HomeMy WebLinkAbout06070192 Application
ADDRESS OF CONSTRUCTION
If? l:SPRI\ DR\lJJ::. C57r)F-l..D
SEWER lJTILITY CL"'iJ.M.'" W1J.1J IP WATER lJTILITY CA
PROVIOER: PROVIDER: /JIlt f2. ~ F-L
R"'-", ~v/1L "" TIS UT, rE2
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
r~i '
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit#: {}l4lJ?al q;..
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME
DPiV
PHONE FAX
.d11-403-~1
CITY STATE ZIP
ES V, LL,; :t/-J lfbOb
BEST METHOD OF CONTACT:
Pt-lo E"-
PHONE FAX
3\7-ll33- 01
Wl-l'T~S~LL
STREET ADDRESS
alb/2.
BUILDER'S EMAIL ADDRESS
tJ//>c
NAME
IM
STREET ADDRESS CITY
I lf7a t:SPll, I W - T':I1$'-1:>
LOT # 2 lo SUBDIVISION NAME S SECTION
o AD1)LJ5: C-RF-f5=K. (Mf3IJA>VJ'>.
STATE
.::IN
ZIP
'-I6Oflf
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 8000
,
tJ/A
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
PLUMBING CONTRACTOR:
/J/A
o NEW STRUCTURE
o ROOM ADDITION(S)
o P~DDITION(S)
g) ~~' -
o A .finJll~G Which plumbing codes will be applied to the construction:
o fiACH ~Gr;..',.: CO~ International Residential Code wI Indiana Amendments
i"...: ~e.a.Jy.' CIr) 1I1~~fq!;l11 Plumbing Code wllndiana Amendments
",,", F~"'1:~, , ' QJ^i'Ju'1ti{r;~~pnstrucllon Code)
" l,..~ ' ',7/". &a<J~ v' ~1V
Plumber's Indiana State License #:
PROJECT INFORMATION:
Early Release
Permit:
Manufactured 'Yf
_ Y ../ N Trusses: I. :."1 t'- .,..
-Ii,' ,
Lot Split: _y V N Sump Pump: _ Y _N"l 0
Does any part of the property lie within a special Flood designation area:
o POST & BEAM
rY BASEMENT
WALKOUT:_Y ,/ N
(Check all that apply for the new
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
vvithiD 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 are subject to the General Administrative Rules of the State of lndiana (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 \vi11 comply wit form to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted u er authorit of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, f floor drains ar connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupa y has been i,ssu by the Department of Community Services, Carmel, Indiana.
~~ K\-It'\.J ~5-Jl!L-O~
Signature of Owner or Authorized Agent
Date
INSPECTIONS REQUIRED:
* *******************************~*****************
Filing Fees: ,/ 3 .:3 ' )
Base Inspections: ,'5' -) 50 # Charged Re-
Reviews
Cert. of Occupancy: 53, )0
OFFICE USE ONLY: *****************
Upper Footing Lower Footing Under Slab
Rough In Meter Ba0na,
(
W
\
(
i
1.
P.R.I.F.:
Additional Fees
Reviewed/Approved: Dept. 0 ommunity Services (Date)
S:Permits/Fonns/llP RESIDENTIAL