HomeMy WebLinkAbout06060122 Application
City of Carmel/Clay Township Jtv1 Permit #:-Itob Of "2 Z
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:
S~.:?"'
PRc5Vii5l:R.
NAME Ll
110M;
"'<.. -
PHONE
-ZBL-4&(.,,3
F~gg 013-
STREET ADDRESS
S24-S ~L...1A\.JIfoOD
ZIP
(5 , (",703
~ METHOD ,OF C?NTACT: 7
ON (p?7-?..75
BUILDER'S EMAIl ADDRESS
NAME J ~
1M
STREET ADDRESS
Ib2i
lOT #
"20'8
TYPE OF CONSTRUCTION:
I!lSr SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
FAX
PHONE
g\..tCi3 -? 390
C~/\r."'1
AOpRESS OF CONSTRUCTION
1<R2 I cwe Cr~
"r~
.., .,
=>..,
SECTION
2.
ZONING:
WATE
PROV
SQUARE . '2 Il r-
FOOTAGE: ..,. ='
1~1 000 "'"
~::-;;"
/ /')') "
f// / /,"
PLUMBING CONT.RACTOR:& ~~~::
okC- 50.tou.... 'S..I<f'Ivl-.l ",
Plumber's Indiana State icen #: ~
/
o
Which plumbing codes will be applied t he con uction: "
o International Residential Code wi dian~end~~nts
"
o Uniform Plumbing Code wI Indiana Am dme~ts
(Multi-Family Construction Code)
,
(Check all that apply for the new
"
,
/"......
~._."
//
/
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF lJT1UTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S): AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
~ ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION'
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Manufactured FOUNDATION TYPE:
_Y LN Trusses: _Y K N construction area)
~ CRAWLSPACE
Lot Split: _ Y LN Sump Pump: _ Y LN 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y,XN
o
o
POST & BEAM
BASEMENT
WALKOUT:_ Y X 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.
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, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indi~ 1993" (Z~ 289) and amendments, adopted un C 36~7 et seq General Assembly of the State of Indiana, and all Acts amendatory
ther to ~urther cernfy that only kitchen, bat floor drams are conne to the samtary sewer I further cernfy that the construction WIll not be
use or CUPl a Certihcate of 0 upancyhas been Issued by the D artment of Commumty ServIces, Carmel, Indiana
. ,
~ V--'l r. 1.'IO~ 'lIck ~-Ilu-C(P
Signature 0 er or Authoriz Prin Date
**************************;t~***********************
Filing Fees: ' 2. Yo
.
Base Inspections: / /, t, :::0 # Charged Re-
I Reviews
INSPECTIONS REQUIRED:
~ FootinQ~wer Footing Under Slab
~OUQ~
535'0
Cert, of Occupancy:
Meter Base ~
,
Site
P.R~~ 09;~:" ,4 ?:f]O'.;>, ';~~-
<<~~ ~~,
Revie
S:Permi
A roved: Dept. of Community Services (Date)
S/ILP RESIDENTIAL
Fee Received by: