HomeMy WebLinkAbout06060169 Application
City of Carmel/Clay Township Permit #: uvol( ()Ii,>~
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:
NAME Ze
STREET ADDRESS
5'-1 IrJo:x:J f'l-Ld 1111
/nL
81.f3-'i3'i't
FAX
(311 8'13-1351
ZIP
1.I(,,::J'33
CITY
CCvmd
o
NAME L
;:Jfee
BEST METHOD ~ONTACT:
ZELLEJeS e. 58GGLCBAL., NET /JIZ/i1/t-IL
PHONE / .j/.
POME - Zelle.- Cu..,,~JJ().-t Ihe /l)J
!h
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
BUILDER'S EMAIL ADDRESS
STREET ADDRESS
LOT #
SUBDIVISION NAME ~
J 0",/ r1 e..
1'-1
ADDRESS OF CONSTRUCTION
Z2t:,5
~::~g.,:~. FAX
~'.....>.:;~ ~ /:
CITY
~i/1.1-e
:Sf-y- .-UI-
SEWER lJT1lITY Ii " ESTIMATED COST OF CQNSTRUcnON:
PROVIDER, \.:./ J<-W (EXCLUDING lAND VALUE) 350,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET II L e
NUMBERS; TAC DATE(S); AND(OR COUNTY WELL AND(OR SEPTIC PERMIT #'S (IF APPLICABLE): 1/1 C K-O"-''j Ya.."t:J-i~
TYPE OF IMPROVEMENT:
::!l<:t NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
PLUMBING CONTRACTOR:
(!.Uy" /- N 4L1
Plumber's Indiana State License #:
~ If{{" ~ /Oe>
Which plumbing codes will be applied to the construction:
"'jl! International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
. / Manufactured /
Y ~ Trusses: Y v N
. / 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: .y......y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y / N
o
,)Cr
POST & BEAM
BASEMENT
WALKOUT:_Y ./ 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, enlargemenr, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application \\ill comply v...'ith, 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 l.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 occupie tit a CenHicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
Ka-Ii. yZd 'vt , - 2.0-06
Print Date
OFFICE USE ONLY: ********************* *************** **** *************~*****************
Filing Fees: /0;; / {p 0
INSPECTIONS REQUIRED: '. 1.-:277 /'()
Upper Footi L er Footing nd.e~IJ6ASED ~fllI~~UCTIOr-., . J
~b'ect tp~~noeQdtt\J~MIlIEJ'fllJlations 0'3.60
Final: Site J State and Local Codes. a
F c<5~MtJNITY SERVI
CITY OF CARMEL / C Y
INDIANA
(Date)
Fee Received b :
# Charged Re-
Reviews
Additional Fees
.to
~~
-60