HomeMy WebLinkAbout06080118 Application
City of Carmel/Clay Township \1). ~ . ~ Permit #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
AD'0\f-S \...\"'(,
STRE1f ADDFESS
~ \9\9\9 E.. '15 ~ s~ .* 4.oa
PHONE
lId' \'55'1 '5
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CITY
~TE,
ZIP
4lo8 'EO
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
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STREET ADDRESS
lo \.D\D LP c.. '7
CITY
.r-",
\5.
STATE
,-
FAX
'!S~j'd -~;;>(o'&
ZIP
y &/d ':.;a
ZONING: s.- \
LOCATION
&. PROJECT
INFO:
LOT #
SECTION
SEWER UTILITY
PROVIDER:
ADDRE~ OF rqNSTRUCTION ..
~OILj'.}. \.0\"'\'0-
WATER UTILITY n _ \
PROVIDER: "--0... Y"I\f..,
~V\ 'R"'y.., \
\0e~-\f:e\1 L/(PO/~
SQUARE . <0 I
FOOTAGE: 5o'8~
\.-.0. \') e.
C\\<.~~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
<& \0 ,(X)C)
TYP~ OF CONSTRUcnON:
&1 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PLUMBING CONTRACTOR: 9 6 1(7
L\:\\VV"\r_7_ ~\"""'\-.\eJ -
Plumber's Indiana State License #:
~ \~,?:>nO~1
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET <Q. ~
NUMBERS; TAC DATE(S): AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): ~ \.) \.z..
Which plumbing codes will be applied to the construction: '
~ntemational Residential Code wI Indiana Amend~ents
PROJECT INFORMATION:
Early Release
Permit:
_yLN
o POST & BEAM
5.!l""" BASEMENT
WALKOUT:_Y~N
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 11) 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 \\lith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993ft (Z~ 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify thar only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or oc pied untO _Certifica. Occupa.m.yhas been. ued by the Depa tment of Com unity Services, Carmel, Indiana.
.00 rg -~\-D~
Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: %'11 C- 0
INSPECTIONS REQUIRED: .' '7'7 ---0
~ <" ..,~ Base Inspections: cL- _ -.,
( Up~r Foo)ing ~wer Foo~ Under Slab --:, '--0
Cert. of Occupancy: :') oJ. J
P.R.i.F.: I? (; ~() Additional Fees
TOTAL: /~,,:? s G 7'... h{)
/~~~
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(Date)
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