HomeMy WebLinkAbout07020136 Application
City of Carmel/Clay Township Permit #07Mb/9j:;.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAXS8;J-dLfS3
ZIP
-9'~o3c2
BEST METHOD OF CONTACT:
SJc2
BUILDER of
RECORD:
PHON&h~_8SJoI
,Juj Sk. ;VOCITY Q /1'7e/
PROJECT INFORMATION:
Early Release )() Manufactured \l?y __N
Permit: _Y _N Trusses: -L-- _
Lot Split: _Y kN Sump Pump: EY _N 6 ~::::LSPACE. ~~&..
Does any part of the property lie within a special Flood designation area: ~?c \III\t\1'a~~Ol1' '! xJ N
For Single Family and Two Family dwellings. additions. remodels, and/or accesso st."rme~At:t}f:H~ij ~.Q~':~. 'l_~~.!.~o ct.l<][~~I;Jlences
within 180 days of the date of issuance of the building permit, and must be camp H'("Certi6&~ f.,~~ ." e~..:))~tU~~'t~s of th~
issuance date. Class I structure permits are subject to the General Administrative Rules of r..b~~ 'lH:lnal(~ti~1fA'~~)"ir~arding expiratIOn
time frames for beginning and comPle~~1sMlctiR~W\a\..:,. '-.'~,i' ("~~F'
I, the undersigned, agree ~hat an! co.n.stru~tion, reconstruction, enlargement, relo~_~?-,?~,o . , r~ Gnl:rucm~O\~~ange. in the ~se of land or
structures requested by thIS applicatIon wIll comply with, and conform to, all apphc~9<~e, - tlre.State of Ind\~~a, and the Zpnu-:-g Ordmance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of l.c. 36-7 e~ seq: General Assembly of the State of lndiana: and all Acts 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
use occupied u tiI a Certificate of Occupa cy has been issued by t e Departrnt of Community Services, Carmel, Indiana.
. :;;1-,0, ."r oJ-IS-O-7
Date
. /JeT
PROPERTY
OWNER:
e.
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT #
~d2
SUBDIVISIONJA~E ) h '
^-' lIC'olOS '-'<.R-
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCJl9N /J
1L.j~&,& L~ leU/7
CJ J WATER UTILITY/) /
la PROVIDER: La d,/Y7 e
NAME OF UTILITY EXCAVA ON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
6 TOWN HOME
o 1WO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATIACHED GARAGE
DEMOLITION
Prmt
STATE
0J
PHONE
FAX
CITY
STATE
ZIP
SECTION
ZONING:
SQUARE
FOOTAGE 5 J 55
ESTIMATED COST OF CONSTRUCTION: /Q ""
(EXCLUDING LAND VALUE) /.....J Ocx:J
. ,
(i). - '/)/. r.tf ,0 -'02-0' .$ '5
,c!f/C( '.. -,..
. ... . 7
, . -
PLUMBING CON!RACT~R:, . /
.I~ b i /YJEchl/VJlm
Plumber'sftana~t;~e~ :;.5 L/ 0
Which plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
****************************** *L*~*~***************
Filing Fees: 9n:F- -::. 0
Base Inspections: ~ -?'7 S"eJ # Charged Re-
_,} ReViews
Cert. of Occupancy: 53, ) (;
()
~ c?/7 b. 51)
o
***
nder Slab
P.R.I.F.:
Reviewed/ApD Dved: Dept. of Community Services
S;Permits/FormsjIL RESIDENTIAL
Additional Fees