HomeMy WebLinkAbout06060215 Application
. . \;Ill. 1\J.\1 . r{/lf)(g01 r5'
CIty of Carmel/ Clay TownshIp ~. Permit #: ~ N.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
2....t>
UG
. ?
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
25'1- NOeD
SEWER lJTlLTTY
CAf'.1Y\/'rL-
PROVIDER:
v{L
WATER UTILITY
PROVrDER: CPr i2-Nl E L
STATE
IN
PHONE
FAX
cm
STATE
ZIP
SECTlON
ZONING:
-PuD
SQUARE '2. I 0 ~
FOOTAGE'Z I :)'6
NAME OF lJTlLTTY EXCAVATION CONTRACTOR; PLAN COMMISSION f BZA f BPW DOCKET IN IU- S e k eft.; A- n rJ er-
NUMBERS; TAC DATE(S); AND/OR (OUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 12..0 00 0
Manufactured AI2( FOUNDATION TYPE: (Check all that apply for the new
Trusses: ~, I2A,S/2 construction area)
Y~OiYI~cc?"F='O. PJCCRA, WLSPACE 0 POST & BEAM
Lot Split: _ Y ---<Q.N Sump Pump: fi ~t "7')liq~ ~~.,. 0 BASEMENT
Does any part of the property lie within a sPlQ o:id@l:.s" llli~ f.%~) ,ry WALKOUT: Y N
For Single Family and Two Family dwellings, additions, remo e s, GpyP1..fl~C~:;rsd'i1A~~t~eh&~li!)~S valid only if construction commences
within 180 days of the date of issuance of the building permit, and must Ha~plei:ld ((}€5'~!te of Occ.tI~ancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Admini~~ve~'ff;:lit;'3{#W8~iana (See 675 lAC 12) regarding expiration
. RIIf . f . e inningand&iMj,~' gd'o.l0Won,-'e:S
I, the undersIgned, agree that construction, r 0 . < "~~r t" alteration of ~e, or any change in the use of land or
structures requested by this ap "cation will com " at!l "a tie State ofi~~a, and the UZoning Ordinance of Carmel
Indiana -19 " ~ 289) and a ndments, adopted under authority of . :"~6 'sembly of the State of Indiana, and all Acts amendatory
theret rt certify that y "tchen, bath, and floor drains are connected to the sanita er. I further certify that the construction will t be
us or DC ied un1j!..a.p Ii ate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
\. 'g~IA10 ~erJt
Print ~
TYPE OF CONSTRUCTION:
.0 SINGLE FAMILY
tfZ' TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_Y~N
TYPE OF IMPROVEMENT:
@... NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
rp...UL 1? SM I T-4
Plumber's Indiana State License #:
c.'P 910l1-1-:+1
Which plumbing codes will be applied to the construction:
[fi?[ International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
OFFICE USE ONLY:: ***********************************************~**~******************
Filing Fees: 5''1"'2-.7()
INSPECTIONS REQUIRED: r> ...., 7 r 7'l Ch
Base Inspections: ^ ..L _~. \2 V # arged Re-
53. ~O Reviews
Cert. of Occupancy: ..j
d 'facet Additional Fees
13b.
t.."
7/'
P.R.I.F.:
Reviewed/Approved: Dept. of Community Services
S:Permits/Forms!ILP RESIDENTIAL
(Date)
Fee Received by: