate of O~been issued by'tIfi"~epartmr of Community Services, Carmel, Indiana.
<::.....)1 /l 0"-& (YIh r s-- 3 )-0(0
Print Date
**~~. ************************** *****~***************
(U Filing Fees: 1.~ / ;/0
IRED: . --,
, Base Inspections: ~ ??'.~O # Charged Re-
er S a b Reviews
Cert. of Occupancy: ,:;--..? j---(I
'.'H., I ~6 M"'.._
7k 1lJ-5 ;>0
Fee Received by:
OF
INSPECTION
,
c:~~ {4/~ ~-~-~
ReviewedjAppr ved: ept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL