HomeMy WebLinkAbout06080164 Application
City ofCarmel/C/ay Township Permit #: fJ(P/O<t () {ret{
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
(1~"\
uc..."\ 0
STREET ADDRESS
\\\B
PROPERTY
OWNER:
NAME \
~'-'~ '"
STREET ADDRESS
Q)OI~ IY'tJS, 06 Col,V,,~
..,
bULl i=- Qlc.b<
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISION NAME
PHONE
dOl? odLo\
CITY
FAX
STATE
\\.:> .
4~IP
BEST METHOD OF CONTACT:
PHONE
o::,\( et.. ~oo B
FAX
CITY
CJ>,r,'(l Ie L-
STATE
\~.
SECTION
ZONING:
~-I
A?DRESS OF CONSTRUCTION/)
~I\m{". - eX 0
WATER UTILITY
PROVIDER: QA~~'t::.L
SQUARE
FOOTAGE:
1:)1Oel <f>
NAME OF UTlUTY EXCAVATION CONTRACfOR; PLAN COMMISSION I BZA I BPW DOCKET liil;=~i\II'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
F ON TR CTION: TYPE OF IMPROVEMENT: PLUMBING CON I" OR:
SINGLE FAMILY 0 NEW STRUCTURE 'S;,e<...> '->!=
o TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana
o TWO FAMIL Y ~ PORCH ADDITION(S) f\, 4
# of units: V,- eeeDe a.. ~
REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
/ # of Units: 0 DETACHED GARAGE
IXI RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
o CRAWLSPACE 0 flOST & BEAM
o SLAB / r:lf BASEMENT
o~1flIood designation area: Y./ N WALKOUT:
For Single R.E . oE~<t'M~'gsaU:l~~ijQRb\iels, and/or accessory structures, this permit is valid only if construction com!nences
within 18~jSottjQ ffiH~\Hr~s~Wtn~cE~\t ' 81ng permit, and must be completed (Certificate of Occupancy issued) within 18 months 'of the
issuance date. Class I S1fr&tailQ ~'rl1k~arl 1~ al Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
nc:p~'F. COt\.1 M U N I tiWtl4b\~es .nning and completing construction,
I, the undersi~~, a ree th*e:I't'~st~'~ccf~\MI~, rgement, relocation, or alteration of a structure, or any change in the use of land or
structures r01W ~~lI:~!tttm. ply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
In . na -1993~ (Z-289) anp amen4NIiliA d under authority of J.e. 36-7 et seq, General Assembly of the Srate of Indiana, and all Acts amendatory
the 0, I further certify that'only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will nbt be
use r occupied ~ntil a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
SEWER UTlLffi
PROVIDER: Ql...J'-.--(
PROJECT INFORMATION:
Early Release .;::
Permit: _Y ~
Lot Split: _Y ~N
Manufactured
Trusses:
Y~
7v=N
, '.- -------
ESTIMATED COST OF!C9N~RUCTfON:r,:~; n ~\-';;-,-;;;;-:':-~:-"1
(EXCLUDING LAND V. ~LUE)_'~:~=:_.~:::.d> "1 U -:",";/ ! ':::~h-\ \ i
'" III ...,-... .. -...:;.~ ,;:
Which plumbing codes will be applied to the construction:
o Jtternational Residential Code wI Indiana Amend,ments
r2lf Uniform Plumbing Code wi Indiana Amendments I
(Multi-Family Construction Code) I
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Y /N
~~\' .\. \f-..,~~\C,
Print
8-cb-ot-
Date
************************************************~~****************
Filing Fees: / '3 3. ) U
INSPECTIONS REQUIRED: '/1/. 0 "
Base Inspections: _ _ v # Charged Re-
Upper Footing Lower Footing Under Slab Cert. of Occupancy: S-3 . . .S- 0 Reviews
( R~;:;9h In~ Meter Base ~ Site
~ ~ P.R.I.F.: Additional Fees
;
Reviewed/Appro d: Dept. of Community Services
S:PermltsjFormsjILP R SJDENTlAL
Fee Received by: