HomeMy WebLinkAbout06080172 Application
City of Carmel/Clay Township Permit #: {){g086/7dv
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory structures
BUILDER of
RECORD:
FAX3J7~514-9d3
STATE}. N ZIP iJJ210D
STATE
PROPERTY
OWNER:
. ISE81ON.--.I::--- ~NING: f)) I
o I Tn, ~ (/:" iT:' n ,\:i"V'S:.:"/:,
· ZIDn5VI liB I ',<I ,- -0- :c_::: ---~g~~-~jiP) ~')O
r\ff ,,~,iWofl
SEWER UTIlITY ESTIMATED cost: F CO~~NlI :T'Jltt::" i i I II
PROVIDER: (EXQUDING lJI"g VALUE) ~ '-'flt):J, I!, I DO
NAME OF UTIlITY EXCAVATION CONTRAcTOR;.pLAN COMMISSION / BZA / BPW DOCKET txrrlJ -1-1 '--"t'
NUMBERS; TAC DATE(S); AND/OR couNtY WELlANO/OR SEPTIC PERMIT #'S (IF APPUCABLE): . t
I.'II/.c. ......_'-..... I\J ,/
TYPE OF CONSTRUcnON:if~;;'/ ' . riPi:'O'F'iMPROVEMENT: 10 e%.
O Y 111//1 ~//II?,'" .....,.~/I. {Is/)?
SINGLE FAMIL ! II 1/ / ~NEW'STRucruRE. LJ-- . ~v 9<. 'lilt
o TOWN HOME / I, ,/ ._ ROOMADOmON(S) PIC1Jjr'S Indiana State Lic se #: 1tIL.'
o TWO FAMILY I ~" CH ADDmON(S) Q fLY] ! ? 5 -~'1J~
'Iv( # of units: "., ...~ 0 DELlI/ l/j -------L2 __ __ ' FlIJ
.)"\ MULTI-FAMILY L " 19 ACC SSORY B'0ILDING Which plumbing codes will be applied to the construction:
# of Units: I[) '-"" t'-~D""1<l." --:RAGE 0
' "liU'.\:lA International Residential Code w/Indiana Amendments
o RESIDENTIAL1F.of;t:=o F.OR CO" , ~~J}gitil~RAGE
AddltlonGRkdlb'ilelfac.) Ilance w", aD -OLITION ~ Unifonn Plumbing Code wI Indiana Amendments
g,Uhl8ct to comp o~,' Coe. ,S. I (Multi-Family Construction Code)
PROJECT INfORMA"QP!ll}te and L.O,,'"' ,'" ,~ R\'Mf~'C=.s
Early Relea.....EPT O~M ~~~ti:ct~i~;~ H \ P FOUstNDcti~TION )TYPE: (Check all that apply for the new
P 't. LJ ~. ^E'~ ' cy-r U' Y N con ru on area
erml. ClllO- I ~~l>Nt>.' ,v 0 CRAWLSPACE 0
Lot Split: _Y N IN>2iump'Pump: _Y.J.c....N t1( SLAB 0
Does any part ofthe prop~ lie within a special Flood designation area: _Y XN
LOCATION
& PROJECT
INFO:
LOT #
POST & BEAM J
BASEMENT
WALKOUT:_Y_N
For Single Family and Two F~jd~tllip~a~.wtiol!s, remodels, and/or accessory structures, this permit is valid only if construction commences
. within 180 days of the date lofi~u~c-~~he ~~ua}pg~!~~~~ m~s: be c~mpleted (Certificate of Oc~upancy issued) within IS m~mths of th~
Issuance date. Class I strucruremuts are subject.tQ!!le,C~-Sriil/.;\qlp-fmstratJ.ve Rules of the State of Indiana (See 675 lAC 12) regardmg expiratIon
/1 f1 ) I time frames'for'begiiming and completing construction.
I, the undersigned. agree that aqy fPPStrll<rHqflo. re"onstruction, enI#gem.~nt, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this aPaucppon wfil \:!'G1n~ ~t~~conf,6.tjn ~:,,::uJ. applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -1993" (Z~289) and tendnients, adopted under'&atRority of LC! a6~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that-only kitthe:n:;"bath"an.J! floor drains ai~ /ccl~f.cted to the sanitary seWer. I funher certify that the construction will not be
u ed or upi u il a C~ti/i~f Occupancylias~been iss~~:by e Depan nt of Community Services, Cannel, Indiana.
--------_ 7-11 ~ IJ(P
f Owner or Authorized Agent Date
OFFICEUSEONLY:************************************************************************
Filing Fees: '11 I, ()O
ONS REQUIRED: , f) 0 J'\ 0
Base Inspections: (0 ~ C/ # Charged Re-
l 00 ReVlews
Cert. of Occupancy: ~ e;2. .
P.R.I.F.: '1 br.eJL ~ 0 0 Additiona' Fees
10 7<:{"OO
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