HomeMy WebLinkAbout06060070 Application
BUILDER of
RECORD:
, 'Jg-\t\\~
':ity of Carmel/Clay Township \.J ~ Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT
For Single Family, Multi-Family, &. Two Family:
NAWOO~v{, CoNst,w.(;,kt>~
STREET ADDRESS
o BDY 07
O~ OtpOo 70
LICATION
PROPERTY
OWNER:
BUILDER'S EMAIl ADDRESS {
<Va aio,Jf.9 oJ\-. 1'1<'
NA E { , ,{ /
R../XAJN l N<... VV.kU-
STREET,~RESS _ J -1 II I
(;).151 /3:(}'G~ /IV'
PHONE
LOCATION
&. PROJECT
INFO:
-t' / I L
~
STATE
ZONING:
oeD \
SQUARE
FOOTAGE: :if 2 Ii'
SEWER lITIUTY WATER UTILITY
PROVIDER: D PROVIDER: 1:
NAME OF UTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / B / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
EST1MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
C()
00
TYPE OF CONSTRUCTION:
0' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (FDr
Additions, Remodels, Etc.)
NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETACHED GARAGE 0 International Residential Code wI Indiana Amendments
o ATIACHED GARAGE ~ifonn Plumbing Code w/Indiana Amendments
o DEMOLITION REiLl!Ac-....Ct:'1UF'tIO.FamIIY Construction Code)
PROJECT INFORMATION: S ~D ~().,,,.
Early Release ./ Manufactured ~\IIlJbO~', ct ~~~fl~that apply for the new
Permit: Y V N Trusses: Y '. . '~!lG!W L a re~I' iQlJs
. -./ -, '())Fq!;C~MlW,'<R,'iyJ~odeso POST & BEAM
Lot Split: _Y..1LN Sump Pump: -CfINr OFCAAj~e t1Nlry S~ CEMENT /
Does any part of the property lie within a special Flood designation a...!a. --.L 0~OW LKOUT:_ Y ~
PLUMBING CONTRACTOR:. / r
~4, R. JtI-du"".-v PI '-vt1b, ,,; 6
Plumber's Indiana State License #:
cP 5/ 81 '30 C 'fo
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, to 5 ermit 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 clate. 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, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, aU applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993~ (Z- 289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I 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 occupied untillrtiFicate of Occupancy has been issued by the Department of Community Services, Cacmel, Indiana. .
:OfiL _IA ~ ~~ tA)OD!)""'-'l-- (., \1'2-\~f
Signature of Owner or Authorized Agent Print ~
OFFICEUSEONLY:*****************************************************'~*****************
~ )Flling Fees: /7-../7, ..,,0
~PECTIONS REQUIRED: f410 . /1, r-f 50
. Base Inspections: "'-':J. -L-,
pper Foo - g wer Foo . Under Slab ..-- -'2 50
Cert. of Occupancy: ~ f: O'lJ
P.R.I.F.:
~{)q.t-fO
# Charged Re-
ReVIews
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjForms!ILP RESIDENTIAL
Fee Received by: