HomeMy WebLinkAbout06070061 Application
~\'O.\ ~\
City ofCarmel/~ Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
Permit#: tJ~O 7()O~I
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY ~ NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
/ # of units: 0 REMODEL
ISlJ MULTI-FAMILY, I " 0 AS;Q;IY BUILDING
# of U"'ts:~ ~\.l)EM GARAGE
o RESIDENTIAL (For (',O~~::g ,~ACfl D GARAGE
Additions, Re[1lQ_. \E@!)' . 'fj'.\Y\r<'l' =MOLIUQN
Q~~~~::'t::"O' '6(..,8 GOO"'" 't::::,
PROJECHNI' I~AnONf" ,,0 lOcal SSr.\J\C \?
i,U . 1 s\a\e" ~1J.li\\\'1'~\'-INSr\ FOUNDATION TYPE: (Check all that apply for the new
Early Rele se ~o r:viN" .. !1"'~LU.110 . / construction area)
Permit:. r:: '~r::\..Twsses: ,_Y--Y....N
. Oc- .r. \..- ,,,\IIL / 0 CRAWLSPACE
Lot Split: C\1'i...oEYV~N\NCSl11'rtPl'Ump: _Y ~N ~ SLAB
Does any part of the property lie within a special Flood designation area: _ Y -.LN
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 structme permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
." time frames for beginning and completing construction.
I, the undersigned, agree that any c'onstruction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply \vith, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel
Indiana -1993" (Z~ 289) ancJ- 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 certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
se r occupi ntil a Cert~cate o! Occupancy has been issued by ~\~~tf~:~:mmunity Services, Carmel, Indiana. 7 J I~ )((0
atu of Owner or Authorized Ag t Print . ~ DatJ
EUSEONLY:***********************~***********************************************
. iling Fees: J /f..S-7., (')0
PECTIONS REQUIRED: 1 '0 '
, . ~ /.. '''\ Base Inspections: tR tJ. Of # Charged Re'
Upper Footi Lower Footing \!."der SlaE.-/ V t.j () ReViews
Cert. of Occupancy: _ _ ' _
~tJ 1'-/ ,00
3/5.
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
LOT #
SUBDIVISION NAME
\(
ADDRESS OF CONSTRUcnON
\~q Iba..h.l-cl::: C\
SEWER LfTIUTY WATER UTILITY
PROVIDER: ~& PROVIDER:
NAME OF LfTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIO / B
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC P
P.R.I.F.:
Reviewe ! Approve . Dept. of Commu
S:Permits/Forms/ILP RESIDENTIAL
Fee Rec
PHONE _
~
FAX
\1.
--6b
ZIP
4~
.(}:It(:)
ern
ft'(\e\
,->;IArE
~
-0801
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) c,oO
'(0. \e,A-; - 1-\:
PLUMBING CONTRACTOR:
L'b ~;Q).\
Plumb"r's Indiana State License #:
\CC7lJlt3
Which plumbing codes will be applied to the construction:
~JFrternat!Onal Residential Code wI Indiana Amendments
[3/" Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOUT:_ Y ./ N
Additional Fees