HomeMy WebLinkAbout06070029 Application
\<:;ity of Carmel/Clay Township Permit #: OfdJ700:l.9
\
ESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
ror Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
~.LLDER of
RECORD:
NAME ~~/c/.
'JC'/"r~ i!Jtd Sf.., ;;:;
'N~+
FAX
58;;) - ;;)'1 s 3
ZIP
ij6t?3~
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BEST METHOD OF CONTACT:
10(//- 851.)
PROPERTY
OWNER:
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
lOT:.]
SUBDIVISIO ~~AME J L' ~
j nf () /1):5/ /..t/I.JL,
ON
SEmON
I
ZONINGS - J
(J,~ch- uk,f
SEWER UTlUTY /l . r /1 J
PROVIDER: L:Y ti \ L tl;f! /17 e .
NAME OF UTlUTY EXCA nON CONTRACTOR; PLA~~ISSlON / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL'''ft''[O @.:. PERMIT #'5 (IF APPLICABLE):
,/,- ,;/'...... \ \
\\ ""1 ':?" \
TYi O:I~~~~:~:Nc6~~~ N~ if~~~:;T:
o TOWN H \@:> "tJ)l RO --AD ON(S)
o TWO FA [\. \ \) 0 ~H AD ON(S)
# of units\ $~~REMOD
o MUlTI-FAMI ~A SORY BUILDING
# of Units: ETACHED GARAGE
o RESIDENTIAL ( ATTACHED GARAGE
Additions, Remo Is, Etc.) 0 DEMOLmON
SQUARE SI a 1
FOOTAGE: /0(,
ESTIMATED COST OF CONSTRUcnON: ~ :] 7
(EXCLUDING LAND VALUE) C:>I J
,../) ':-I-J-:::/I- 06 0
l'IC'/2,ejll
PLUMBING CONTRACTOR: ~ A. . ''!~I ~ ~b..
~ tf)er.1lcvn"C '1t'&.T~.....
Plumber's Indiana State License #: "cr.'V' I>
f?C 8/0 (p L/S'I{) . 1>6'
Which plumbing codes will be applied to the construction:
r}i1 International Residential Code w/Indiana Amendments
',."
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
$" Manufactured)(1
_Y N Trusses: ~Y _N
'V' 'Y 0 CRAWLSPACE
Lot Split: _Y -f"-N Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
o
~
POST & BEAM
BASEMENT
WALKOUT:_VLN
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 structure permits arc subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
RELEAS ED FOR'C~~f8im' . l':WlP completing construction.
I, the undersigned, agree tStf8ffi',QJPdtw;;;wglfeconstruc C;'tt':f'~lf..,g<: e ft,"h~.ocatjon, or alteration of a structure, or any change in the use of land or
structures requested by thIS appllc'ahop *'rt1lc!t'Iffi~9.~t~ ~~rf~ B-,qg~licable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana _ I993~ (Z- 289) and amenduQh~,t~akI~rkJ@~iilt~,I.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
thereto, I further certify tl{\}~~i@Jen~@MM ~~_~.~Jfffi?lCl:lO~he s itary sewer. I further certify that the construction will not be
used 0 upied until ' tn= ?a~ OWNtWflart n of Community Services, Carmel, Indiana,
, . '. 19, I'. Oil? 7-7-()co
of OWne or Au orized Agent Print Date
P.R.LF.:
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INSPECTIO
EQIjIRED:
Under Slab
Filing Fees:
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
y
CII'<l. '\" I--t I~ 1-1'-/--d-,
Reviewed/AP~Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
Upper Footing
Additional Fees
Fee Received by: