HomeMy WebLinkAbout06070069 Application
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City of Carmel ;Jlay Township Permit #: () Co tJ 700& i
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
~Sxk~
LOCATION
llr. PROJECT
INFO:
PHONE
37 ,iflm
Ca'f'<'c\f'\
BEST METHOD OF CONTACT:
.~ crM\\
PHONE
<3,,\-193-00tb
STATE
tJ
SQUARE I.r'
FOOTAGE: v67
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: C' \ (EXCLUDING LAND VALUE) .5CfJ ct:f:)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION BPW DOCKET \( \ \ \ \ 1
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE): 11 0:-< '- \-Ie 'l..\
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY CV" NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of Units; ..Q REMODEL
&"" MULTI-FAMILY ~~~@~ASED F~ OOtRfs'BRtlSkJTil61rt;
# of Units: . t to complffilcEDI'IMG1llEOJ(JI'iMlllns
o RESIDENTIAL (For of State arulI LII"fiiJ\(JdjID,liiARAGE
Additions, Remo~~~6F COMMLm'mtI3~VICES
PROJECT INFOR~F CARMEL / CLAY TOWNSHIP
FOUNDATION TYPE: (Check all that apply for the new
Early Release M~I'fIlfI, /. construction area)
Permit: _Y ~ Trusses: _Y ~N
/' 0 CRAWLSPACE 0
Lot Split: _Y ~ Sump Pump: _Y ~ ~LAB 0
Does any part of the property lie within a special Flood designation area: _ Y _~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance datc. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (Scc 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
ther I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
cupied 11 a Certihca e of Occupancy has been Issued by ~Partmcnt of Commumty Semce>. Carmel. Indiana. i
r ofownerOrA"thoriZ~A Pdnt ~t ('\)~~~ 02 /4/ou,
USEONLY:*************************************************t!*********************
Filing Fees: /1-/ S 1. 0 '0
INSPECTIONS REQUIRED: _ /-0 n, '" 0
@PI :-." - Base Inspections: {g - t/
pper Foot~ Lower Footing Under Slab II I{ . 0 0
_ "" Cert. of Occupancy: __ ~
~gh .!Jl,J ~er BasiJ inal '( Sit~ ~ r 0 if '-I I 0 0
_ ~ P.R.I.F.: v
~ TOTAL: _~ 13/5,00
60f, ~. t?.ll..tL117. I.v; J f d. ~ g/
Fee Received : t-
Reviewed Approved: Dept. of Community Servic s
S:Permits/Fo s/ILP RESIDENTIAL
PLUMBING CONTRACTOR:
Cb \\M.('~'Nrn I
Plumber's Indiana State License #:
\OOlUlo3
Which plumbing codes will be applied to the construction:
o International Residential Code w /Indiana Amendments
cv1Jniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
POST & BEAM
BASEMENT
WALKOUT:_Y """"-N
# Charged Re-
Reviews
Additional Fees
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