HomeMy WebLinkAbout06060093 Application
~ -City of Carmel/Clay Township c.~'- Permit #: V~O(OOt1f3
'.~\ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
""" ,.' For Single Family, Multi-Family, 8< Two Family:.,New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
PHONE 311-105-
01Y I IJD lS
STATE
I~
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
ZIP
LOCATION
8< PROJECT
INFO:
I
ZONING:
SQUARE
FOOTAGE:
SEWER UTlUTY
PROVIDER: C,UW W?
, n bvl...'S,
ESTIMATED COST OF CONSTRUCTION:.jj. 3,'''1'1 fVV"l DO
(EXCLUDING lAND VALUE) 'It 0<'-/ LJLZ/.
NAME OF UTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW OOCXET ~ f\ \ . \ \
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): ~ TL IC.H '-.OrYlIAcrD\<.S nO. .
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
~ MULTI-FAMILY LJ.
# of Units: (
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
ti( NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the constru_n:
o DETACHED GARAGE 0 International Residential Code w/Indiana Amendments
o ATTACHED GARAGE /IQ( I;:::',
o DEMOLmON I7'\. Unifonn Plumbing Code w/I'1di;ona Amendments
(Multi-Family Construction COdel//j) ) If:",.........,
PROJECT INFORMATION: //L//~ fr,," ~
M nu'actured \; FOUNDATION TYPE: (c.l/ck all/thata~~f~tt)enew
~:~i~elease _Y LN T a, -4-Y N construction area) Wl/ ~/J 10'
. " I;::J ~ CRAWLSPACE ~t.f.?ST ~M ~~- "
Lot Split: _Y LN s:=;~mp: _Y:::::N ~ SLAB 0 BEMENT 1 y -"" ) i
Does any part of the prope i . .~~ Flood designation area: Y 1i...N WA: <? Y:l N/!j
For Sin~iE~ 0 M'fflro1w~. . ~.r~ 'P. remodds, and/or accessory structures, this permit is valid onIytf~,s~ction~omme~1
within~M~d:ttlfc91IijQ 8t.~~ct~M.ildin~e.eJ.!D-it, and must be completed (Certificate of Occupancy issued) ~~I8 month5#J
~uance d1te':'lCI3S@J~ Stn<<:urepe~4~fV"~~_ era! Administrative Rules of the State of Indiana (See 675 lAC 12) r~ng expira
t: r.OMMUN\ I qjfu ~ningandcompletingconstruction. ~
I, the unde~~J: aQ~e tn~lR~lon~t(9 , r!~ Ih: eIualgement, relocation, or alteration of a structure, or any change in the use of Ian
structur~;~"\B~~.hhtldn . comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - \9~3" {Z~89) and am pred 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 oc pied until a G . te of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
\0 (') V'..... ~ rcq7 &rl ;J.<y;
::J'"'" Date
PLUMBING CONTRACTOR:
.~ 9ib.J2lumb\ nrb
mB Indiana State cense #:
B ['(1\35
Print
OFFICE USE 0 :******************************************************~*****************
e/L\~Filing Fees: /If~? aU
~..-IN~P ONS REQUIRED: IV\ fR. 00 0
- - - Base Inspections: 6 0 # Charged Re-
Upper Foo . Lower Footin Under Slab 1.. I J..( 0 0 ReViews
Cert. of Occupancy: 6
9 P,R,I.F,: 5otf4, 00
~I~a- ~~ ~ JJl~' ff~
Fee Rece"ed by: U \ IIt\ Ol9
~ete"B~
f B
Additional Fees