HomeMy WebLinkAbout06060216 Application
V'~'\.~ .
City of Carmel! Clay Township ~ Permit #: ()Co ~OA.l~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
LOCATION LOZ:;:: SUBDIVISION NAME
&. PROJECT
INFO: A!~SqFCONSTRUNOeD ~e. A-ve-
SEWER UTlUTY () - WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: ~A'f.--rflt L PROVIDER: CA~McL (EXCLUDING LAND VALUE) h 0
NAME OF umUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET W I (...L S C,I( C IT &I ,4,..., f'J &-
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
BUILDER of
RECORD:
NAME
L-LL.
Of\Y0 f1 .... M
STREET ADDRESS
!
PROPERTY
OWNER:
,-
s
~D\I~
STREET ADDRESS
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
I8l 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:
i2f- NEW STRUCTURE
o ROOM ADDIT10N(S)
o PORCH ADDIT10N(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
FAX
BEST METHOD OF CONTACT:
]...:...
PHONE
FAX
cm
STATE
ZIP
SECTION
ZONING:
'P0D
SQUARE
FOOTAGE: 29 if
'ODD
PLUMBING CONTRACTOR:
T'PrUL E SM l TH
Plumber's Indiana State License #:
C..:P BlO 1"1--1--=t- I
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT: Y N
For Single Family and Two Family dwellings, additions, remoa-~hi.~~f; 1J"'~ ~~ it is valid only if construction commences
within 180 days of the date of issuance of the building permit, and .n~~?'~~eCe~$tinc~~~~.t>ceupancy issued) within 18 months of the
issuance date. Class I struet e permits are subject to the General A8I~m~t;~}KtiMj e of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning an~~Pletir\O~'
I, the undersi ned, agree th any construction, reconstruction, enlargement, relocau " a the use of land or
struc es req sted by this pplication will comply with, and conform to, all applica~ft n . ~l.ftM~1 ~~dinance of Carmel
I ana - 199 (Z- 289) an amendments, adopted under authority of I.c. 36-7 ct seq,~, e ~lllUt~cts amendatory
hereto. If ther certify t t only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction wi not be
used cupied uRtTt- e' f1cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. ************************************************************************
. Filing Fees: (p 8 3 . J 0
PECTlONS REQUIRED' '"') f'-1 f'.t, ,7:"0 # Charged Re-
Base Inspections: ~ -h L...J
pper Footing Lower Footing Under Slab 5 3 . S 0 ReViews
~ Cert. of Occupancy:
~ P.R.I.F.: It/rVl.444 raid Additional Fees
cJJQ ~OT:L~ / 11/~-'1[~
Reviewed/Approved: Dept. of Community Services (Date) - , "90 - fl -- - --
S,""mi"/'",m,/ILP RESIOENnAL Fee Rece,ved b : iI, / [) ~
'\S'j2..~AN
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