HomeMy WebLinkAbout06100012 Application
\
City of Carmel! Clay Township a..,~ermit #:0& / 000 1~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y )(' N Trusses: 1y _N construction area)
,.II ,II 0 CRAWLSPACE
Lot Split: _ Y -E-N Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y 1N
BUILDER of
RECORD:
(Ot,
Iud sfe.
NAME
.I\/et-
PROPERTY
OWNER:
NAME ,--t .J
,,(:;5 /~, G
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER UTILITY C /
PROVIDER: /Ct \
NAME OF UTILITY EXCAVA ON CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
9? SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOliTION
PROJECT INFORMATION:
Early Release
Permit:
PHONE
FAX
,58) - ()LI.53
ZIP
..y~03 ~
cm
I
{l~Mel
STATE
~N
BEST METHOD OF CONTACT:
(gra9 -851.2.
PHONE
FAX
cm
STATE
ZIP
SEmON )
ZONINGS _I
SQUARE .-;-- 085
FOOTAGE: ~ Q
ESTIMATED COST OF CONSTRumoN: ')., {).n{J
(EXCLUDING LAND VALUE) 0( oi. 0 u
(f)eJ'(~I'
PLUMBING CONTRACTOR: j'
,,( /) /f}F>chEVYJI ra
Plumber's Indiana State License #:
It! 8100~5L/()
Which plumbing codes will be applied to the construction:
~ International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
o
.f)lJ
POST & BEAM
BASEMENT
WALKOUT:_Y~N
For Single Family and Two Family dwellings, additions, remodels, and/or accesso.ry st7cturcs..>Jhis,Pcrmit is valid only if construction commences
within I80RP:Lq:f:tAi~o~~@~If~ifq.@N and must be co,Il!plcff<l.: qq-:\if\~ai~>J?f ~.ccupancy issued) within 18 months of the
issuance dat1;bb11Sits'ructtlFP1pft~rwesealiSi~~bmlr~l)faQffiltsal.Ad.ministr~~iy~_~u~~~~':~~_~~~.Qf.lndHma (See 675 lAC 12) regarding expiration
U Jec 0 CO RPJi Frmnes'rodjegmmng and ~ompletmg constructlun.
I, the undersigned. agre~iI\~ ~.Q.rb~l, ~~~ction, enlargement, rdoSh-hon, or alteration of a structure, or any change in the use of land or
structures reqrl~ @jFa@~1N~1i1)nmfilViGlIDSrm to, all appl.iltdble ]3f\v""i the S;att)~dian'a, and rhe "Zoning Ordinance of Carmel
Indiana -19 _ . rs' . .c. 36-7 ct segl GcnU~ .l\ssC'mNy l5t'th~ Stare of Indiana, and all Acts amendatory
thereto, I fu~ r~t~,mtm_~ertnnccrcd '~O rli.C;sanirary sewer. I further certify that the construction will not be
use r occupied until a Certjfic ~cy has been issued by t Depar\'. oLGrnnmnnttyScrvices~' Carmel, Indiana.
*****************************~*******~****************
Filing Fees: 'Z...:"7? .:::> 0
Base Inspections: ,--;;/'77 SO # Charged Re-
S- 3 . :)0 Reviews
/ ;;2 c I dO
jfZt:;2 Sb? S-O
INSPECTIO
REQUIRED:
.....- --
'J per Footing
<=
wer Footi ng
nder Slab
/t)- 3 -0&
Date
P.R.!.F.:
Cert. of Occu pa ncy:
Additional Fees
~
Final
~MI<;J)-- ~-c,-et<
\ppr ed: Dept. of Community Se Ices (Date)
;,IILP RESIDENTIAL
Fee Received by: