HomeMy WebLinkAbout06050205 Application
City of Carmel/Clay Township cl1\pe~:(-)~-06-fJ-:<;S-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY ~ -4. NEW STRUCTURE
~ TOWN HOME 3 _.~('(\ 0 ROOM ADDmON(S)
o TWO FAMILY ~ 0 PORCH ADDmON(S)
# of Units: .~ O-REMEl~t = -
o MULTl-FAMIL Y r rF\\, r~::; fiF'1 GA'C[E~C;';R{BU, iiDjy!'G
o R:s~6~~~~L (For liD) [~ \O~~~~~g-=g:mJJ~~d~r
Additions, Remodels, EtC:\,\, ., .~ ~E~oze~/pN I
PROJECT INFORMATION:~~ UI It! ,,{ . '
Early Release f'i ~ - 4Manuf
Permit: Y N Trusses: Y
. - I . - 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _y. N -Sump Pump: Y _N g SLAB 0 BASEMENT
Does any part of the property lie within a special Flood desig~ion area: (:::>...y.i-N WAlKOUT:_ Y_N
For Single Fa~. .. ne fr'i.~(V, ,mily dwellings, additi~,rcmode, or accessory struc I rbs) [Pus permit is valid only if construction commences
within 180 0 'the 1a '1;:, issuaf:e ;r.the bU!ld~~mi.(,,? uS< be~ted (C d{lca Ie of Occupancy issued) within 18 months of the
issuance date~... ass st~ct '~~'",",erm~ts a ~~~eC\ t the Gefeyn" ,inistr ,iV, u~es of t e'~ta~ .Indiana (See 675 lAC 12) regarding expiration
Q':,. '\'-tlmeqrames or~l:5egm I and ampl mg con t\.~QQ.:.: ..
I. the undersi d,ag et ata ',oc os ti r,A~d,nstructio eni rgc e t,relo~~'on oralteratl [:1~fasti1lct,ur r any change in the use of land or
structures re~ .fed by .hi appli:at ant' omPl.Y\..ith, a co arm t applic I aws of the ate of Indiana, the "Zoning Ordinance of Carmd
Indiana -199 w (4~ 289) amen m nt . a~pte-d bnHer' t ity of LC. 6 et seq, jQsemb y of the State of In~a, and aU Acts amendatory
\ thereto, I furt er kertify har only 't&e ,Jath, ancFflbor. ins are connected to the ~:tnlrary sewer. I further certify that the construction will not be
'.,sed or eu edlu tll a drtjficaie1,{ Occupancy has been issued by the ~tme'\t of fnmmunitY, Services. Carmel, Indiana, L-j J" I I In ....
\ . I. - ID L-lHer811 ~
re of Owner or Authorized Agent Print Date
'.
\
\e USE ONLY: ** *********** **** **** **** ****** *** ************,>*.-!,** ******** *************
\ .t- J\.Q:i1ing Fees: ':f'LcJ.. CY t?
INSPECTIONS REQUIRED: u,~ . ~ 77 .,..-G)
~ ' Base Inspections: Ol--< _ . -.:) v
~ooting ower Footing S ;:;> ~ ,..,
\ Cert. of Occupancy: ..> - w v
y ~ P.R.I.F,: A::~ ClIO
\ ;(, 8'.::(.00
I
'(
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
\Y"'\,-K...h Q. ~
PROPERTY
OWNER:
NAME
~
STREET ADDR
LOCATION
8< PROJECT
INFO:
LOT #
FAX
'll<r
ZIP
4W-.loD
BEST METHOD OF CONTACT:
~~
PHONE
"2:H
FAX
"i;lco' tDl
ZIP
ZONING:
So
ESTIMATED COST OF CONSTRU
(EXCLUDING LAND VALUE) I
~2C\?:
PLUMBING CONTRACTOR: o,.~ ' v,. /II.
~;a1Z-\ ~Ql>--~ OS"
Plumber's Indiana State Li nse #: '13,?
It> SCLcB ' r6
Which plumbing codes will be applied to the c~:mstruction:
o International Residential Code wI Indiana Amendments
. I
..,. Uniform Plumbing Code w/Indiana Amendments :
(MUlti-Family Construction Code) :
I
(Check all that apply for the ~ew
FOUNDATION TYPE:
construction area)
# Charged Re-
ReViews
Additional Fees