HomeMy WebLinkAbout06060043 Application
City ofCarme//Clay Township Permit #:Ob/)/"C01.J3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
m~dl"r
PHONE
3l'1- QS'l-{p4\
FAX
STREET ADDRESS
>403 SooTS- J;:'as4 '5{
CITY
011<;
STATE
:::t.0
ZIP
4 30
BEST METHOD OF CONTACT:
~ AoL.(O"'- UII t:lo ol7-5o~-703"
;rQ\ V, Su('<t+;
PHONE
31'1- 531- 'il? ~'7
FAX
PROPERTY
OWNER:
NAME
LOCATION
&. PROJECT
INFO:
STREET ADDRESS
003b T C
10
.:5-h-c- I Ln
CITY
('m~l
STATE
"3:..."
4
ZIP
03~
LOT #
SUBDIVISION NAME
mohawK C .ro>s',"I
SECTION
.:J.
ZONING:
s-/
WATER UTILITY
PROVIDER: '7
SQUARE
FOOTAGE: / q C:,
ADDRESS OF CONSTRUCTION
5'63b1C S-\cc\ 1.-"
SEWER UTILITY
PROVIDER: ?
ESTIMATED COST OF CQNSTRucnON:
(EXCLUDING LAND VALUE) 7 5" DO 0'"
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIDN I BZA / BPW DOCKET rFr:; fS' (i" G~ n t;;-l I~;::::) r-~\ I
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): III ! Ls;:~ _.S:::? I L::-..J ~ VI ~,I r....., \ !
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRA + II : i II II!
eM"SINGLEFAMILY 0 NEWSTRUCTURE ~,q.. IIi 11 JUN - ~ ?nnfj iii III
8 :~NF:~I~~ ~~~~H A~~D~~~~J) Plumber's Indiana s~lte Ll.f~n~_~~__~_u_,_~J l~/ I
# of units; 0 REMODEL ' I
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will tk applied to the construction: i
# of Units; 0 DETACHED GARAGE 0 International Residential Code W/lndiana-;;'';;endments ~J
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION 0 Uniform Plumbing Code w/lndiana Amendments
(Multi~Family Construction Code)
PROJECT INFORMATIOII!: /
Early Release ~ Manufactured ./
Permit: Y =ur Trusses: - Y ---1::::N
./ 0 CRAWLSPACE
Lot Split: Y - N Sump Pump: _ Y ~N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y v-N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~OST & BEAM
[J BASEMENT ~
WALKOUT:_Y~N -
For Single Fa~1! ~~~~&i~,.:W.di.ti?~?-remOdelS' and/or accessory structures, this pe.rmj~.is valid only if construction commences
within 180 't a're~f 1~~ldcHJf..llN:aJi8\l{NiJ';rIQNnd must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. a fd?~J~fflS;f.hV~tbj~ mdw~ Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
:."" . Pt~~,t~\~,~P9 L~Cal~~~sforbeginningandco~pletingconstruction. " '
I. theunderSlgOlEJigfe~&mOM_~l!1l)..<;Jll.il'gement,relOCatIOJll~iNelnM'" e, t!l< use ofland or
structuresre~~9?\~i"' '~an2n\., c y~Qt\}{d~mto,allapplicabl. a\' . t.. f.." a t _ ~dinanceofCarmel
Indiana -199'r't~-~8~~n lMllft.'i/aG n1l0WN~~C. 36-7 et seq, Ge - al e . e tea, ~cts amendatory
thereto. I further certify that only lfiMmJPI\1fI1tand floor drai:i1~}r!Ic'onnected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate ~lk'dJ}9ncy has been i8:sued by the Department of Community Services, Carmel, Indiana.
Jhd<( mtl/7"/' bvi/d~
Print
,
.!u-./~
C.fr/o(.
Date
ner,or Authorized Agent
,. .;J',..
OFFICE USE ONLY: ********************* ***********************r'!*I'1********* *************
Filing Fees: L) -1-_ ())..
INSPECTIONS REQUIRED: . / '
Base Inspections: / C.C; /' () # Charged Re~
<!!pper Footing'"") Lower Footing Under Slab ' . 9 ReViews
';JY' ~ Cert, of Occupancy: S .3 50
(fough ~ Meter Base I~al' Si-;-)
_ _ ~ P,RJ,F,: Additional Fees
Ii 3 '17. ot
.L ,~U rJA{') /1(~/~
LV7JL J~ /.jJ~ CJ-7-ob
ReviewedjAppr ed: Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDEf'ffiAL
~ T!AL:
,It A / .
...; -- -
Fee1i{ceive y: 11