HomeMy WebLinkAbout06080015 Application
City of Carmel/Clay Township . J, ~ Permit #: ~Ocg()D/~
RESIDENTIAL IMPROVEMENT LOCA1'IDNvPERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
tit! /-!orneS J/VG PHON5/7-S1J-JrJM FAXS-7J-folf
STREET AODRESS .'./1 /' CITY A ,!;l</-Ie J06
S- Plf/?qlt;'1V Lt7r~ (J ,) II, .I-r
Manufactured . FOUNDATION TYPE: (Check all that apply for the new
)l '" I construction area)
_Y ~N Trusses: -A.-Y _N'
v.. 0 CRAWLSPACE
Lot Split: _Y *N Sump Pump: _Y~, ~. SLAB
Does any part of the property lie within a special Flood designation area: _ Y
PROPERTY
OWNER:
t?1
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
f!<: jer II <:..
SEWER UTIlITY
PROVIDER: C
NAME OF UTIllTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
b' TWO FAMILY
# of units:
o MULTI.FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
Jilf NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
mJ:' tf}
Z~ oIl.
BEST METHOD OF CONTACT:
(:'-tf'laJ' I ~IJOO
PHONE FAX
CITY
STATE
ZIP
SECTION
OA
ZONING:
oJ 2
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) /00 (ilJtJ.
PL~M~~G ~ONTRACTOR: ( . I I
(,.) If f{ll-Je ( f LLfv/JI'q-
Plumb,/, India State License #:
C'. /f7 ()O/lt,
. ,
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
6(( Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOur:_Y_N
N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this per~~~alid 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 ace subject to the General Administrative Rules of the State of InBiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction. I r'"O r" -
I. the undersigned, agree that anf" constru..c.ti.on, .re. con.stru..ctio.n... '. nlarg'..mcm, reloca(io~ior alteration of a strud,.t~.fC, or any change in. the u,se,o~land or
structures requested by this ap c \~~~, \Yi~ ~d3@~!S'fcflt.!J.@ilj]:OJ1ilaws of the State of In~~a~a, and ths~~qning Ordin'drice of Carmel
Indiana - 1993" 2-289. and am J"~J~qpF'1-j~.Itl45f;':lWhqri\~y;W;I~~i }~'~&l&'fbnw:cral Assembly of the ~~atc.of Indiana, and all Act: ame~datory
thereto. I rt r c that only en,i':ia _f.!~~.n?9.r~~ a~n?}r:.~c,P;J~$iS-fJa to die samtrry sewer. I further cerufy that the constructIon Will not be
used 0 ie til a cat 0[0 arl' en"1gsu~d hy-r 'if, artmcnt oJ Community ervices, Carmel, Indiana,
",( "I'. C':,";\"",,,,;,'I'r,..;,'-;::.II"''''8 7 7/ It,
/k. ' ;I -,h~;~'.._',~" ,"tV -~I:7"'.O
,'.,1''' .,'
Date
OFFICE USE ONLY: **************************~*******************r******!f~***************
~ FIling Fees: C, IL q , ~
NSPECTIONS REQUIRED: a II . /") 'J r1 ~ 7'\
o Base Inspections: .!6 _ 1-' ~ 'U # Charged Re-
Lower Footing Under Slab .3..c-f'l ReViews
Cert. of Occu pa ncy: , 5: I -'=J V
Final
Site
P.R.I.F.:
ReviewedjAppr e : Dept of Community Services (Date)
S:Permits/Forms/IL RES ENllAL
Additional Fees