HomeMy WebLinkAbout06080016 Application
City of Carmel/Clay Township Permit #: O~'8ft)t{g
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
LOT # }JrnoN ZONI~: U),
ADDRESS OF C.9l'STRurnON, fl.. / ~ / // ;>) SQUARE I -1/./
(5ro{AJIU$'fo4Je {LCif.MI/ JA/ Tf?tf/.tC. FOOTAGE: ~f..IJ (
WATER UTILITY --;-, . _ / I ,~/1 J ESTIMATED COST OF CONSTRUCTION: /
PROVIDER: -'-tVOft Cl/II"-f'V j/,J (EXCLUDING LAND VALUE) I' W ~ 0 . trD
PROJECT INFORMATION:
Early Release V Manufactured V'
Permit: _Y ~N Trusses: ~Y_N
" ,j 0 CRAWLSPACE
Lot Split: _ Y ----.A-N Sump Pump: - Y --FN J<[ SLAB
Does any part of the property lie within a special Flood designation area: _Y
BUILDER of
RECORD:
PROPERTY
OWNER:
I11E
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER UTILITY /l1-D I ~ \
PROVIDER: \...-- I ,...... V\..J
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITJON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHONS7.J I~" FAXsl.l-JcJ)
CITY I STATE ZIP
wit-la' Ctr~.flf'" ~ "/2
BEST METHOD OF CONTACT:
E-l'tIo," "r Cell 3Jr-'?'?oo
PHONE
FAX
cm
ZIP
STATE
~ING CONTRACTOR:
~ { ,
UJ j~)~cr PhM .,,"fft
Plumber's Indi a State License #:
C-P (1700 t1~
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
f.iZj Uniform Plumbing Code wI Indiana Amendments
/' (Mula-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
N
o POST & BEAM
o BASEMENT
WALKOUT:_Y _N
For Singl~ASm ~ GGNtSTda:OOifslGih6dels, and/or accessory structures, this permit is valid only if construction commences
. within HS~}9(S( tb~pfi~~lWRf1tMl~k\ina'llimmit, and must be completed (Certificate of O(:cijp-~iicy- issued) within 18 months of the
Issuance date. Classbf'StffiW"affi~FtibWF~jfes1otlie General.Ad.rninistrativc Ru~es of the Stat~ oflndi~~~ (~ee 675 lAC 12) regarding expiration
\."r\"frme frames for begmnmg and completmg constructlon. I : ' i :"
I, the unde~J;~ft"tGtJ'ylMb.JJoil:];}( tS:6&t\lJSESnlargemenr, relocation, or alteration of a structufe;-?~'a,hy change in the use of land or
st~c:ture~~p.ye-AR~ E.o1' t1Yew~Hnfprm to, aU applicable laws of the State oflndiapa', a~4 the ":fPtling Or4in~ce?f Carmel
Indiana - i9gj;tz~ 289) and" am~ s opted unaer iJt'rt'or&y of r.c. 36~7 et seq, General Assembly of the State of Indiana; and all-Acts amenaatory
thereto. ur er rrify that ani h, and floor drains are connected to the sanitary sewer. I further cJitify that the construction will not be
used i until a T CCUB 11C has been issued by the 1:rtment OfC.Offili;;;S ~Ca;inel'Indiana'--7:'26 -'01
Print Date . .
OFFICE USE ONLY: ************************************************************************
Filing Fees: W ~
INSPECTIONS REQUIR~ p
~ Base Inspections: ;:< " # Charged Re-
er Footing Lower Footing "-- Slab J :3:3 ~ Reviews
- - Cert, of Occupancy: ,_, V
~terBas~nal Sltcl P.R.I.F.: )~( .. 00 Additional Fees
.
Unity Services (Date)