HomeMy WebLinkAbout06070023 Application
City of Carmel/Clay Township Permit #: 00 {J '7 (l (I ;:)'3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
STATE
..:::Z#
ZIP
{:lf3
C:/-.
FAX
BUILDER'S EMAIL ADDRESS
b ""
BEST METHOD Of CONTACT:
. e"(V'\ cELL- -~17 -()7t5~
LOCATION
& PROJECT
INFO:
PHONE FAX
5i -O:J./3
PROPERTY
OWNER:
CITY
STATE
ZIP
"'0 3
ZONING: J- /
SQUARE I
FOOT~GE: I (lO
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
1 i! /I .
PLUMBING CO,N, ~RACTOR:
J.:,.\ JUL 1
, I
Plumber's Indira ' ~!J91.!l..e..#:.
Wh?plumbing COftS will be applied to the construction:
~ International Residential Code wI Indiana Amendments
ESTIMATED COST OF CONSTRUCTIO~
(EXCLUDING LAND VALUE), j2,o.-t7!Z1
I r-"'-",::l 1\ \ '':\/1 I ;.~:.:: '\ r"'\ \ j
; \ f"\\ ,j \} ..:;;::::l ; \ \1
: I j i ,----------- I \ \
I \1
o 2006 \ i)
SEWER UTILITY ~
PROVIDER:
r~~
11/ ifj;fJi=-f
NAME OF UTIUlY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
.../ # of Units:
fa' RESIDENTIAL (For
Additions, Remodels, Etc.)
l~
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ~Manufactured ~ FOUNDATION TYPE: (Check all that apply for the new
construction area)
Permit: Y Trusses: Y N
. -, ..c - . /.C 0 CRAWLSPACE
Lot Split: _ Y..x..-N Sump Pump: _ Y -A.-N ' 0 SLAB
Does any part of the property lie within a special Flood designation are~: _Y.6
o yoST & BEAM
~BASEMENT , ~
WALKOUT:_V-KN
For Single Family a~r!)Vtt~~~s~~~5t'f.Rt!J@qrt(}N/or accessory structures, this permit is valid only if construction commences
within 180 days of~~f{kiMnh\'6't tbebui inglf~HP#fIMIN;q~st be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. ClassSM~~tJ'Pe;:fttlfUPJfe~e'ttl t1\e (;Cnerat'Admmistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
of $tate a0~j ~~~~.begin&5;- and completing construction.
!, the undersigned, a~Ip'FI!Ylf'reE~We@ltRJj,\fS ,rdoearion, or alter!' ODe DBt,~.1J,r#,)<m'S!'i?f:land or
st~c.tures requested b IS a.ImIiC~i~{Il-: . m 1~..WitJh9r4F~\1~q~bpplicable laws of . e e '.. ' ~ t _, ~ni(ig\~!Ti~,~~c. of Carmel
Indiana -1993" (Z~2 rtM Aolfit~, '. tm~t&dr!t'fbtl'E"31d~7 et seq, General As. I. ", ~\tS'amt'ndatory
thereto. rther cernfy rhar y kirchen, tNt9.ft\tij~r drams are connected to the sanitary sewer I further certIfy that the constructIon Will not be
used cupled unt C; mfirnte of Oacupaflcyhas been Issued by the Departmenr of Commomry Semees. Cacme!. IndIana ~ ) J
Jy-VClV1 \'\j',-( )',,5 , 7/l.!/ob"
Sig Agent Print / OJ o-:rt /
I ~I -z.-c;
Reviewed/Appro d: Dept. of Community Services (Date)
S:PermitsjFormS/ILP R SIDENTIAL
SEONlY:* *********************************************!************************
Filing Fees: /33. 5a
INSPECTIONS REQUIRED: 'Ii /.' h' 0 # Charged Re-
Base Inspections: __ ~ v
Upper Footing Lower Footing Under Slab ' Reviews
~~~ e Site ~:~;,:~:occupancy: 5350 AddibonalFees
TOTAL: .f' o?? 9- 0 ()
~;1jttt~. fl. J-.; W n /ILl.-
Fee Received b .-j , 1