HomeMy WebLinkAbout06110047 Application
City of Carmel/Clay Township Permit tt{)/, 1101>+7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAlTION
I
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME ~ \
w;\ I \N,\ h+ ~\ CI
STREET ADDRESS ..
.1..\,,-\ 6,,,,d Ie b,\~e..
PHONE
. 3n\"i'"l'i 5'-149
FAX
~n "i'4~ ~"i~
CITY
C4r- t-ne.\
STATE
'::t:n
ZIP
YGoO~~
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
=>>-ni\\-e-(b'Ni\\'N....; I--.+h",ild;", COr-- . C-Ot-<'\ e:l'n<.\', I
PROPERTY
OWNER:
NAME
'w', \ I 'N ,i \--,-{ e.\d
PHONE
c.orp. "::>1, 1iY,-\ :')'-\"'1"1
FAX
':!ol, 'l4~ ~"i~S-
ADDRESS OF CONSTRurnON
195"9 80,0\..1 h+C() :s.+. CG\r..-.e.1
SEWER UTILITY , .cy/ATER UTILITY C.ar,.."e.1
PROVIDER: Co i,.., '''''1'' ~ 'Y:!?('; <~~?VIDER: \-1+; 1 i + i c.s
NAME OF l1T1LTTY EXCAVATlON COf-lfRAGroR;,~~'\ MISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ~DI9R'cciu!i;:i:WELL,~~p SEPTIC PERMIT #'S (IF APPLICABLE):
.... h"" \ / \\ \
./ ,\<~")....... \\,
TYPE OF C~~RII~QW. ~ TYP~ MPROVEMENT:
~ SItJgt~l~tY ~ 'l\:J\S ~ NE RUCTURE
o TO~~, E ~'8 RO . ADDITION(S)
o TWO\,\ Y \\,IJ D/PcJRCH ADDITION(S)
# of' /0 REMODEL
o MULTI. 0 ACCESSORY BUILDING
# of Un 0 DETACHED GARAGE
o RESlDEN L (For 0 ATTACHED GARAGE
Additions, R 0 DEMOLITION
STREET ADDRESS
Yi,-\ 6r",d \.e. Dr-- \\1<::.
LOCATION
&. PROJECT
INFO:
LOT #
'-iOS
SUBDIVISION NAME
\I i \ I", e. 'N<20:54-
PROJECT INFORMATION:
Early Release "-
Permit: _Y ~N
CITY
c~~1
STATE ZIP
:::t:n '-I c.,O:Sd,
c.\ "
SEmON
AGC~
ZONING:
Pi-ID
::I:t-)
Y(,,()~a...
SQUARE
FOOTAGE: , ~ "Is
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) C. 0 c;. 911 ~ . 00
\
E><c......v,,+; n
PLUMBING CONTRACTOR:
A. R. :r-...ckson ~\",..,...bi ni-i=-rc
Plumber's Indiana State License #:
Co ~ "iI<09 ClOQ"iI(j
Which plumbing codes will be applied to the construction:
~ International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured 'l
Trusses: -p-Y_N
o CRAWLSPACE
Lot Split: _Y -AN Sump Pump: .;t-Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y X-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 12) 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?r
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993" (Z- 289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendat9ry
thereto. I further certify rhar only kirchen, bath, and floor drains are connected to rhe sanitary sewer. I further certify that the construction will not be
used or occupied u tit a Certiflcate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
'"
OFFICE USE ONLY: *********************************************~***:**~~******************
Filing Fees: / / / 3", ) ()
INSPECTIONS REQUIRED: / ~J 1/}. "CJ
Base Inspections: 9'= _.;..:. ~
Under Slab S-3 ,3d
~ Cert. of Occupancy:
. al e P.R.I.F.: / J-b I 00
/' "" J t JOT [T,., . ~W O. )6
<:. ViM~9 /-'11 <Oft ~ lI-lb-c6 '-7 /'
........... '~!~f,pr ved: Dept. of Community Services (Date) b
~PRESIDENT1AL Fee Received bY' .
d
/'f ,:.-.t,,, c/
Print '
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POST & BEAM
BASEMENT
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# Charged Re-
Reviews
Additional Fees