HomeMy WebLinkAbout06050208 Application
Vi~, ~ .ur
City of Carmel/Clay Township t1(fr Permit #: 6reOC;6J..O ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
~1~ ') OJ y
ZI~l1 ~
.J:I-j l\?~a
i
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SQUARE
FOOTAGE:
SEWER UTILITY
PROVIDER.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 1
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
. ,,'~~
:", ~~.
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
~'-
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: 2f+~ \ .$'02 i5'~
" 'dJ NINtSTf1.):J-fI'lLRE___ ~ ES"KO)...\. ~1'"
f).:..A/~~ 6 R0,9~ )N2QPJ9WDi ') i\'~r~,!~her's Indiana State Lice se #: r- n ~
J'(X. 0 P ~WADDmON(S)~ ~.:)"
~,O EL J J Ii'
, V 0 ' ORYAij~LDING Whicr r'Unbing codes will be applied to the construction:
o HED"G'AkAOE I 200iP I~elJJ,tional Residential Code wI Indiana Amendments
o TT ED GARAGE ,d(MI .1/1 PI b' C d II d' A d ts
o DE 0 TID 'tt r..Ji, urn mg 0 e w n lana men men
M LI R & ;aroil'hConstructlon Code)
PROJECT INFORMATION: I UN~TRUCT/QN
Early Release Manufactured .J .If ~mllJN iPll6NII-q~iltlM1~ck aU that apply for the new
P t _Y.....//N Trusses"" -If: "'l:c...""" 0 taliiiiit~~mlbes s
ermi ~ 4'L-1 ~~"OF COtM~@RV ~ POST & BEAM
Lot Split: _ Y :i-N Sump Pump: ~ILUF CAR~~ IC BASEMENT
Does any part of the property lie within a special Flood designationlfl,fffl" ~ ~WNS IP WALKOUT:_ Y_N
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, this permit 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 date. 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.
It 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 \\ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993~ (Z~ 289) and amendments, adopted under authority of r.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
u r occupi d until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana:,-- ) ~ I \ \ N _
~ I l()lZT Ut-tc:.h:,\\ ~
Signature of Owner or Authorized Agent Print Date
i,
OFFICE USE ONLY: ********************* * ****.~***** ***********'~H"*****~*** *************
FIling Fees: (J2 '1 U ~ CJ C/
NSPECTIONS REQUIRED' r] NY. ~O
Base Inspections: (n I --f-.. '--'
ting Lower Footin ~ ~ L!:"O
Cert, of Occupancy: v v.-'::>
~r ~ P,R.I.F,: I?-(Q! ' (!)(J Additional Fees
, /J/J TOTAL: ~ ~:<. 00
~ b ',1-2 0
# Charged Re'
Reviews
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormS/ILP RESIDENTIAL
(Date)