HomeMy WebLinkAbout06060176 Application
City of Carmel/ Clay Township Permit #:~O0-0 17v
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:
SEWER UTILITY
PROVIDER:
'Dee
:3 Dr-
BUILDER'S EMAIL ADDRESS
50... t
NAME
kZ'I/, '..v
STREET ADDRESS
/ (~7'L
LOT #
:9
CITY
STATE
ZIP
PHONE
~79-N/
CITY
N I ~rz...re
STATE
..:p~.
SECTION
ZONING:
fir r.......
'.ef
j IQr.M 5
SQUARE }I')O
FOOTAGE: }(/
,
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) II cb d ,--
,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units;
o MULTI-FAMILY
# of Units;
o RESIDENTIAL (For
Additions, Remodels, Etc.)
o NEW STRUCTURE
~ ROOM ADDITION(S)
I';:'\, PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION I. JI
~-"- F;......ll1lo;:-.
FOUNDATION TYPE: (Check all that apply for the new
\..11 Manufactured ,1/\ construction area)
Y ~ Trusses: _Y --X..,N
~, 0 CRAWLSPACE '-5&' POST & BEAM
Lot Split: y:=;. Sump Pump: _y.;eN 0 SLAB '0 BASEMENT
Does any part of the property lie withi c-:,. r:: ~)i'W~' Y $N WALKOUT: Y , N
For Single Family and Two Family dwellings, I ~i :rdn'oaei~~~aec~ Stili); ~ ~MS>T~~n commences
within 180 days of the date of, i,SS"U, a",nC,yC,ofthe t+~ g permit, and must be camp fW~~~ffitJ.~Wlt't1Y!f1hw.te~onths of the
C. DBf)' [i[g'~:!\i~ are subj' he GeneralAdminWkwpve 'hofl!l'& ID9Cft'b'ci'&f eadii~!") regac<lmg expltanon
.t lr, 'N -'-'. tl esf~l~lImaAlJL}mp njtn'iHYo
e I ,a e t atanyc~n~truction,re Is tion,enlargement,relocation e a~foGQJrA~Nh1Yl~flandor
structures requested by this application will compI it nd conform to ' '.' e~l.tm.lPJdianJt,~ rPv"reW~rd:i.HlP of Carmel
Indiana -1993~ (Z~289) and amendments, adoPted~der a onty 0 LC. 36-7 et seq, eneral sembly'hHh'e"s5t'~qr~aha, ana.alll~~s amendatory
thereto. I further certify that only kitchen, bath, an floor drains are connected to the s' wer. I furt~NQltily.utnt the construction will not be
used or occupied u il a Certificate of Oc anc a~ b........1I Issued y t e Department of Community Services, Carmel, Indiana.
tJao." "0 T; ~mft5 [.... 22,,-6&
Prmt Date
TYPE OF IMPROVEMENT:
PROJECT INFORMATION:
Early Release
Permit:
~************* *******
,/0 , /3
/6 c;.' () -:7 # Char'
. R ews.AlrA'Ie
S- 3 -.> () v?e<1
P,R,LF,: ..s 0 _ Additional~~ I \
~~~~',~/ ~;A
:z. "l O(P
, I
s Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
OFFICE USE ONLY: ***********************************************
Filing Fees:
, Base Inspections:
Cert, of Occupancy:
INSPECTIONS REQUIRED:
Lower Footing Under Slab
Meter BaseGnai Si0
(i.,... SVY 1'0-7.. "D
ReviewedjAp Dved: Dept. of Community Services (Date)
S:Permi't3/FormS/ILP RESIDENTIAL