HomeMy WebLinkAbout06060193 Application
City ofCarme/lC/ay Township Permit #: (!)(P 0 cp 0 I ~3
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:
LOCATION
llr. PROJECT
INFO:
NAME
STREET ADDRESS
J CAn-J>.c"
&",..d
PHONE
In '3'1D S) 'f S'
..:? SD W
CITY
,;'j J.. ",L....J -J.o vJ ,.)
,oJ
STATE
ZIP
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTAD':
NAME "
,8, 'II (>0 A ~ t f #.. -}G-J..,"J'l:!N
STREET ADDRESS
1'DO &.Lf6">+.c..it'),;:.
LOT #
-3
PHONE
.1.3'1-09.J-1
FAX
CITY
C,,"',...~)
STATE ZIP
5~ 003..1.
SECTION ZONING:
;J J/
SQUARE
FOOTAGE. 01'1:2.
SUBDIVISION NAME
~tt,;dK.if:
elk h h,J,.,.f s
ADDRESS OF CONSTRUCTION
<g rro &"..it,:)+e..&~
SEWER UTIUTY .1
PROVIDER: i /(_, J ,.'7" ~
:),<.. .
WATER UTILffi
PROVIDER:
ESTIMATED COST OF CONSTRUCTION: '" f&1
(EXCLUDING LAND VALUE) ..3 S c9-1:l D
1'1<-1'>" f J'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE).
TYPE OF IMPROVEMENT: PLUMBING C_ - OR: r=; n ~\!7 ~ n~
'",., \CA ,c. ~\ lS I
~ ,_" t..:..:,,_~,
o J>lEW STRUCTURE !' ,------ 1,
W ROOM ADDITION(S) Plumber's Indiaj 'a, '\ I te LicUeNnse2 #6: 2006 ),
o PORCH ADDITION(S) "
o REMODEL II II II..'::J\
o ACCESSORY BUILDING Which plumbing COd'~WI.!.t applied to the constructio~:
o DETACHED GARAGE 0 International Residential Code wI Indiana Amendm~nts
o ATTACHED GARAGE I J
o DEMOLITION 0 Uniform Plum~in9,Gode'wllndiana-Ahljmdmena
(Multi. Family Construction Code)
1.< Y,..2 J if FOUNDATION TYPE:
Manufactured - (Check all that apply for the new
Trusses: )4,y _N constr~on area)
, cWCRAWLSPACE 0 POST & BEAM
Lot Split: _Y ---V Sump Pump: _Y _N 0 SLAB 0 BASEMENT /'
Does any part of the property lie within a special Flood designation area: _ Y 4' WALKOUT:_ Y ~
TY~ CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_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 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 conform to, all applicable laws of the State of Indjana, and the "Zoning Ordinance of Carmel
Indiana ~ 1993" (2- 289) and amendments, adopted under rtiorityclTC~36 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and or drains are connected the sanitary sewer. I further certify that the construction will not be
used or ::~~ u; a :;:c;;:occupan as~ ~sued bYJ)~~ , ,]nt ~o~3n; I~;:es, Carmel, Indiana. 4 ) ~ t /lJ ~
Signature of Owner or Authorized Agent int \ Date
* *******************~'*~*****fJ4***************
Filing Fees: /bi!.. ,)/
Base Inspections: / t (.,. ..f ()
/ '-3 /'0
Cert. of Occupancy: ~ < J
OFFICE USE ONLY: **********
# Charged Re'
Reviews
Roug~ In
U _ Footing Lower Footing
Meter Base ~
Site
P.R.I.F.:
Additionai Fees
Reviewedl App
S:Permits/Forms,lI
(Date)