HomeMy WebLinkAbout06100034 Application
I
(/6/ DIU) 2/1.
City ofCarmel/C/ay Township Permit #~y( ll,l iifl-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
~~~~:cell:
753-g135'
NAME leA W>tJ tt~ ~S}-, 1})<." PHONE 3/7 ~ ~6 3~ F
t &J).-f( Cl.fffi( Olt,ITY 01rm1bl.- STAT~I
BEST METHOD O~ONTACT: ,,}
t' ~ (' ()\,. r:- -YJ.1 t\ (\....'
A~L~DDQS f),}:Jr/<fJ 13uOUT, C6>'Yi
NAME f}Avp}8 (2../) ~JJ-,J C:~ONE 3VJ ilt{sfS{,
STRE7j'f3{esz/ q ~I CITYCAv2 rn lrb
lrWttJ'aJ ~ ~~-1
ADDRESSOFCONSTRUCTION~2r- /J~ 'iJIYJ ,. J~ I^" \,r SQUARE 0 ~
~ L::> I(:jJ (., l)/(,. VV LYIJ L.-V1 ul::\ FOOTAGE: '0 0 ICf .5
j ~ .J.? ESTIMATED COST OF CONSTRUCTION: (J ~ 0'-""'" 6
V L- (EXCLUDING LAND VALUE) (} V...J Ul..J
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
LOT# g
SEWER UTIUTY ('l . 1 f) " I ^
PROVIDER: VVV K. VV{)
WATER UTILITY /J f\.
PROVIDER: Lv'
STATE-!]J J
N
ZONING:
NAME OF lJTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR PERMIT #'S (IF APPLICABLE):
I-JT(JL~Y 'fl.CA~
PROJECT INFORMATION:
Early Release \If Manufactured ~
Permit: _Y.,6I-N Trusses: _Y N
V 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y.tLN Sump Pump: ft-Y _N 0 SLAB ~ BASEMENT
Does any part of:fi!!t signation area: 1Y N WALKOUT:$-Y N
For Single Family~ ~~nrilr~fA M.tith:i8Hs{~(UlQrn.sd/or accessory structures, this permit is valid only if construction comm~nces
within 180 days of the datcQ~f.f'nd 1l.hg(!:laJl<!)~.mit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date, CI~"tO~~eJ\.1jA'"H1l i'b~Ji'rl.Ar4ninistrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
Hrh~ i\a'iTl~'l6f'Jl,~liiMng and completmg constructlon,
t, the undersigneCliM tfi).Fa~AHht6loI1', G:bA1Yuqt(Q}WN5i~, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application l~: 'ith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana 993" (Z~ 289) and amendment,;: ifdtSp er authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
eret " r rt y th itc, b r drains are connected to the sanitary sewer. I further certify that the construction will not be
u 'I a er c e 'f c been issued by the Department of Community Serv:o es. Carm 1, Indiana.
I2pIVla IF, ?\~ f{iEJ
CeNJJ.
TYPE OF CONSTR~O~~" ~ \ OVEMENT:
~ SINGLE F.f~ g ~ \-"'" .. N UCTURE
o TOWN HOtrl . .Oc. R DITION(S)
o TWO FAMI~ ... b, "/ml" PO DITION(S)
# Df units:\ Ct, 0 RE DEL
o MULTI-FAM ACCESSOR BUILDING
# of Units: \ 0 D GARAGE
o RESIDENTIA~ (For ATTACHED GARAGE
Additions, Re odels, E 0 DEMOUTION
PLUMBING CONTRACTOR:
5~.fJt..LI~ fJ'J~'
Plumber's Indiana State License #:
;1:::....11 oS~~&.~
.
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
~ Uniform Plumbing Code wI Indiana Amendments '
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
jO-{)3-o(;
Date
OFFICE USE NLY:***************************************************~********************
Filing Fees: /3 ~ cro :
INSPECTIONS QUI~ED: ~"3 3. (} 0 # charg'ed Re-
Base Inspections: v
Upper Footin Lower FllOtin Under SIa1i-y -- ~. rv Reviews
Cert. of Occupancy: v J ./
~ugh 1n ~eter ~ P.R.I.F.: ,/ if Gj (10 Additional Fees
TOTAL: ff 30 J cf; 50 J
:!t:::t:t tt J1!M'a~/fr ) .I/ojll/Dk