HomeMy WebLinkAbout06060132 Application
City of Carmel/Clay Township Permit#: 6606013:l
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
$'~
PROPERTY
OWNER:
NAME '" \
ulJ ~ S k.e...(/
STREET ADDRESS
loc~
ZIP
4110
~
OVY\ 0
L/ 8-3'1(,
ZIP
BESf METHOD OF CONTACT:
Co
PHONE
FAX
ZONING:
LOCATION
&. PROJECT-
INFO:
LOT #:;f1 SUBDIVISION NAME
ADDRESS OF CONSTRUCTlON 'ft ~
(!xooHed Sh'cJ< sWest-
(I ODS T<=>-Y\ 0 S; ~OV'\. --j V-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~INGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ..JI.OOM ADDITION(S)
o TWO FAMILY 0'" PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units:
G<r RESIDENTIAL (For 0 DETACHED GARAGE
o ATIACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJECT INFORMATION: ~
Early Release / llY"Manufactured /'
Permit: Y ~ Trusses: _ Y.-LN
/' 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: _ Y ~ 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
SEWER lfTILITY
PROVIDER:
R UTILITY . J-A-
PROVIOER:.:!.n d "'"
NAME OF lfTIlTTY EXCAVATION CONTRACTO ; PLAN COMMISSION / B / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
31
SQUARE
FOOTAGE:
/q.;; A
l;\)t
ESTIMATED COST OF CONSTRUCTION: I/' ~
(EXCLUOING LAND VALUE) if> t, 00 D
PLUMBING CONTRACTOR:
,vA
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wjlndiana Amendments
o Uniform Plumbing Code wjIndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
0". POST & BEAM
o BASEMENT
WALKOUT:_Y_N
For Singllfof"flJll~ illG..I~~r.~llY dwellings, additions. remodels, and/or accessory structures. this permit is valid only if construction commences
within I~I;l~~~JI#S1I'Pl't!J~~it. and must be comPle~e Certificate of Occupancy issued) within 18 months of the
issuance dal:l~~ia~'MfA'iIfiFIi>.\9I!'.ijer;eneml.Administrativc R ~lIlna5Q~r atding expiration
of5 ate and t mo!'lI'alllb\?l1l! begmmng and com pie
I. the unde. a t Y. con~aga1Jrlq.~struction, enlargement, relocation, or alteratIon f . t , . . e of land or
structures ~ ~t~MU~nSER>V'l~nform to, all applicable laws of the State of Indiana, and the ~Zoning Or inance of Carmel
Indiana -(jjj'i'rt~OAR e . 'of r.c. 36~7 e( seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further ce~~jfy that !!1~~ini~i~ ~e connected to the sanitary sewer. I further certify that the construction will not be
used or occupied :f' Ce;;HMwAupancy has been issuet! by the Department of Community Services. Carmel, Indiana.
~ ~ <;k~p 1="r"QI'\--tZ- (.lIs/Or:..
Signature of OWner or Authorized Agent Print Date'
OFFICE USE ONLY: **************************************** ********~**~l~****************
Filing Fees: / S b, .J.1
:NSPECTIONS REQUIRED: / / /" ~ 0 # Charged Re-
~ ~~_.,_~ Base Inspections: _ "" !2 ~ -'
~ Lower Footing Under Slab '-0 Re;t!"ws
. Cert. of Occupancy: ~3 . J ~ p / 0 '1 (JO
~ug~ Meter Base ~ Site P.R.I.F.: 4,~tionWJb
37h5"/ V~~i
r /0"7 00 i! 9'>>'3. 5;/
7-tl-ob
Cva...;q NI~
Reviewed/App~oved: Dept. of Community Services
S:PermitsfFormsfILP RESIDENTIAL
'- '
(Date)