HomeMy WebLinkAbout06120096 Application
City of Carmel/Clay Township Permit #: Oft, / d- ()o 1(,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
"
BUILDER of NAME PHONE FAX
RECORD: D,,1vID I'lott:-ro)./ ~/?'J/C;;f/G"< .tJo/J.j)&!< z>>c. F~SI-/30i f' tlt-/ .70.11
STREET ADDRESS CITY STATE ZIP
10/,[> )/E#J.FY c /;2 ~ ,--t?' c.'/'1/l/l? F'- f# '7' ~03:.L
BUILDER'S EMAIL AD~S rIv b'j" BEST METHOD OF CONTACT: C -/'71a./ /
davlOI t7l o/a.(lJdmo I'J ul ;"/er.cp/YJ
PROPERTY NAME hl./I!c/er- PHONE FAX
OWNER: JtJ /77 e as'
STREET ADDRESS CITY STATE ZIP
LOCATION LOT # SUBDIVISION NAME SEmON ZONING:
&. PROJECT IS- 'D!:I !:~):1tf)-t~~,z?r~L4CT10N .z....- 5-/
INFO: ADDRESS OF CONsrnsutljlict to compliance win, ail regulations SQUARE r,;
lor l/.2- / /l cJ IIdf ~~oc.e.J.eM6S. FOOTAGE: J;;Iq. 0
SEWER UTILITY lj>~R@1lir60~l:.tir,lOIQ'''~}1V -t:~:rlt1ATED COST OF CONSTRUCTlO".
PROVIDER: C r~tvb (;11 ~l;rtArl;':~19rDl'fl11'~'f\ 9M\PJDING LAND VALUE) ~ 00 000
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / f!liIlUlJlli~ET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ff/Jl"jJy V.Ad ei€xc;?-cOif? iP C.
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Ete.)
TYPE OF IMPROVEMENT:
(Xl. NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
, '::--.
^_.._".i",:,::~>>^~__--::_~..:;-: _.,
PLUMBING CONTRACTOR,
Ebf ...f1J11F~/c'j.;J, !1'h.V,;n;3/.AJC!/ II!
Plumber's Indiana State' L,ifi!ns.DEC L 1 2006 , ;! I Ii
jJe.. /9t-O CJtJ() ,/, ;;U/I
Which plumbing codes will ~e applied to the const;u~~ ----" I
o International Reside~tiaiCOdewJlndianaAmendment$ !
o Uniform Plumbing Code w/lndiana Amendments
(Multi. Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
_Y LN Trusses: _y..K..N
o CRAWLSPACE
lot Split: _ Y LN Sump Pump: Ly _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
o POST & BEAM
Cl!I BASEMENT
WALKOUT:A.. Y_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 or
structures requested by this application ......ill 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 l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Aces amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or ace pied until a Certificate of Occu y has been issued by the Department of Community Services, Carmel, Indiana. _
0/71//6 /Y}o~rCJ,.{/ /;;'/J..:J./Oc:,
Print Date
OFFICE USE ONLY: **************************~*****************f*i'**~'********************
FIling Fees: J Ii ~t . UV
IN. SPECTIONS REQUIRED: ,I /11 / ^ # Ch ed R .
~_=2 ~ Base Inspections: ;) , ,_. J V arg e
~ting (Lower Fo.!l1iJlg Under Slab ,'/). /1) Reviews
~ " :---." Cert. of Occupancy, J :1, ,) ~
~1 L' "[er~Final.sW P,R.LF.: !'d- 0/ QO Additional Fees
\0L ~ TOTAL: r/;2!u03,rJiO
Reviewed/Approved: Dept. of Community Services (Date)
'~,!:Pefmits!Forms{llP RESIDENTIAL
Fee Received by: