HomeMy WebLinkAbout06070073 Application
City of Carmel/Clay Township Permit #: @G?o'JCl07:>
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
Manufactured
Y K N Trusses: _Y IN
- - 0 CRAWLSPACE ~ POST & BEAM
Lot Split: _ Y LN Sump Pump: " ,~N 0 SLAB 0 BASEMENT
Does any part 'R1!Il,.~~QiV"IUQN.q; ~' 8~~esignation area: Y )( N WALKOUT: Y N
For Single Famil .a~ .1f*0' f~ ~flli~t!8.~~~''&modcls, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the da~ of'i\fshancf^t>flt~,~~~R~ust be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Cla8~c~~rGQts'ijYJ:~~ctlo'rh~t;li.q,~~~nistrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
TV ni::' GARM EL / @tnN{a;I&sJCIIV ,*~Ihg and completIng construWon,
I, the undersigne&;lgrtX: t'h"at any consq\!.G'tiQPllf\<i~struction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application #Iill.e'dm~1YWith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certif that 0 kitc ath, and Ooor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied Cer jca 0 Occupancy has been issued by the Department of Community Servi s, Carmel, Indiana.
Ii' 'liJ2. .
~
OFFICE USE ONLY: ********************************************** :*~*********************
Filing Fees: J cS. 0
INSPECTIONS REQUIRED: J / /. . r 0 # Char.ged Re-
c- ~ '\ Base Inspections: _1Z.!2_ ,L '.
~ Footin~ower Footing Undl!r Slab ' <;' 3, -) 0 ReViews
- Cert of Occupancy:
~9tt-In::> Meter Ba~ /final ./ Site -
~ P.R.I.F.: Additional Fees
BUILDER.of
RECORD:
NAME
(. E,c.u..
STREET ADDRESS
7'1IP"I
~
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAM~ ~
I tJ J O",,",So"/
STREET ADDRESS
/7(Pfp FA,t.
I S"T.
LOCATION
8r. PROJECT
INFO:
LOT # SUBDIVISION NAME
VU_U/.1. W.cS~ Cl.
ADDRESS OF CONSTRUCTION
~
SEWER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATI
NUMBERS; TAC DATE(S);
TYPE
o
o
o
F
SI r(y
TO
"fWO
# of U
MUL TJ-F
# of Uni
RESIDENTJA
Additions, Re
N RUCTURE
OOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOUTION
o
15Cf
PROJECT INFORMATION:
Early Release
Permit:
Print
~r) .
\ ~_;~ U/5 ~ 7-1'1-0-6
~'Y"e jApprov : Dept. of Community Services (Date)
tsjFormS/ILP RESIDENTIAL
\
PHONE
FAX
CITY
ZIP
~/I
STATE
-
BEST METHOD OF CONTACT:
PHONE
~/('-9371
FAX
CITY
C t..
STATE
ZIP
4'-032-
SECTION
004
ZONING:
SQUARE I
FOOTAGE: l'iJ'o P
ESllMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 'IS" eo. OD
N.~
Which plumbing codes will be applied to the construction:
o International Residential Code w Ilndiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
7-/t.-oh
Date
~'~'?J/O
FeeRe~ 'c. .~~
~~