HomeMy WebLinkAbout06070151 Application
City of Carmel! Clay Township Permit #:{JdJ7 015/-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, Ilr. Two Family: New Structures, Additions, Remodels, Ilr. Accessory Structures
BUILDER of
RECORD:
N~ME
LA.Ge
;/. j);:} LTo N
PHONE
3/7813 'J434-
FAX
PROJECT INFORMATION:
Early Release /' Manufactured
Permit: Y N Trusses:
v< - /' 0 CRAWLSPACE
lot Split: Y =N Sump Pump: - Y ~N ~ SLAB
Does any part of the property lie within a special Flood designation area: ~yi-N
STREET ADDRESS
448 W.
s+
~1.
/3/
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
s
E
STREET ADDRESS
LOCATION
Ilr. PROJECT
INFO:
LOT #
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
87 IN. 131 ?It 5,1:
SEWER lJTIlTTY
PROVIDER: eL-A
WATER UTILITY
PROVIDER: weLL
NAME OF lJTIlTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY & 0 NEW STRUCTURE
o TOWN HOME ~ ROOM ADDITION(S)
o TWO FAMILY ., 0 PORCH ADDITION(S)
# of Units: AJtlI~otl 0 REMODEL
o MULTI-FAMILY .j.." 0 ACCESSORY BUILDING
# of Units: 1,. L., JIit DETACHED GARAGE
i&l RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOliTION
yV;;
CIlY
W~STFI ELD
STATE
ZIP
N
ZIP
ZONING: 5
SQUARE
FOOTAGE: 331:,
ESTIMATED COST OF ~CONSTRUCT10N: II
(EXCLUDING LAND VALUE)
000 . '1l
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendr:nents
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
BASEMENT_y '/'N
WALKOUT: l'
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 (Certiffcate of Occupancy issued):within 18 months of the
issuance date. Class I structure 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 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'confor~ 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 l.C~6~7 ct seq, Gencral Asscmbly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kite n, ~ and floor drains are connec d to the sanitary sewer. I further certify that the construction will not be
used or cupied until a er iffca f CU~YCY/2 b;n i:ssued by the epart'7ft ~f C;;;~;; ;:}ices. Carmel. Indiana. 7/2/ /06
p' iate I
****************************Jf$****~****************
Filing Fees: / 'j :;,. 8' :2
INSPECTIONS REQUIRED:, ., .,. .' . STRUCTION Ie/. nJ #Charged Re-
lower Footing Under slaIRELEA~~ ~.~.}.... .~ pll regulations ~~3 ~O ReViews
~ Subject ~Mlfl=~lJp1ffi~'t d -' ~
Meter Base " Final ----' Site . '. 80'it~~ and LOC3TY OS~RVICES Additional Fees
DEI?T r--c.;utJ~MUNI mWNSHIP
CITY OF CARMEl / CAL:
INDIAN
Reviewed/Approv d: ices (Date)
S:Perm\t!.fFormsjIlP RE