HomeMy WebLinkAbout06060129 Application
City of CaNnell Clay Township Permit #: O(;,o{, 01;)..1_
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;
NAME /IflI11ME/G#lITIf I)J~.
STR':,~IlDDRESS
l/D, t?~~ ~/II
PHONE
,~ - 2r 0
F^fy<., -OJ'I
ZIP
t((po L
CITY
CtJ. -=c
STATE
IV
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
rLO'/() @ MIk..-, @/l.1\
NAME PHONE
',(/>1EV @MJfoIUJ )9/0-7'7'/7
LOT #
'l(P
SUBDIVISION NAME
4//1,41\/
Ei..J
FAX
CITY
STATE
ZIP
ADDRESS OF CONSTRUCTION
5-11/ o;J
CI}/Ul11::;"'L
SECTION
ZONING:
~-
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRiicnoN:"'~=_c: [I \\7 ri~: '1-[='\\ I
(EXCLUDING LAND VA~UE) \ I ~::::' -~:c;?_.c-?l-i;)':6n'F l~ '\ 'I
,II I., I 11
lih\1 JUN 192006
I)' III
PLUMBING CONTRACTOIL
EL?5 .4Jt1E"/Zr~.0 !7C.O/Af]IIJr.:--
Plumber's Indiana State-L;~~""" #.
(? L.- 19(P Ot5::,(c,,=<I
ii' 1)'1
I II
IL~I
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / 8ZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
~ . RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
J&[ ROOM ADDITION(S)
.(2 PORCH ADDITION(S)
loI&J REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Which plumbing codes will be applied to the construction:
o International Residential Code w Ilndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: fl
Earl Release - / Manufactured FOUND~TION TYPE: (Check all that apply for the new
per~it: Y v~ U Trusses: Y construction area)
- - - ~.. /' ~ CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y _N Sump Pump: _ Y ~ 0 SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 d.i~p~b.c.d(l;f-f'~cp.e..91 t.q~q9-Pfr~~rnd must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date.rtJIa~~~M:fttcrpMfiltk~ftrl~cnM.1,t-tJMI!~1 Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
Subject to,compliance with:~b~~8EEinning and completing construction.
[, tl)e undersigned, agreqjfl8t.gtg:~cOOB.J rf>ot:!R95\ction. enlargement, relocation, or alteration of a structure, or any change in the use of land or
strucrures req~~ rJ:W..'l-'l~~~i~WnYil~~~I)~m to. all applicable laws of the State of Indiana. and the "Zoning Ordinance of Carmel
Indiana - 1993~sf) :hMarMMM~h~~Y. e uW~ ,~f LC. 36-7 et seq, General Assembly of the State of lndiana, and all Acts amendatory
thereto. I r MSkl)! I("QQ)'dI' ~nected to the sanitary sewer. I further certify that the construction will not be
used r cupie un a .C~~:j cRff\JtfrA'f(O\flcyhas been issued by the Department of Community Services, Carmel, Indiana.
(l/l.tly) (J .;-L,D'iJ {lll./:':)/&FNI {.p ./9.0&
or Aut em. Agent Pdnt (uI - ,U 1",11 / Nt!..--. Date
OFFICE USE NLY:*********************************************~**************************
Filing Fees: /7 f S"(Y
INSPECTIONS REQUIRED: / / / /,,,,
Base Inspections: _,f,0.~
~r Foot~ Lower Footing Under Slab
~OUgj,~ Meter Ba<~~nal_ -~
~ /0
Cert. of Occupancy: ,<; 3. '"
P.R.I.F.: / /
~ /T~Z~/7 / //-!J:'X')' ;p
{/cJ--7~ JCI;; ~~'
C~.i II~ lO-Z'Z.-u{,;
Reviewed/AP~ved: Dept. of Community Services (Date)
S:Permits!forms!ILP RESIDENTIAL
Fee Received by;
# Charged Re-
Reviews
Additional Fees