HomeMy WebLinkAbout06060211 Application
\
I.(t(. ~ d\U""21'1
City of Carmel/Clay Township W' Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
,0 LLC-
PHONE
31
FAX
:5 i7-.>rfr-zl (,i (
SNl
PROPERTY
OWNER:
NAME
PHONE
FAX
s.kme
STREET ADDRESS
cm
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT #
C.
SECTION
ZONING:
uj)
SEWER UTILITY
PROVIDER: Cltl!-iYlEL
!tV
WATER UTILITY
PROVIDER: Cl'tf-tnEL
SQUARE
FOOTAGE: 2 I 5 0
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) I 2 (/
W ILL.j t' XC/,<II,4--PNt':r
o
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
PLUMBING CONTRACTOR:
f'~ul C 5fVl [ Tf-~
Plumber's Indiana State License #:
C-P ~ I 0 ! 7--1-1- I
TYPE OF CONSTRUCTION:
TYPE OF IMPROVEMENT:
i8). 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 9llntemational Residential Code w(lndlana Amendments
o ATTACHED GARAGE D~'; b' C d (I d" A d ts
o DEMOLITION m '"9 0 e w n ,ana men men
EASeD FOR CONS'FR I Conslrucllon Code)
PROJECT INFORMATION: REl . with alJ...tJl9,ul!ltlOns
Early Release M f~ to ccmp1lance . ,. c..~DA'n:ON TYPE: (Check all that apply for the new
. anu 'c. "" and Lncll, C!r:udiI_a)
Permit: _Y ""N Trusses: \. '<>L;:Y::-...l'(jNITi' KIII'-''''';;>
n~T OFC()iVli\tl' I - .,C;&\il&~ft'l:E 0 POST & BEAM
Lot Split: _Y ~N Sump Pllln bF cM~N!,CLf:(~~~~7 "', 0 BASEMENT
Does any part of the property lie wit~I pedal Floodl~n area: ~Y ""'-N WALKOUT:_ Y_N
o
~
o
o
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 s.ructure permits are subject to the General Adml' 's.crative R. ules of t..he...sea....'e 0 fInd. i'l..na.. (s..e..e 675 lAC 12) regarding expiration
. time fram~s for beginning . " Ji- .." )!1Wtt1?;r~. .,~\ rJ ~~,.. .
I, the underSigned, a e ~hat any c~ns[ru~[ion, recon~tructlOn, enlargemen . I ~ ~ i:.~~9tJ~~t!9~.?- '> ange. III the ~se of land or
StrU quested y hiS apphcatIOn wIiI comply "\Vlth, and conform to, e ~tite~tW.ii~ omng Ordinance of Carmel
'ana -1 3" (Z~2 9 and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acrs amendatory
thereto. urrher ce fy at only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the constructio will ot be
used occupjep t' a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
'~'i2-I~~(7rJe
Print
OFFICEUSEONLY:**************************************************~*********************
Filing Fees: (11- ()t; , () ()
~PECT10NS REQUIRED: . -., """7 f)~
Base Inspections: .-v' I' v
~~g~~ ~s 5~~
Cert. of Occu pa ncy: U' l.J
/It '0{
Meter B Site ". .
P.R.I.F.: 1 reodtJ rCJ.f Addlt,onal Fees
~ TOTAL, ~f ~
.O.A~As-~ ' \ \ c /
'eeRe by ~ '- 1 h lOlP
# Charged Re-
ReVIews
,-
(Dale)
lJ~
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL