HomeMy WebLinkAbout04120037 Application
City of Carmel/Clay Township Permit #: ()iI2C()37
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
for Single family, Multi-family, lit Two family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of
RECORD:
NAME
STREET ADDRESS L/
2-)- n iv-(~
IfJ
PHONE rY'j/ 6 - :2 "j t 2......
CITY
X;.v:f IS
FAX st;1:, - '-/22.:.
PROPERTY
OWNER:
BEST METHOO OF CONTAcr:
ZIP
~
STREET AODRESS
cm
STATE
LOCATION
lit PROJECT
INFO:
LOT #
to
SUBDIVISION NAME L>
5'r",-"d ~rv<.. 1/ '
ad Co&..;/-
SEmON
ZONING:
SQUARE C
FOOTAGE: ./..>7
SEWER UTILITY ESTlMATED COST OF CONSTRumON:
PROVIDER: c,.f /? CIA J( n, -< (EXClUDING LAND VALUE) .2., / I OJ u .B
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMM.IS:>JQ~PW DOCKET ~ -
NUMBERS; TAC DATE(S); AND/OR C u~~I_Hil.SEifl\lt'l'Ekrll)1' Ii's (IF APPLICABLE): ~I ~
~ \.,Utl"'C.a.:.:n""-7 ns ~~
\' ~WI A
E OF CON :carDP ,an t~ g OliilMP~ROVE NT: PLUMBING CONTRACTOR: ~ V,o <$\
:0' SINGLE FAMILY at State and ~c:.r; D-V C (r ~ OA 0" '.. ~
b""- COtv'M I>W-STR f-ar O-/''''-l.; "7..a'"(.<)"~
TOWN H~PT OF' ~~ (S) Plumber's Indiana State Li ense #: ~ t?~' ','A
o TWOFA OF CARMEL! PORCHADDmON(S) / ~~,~ ~
#ofun , \ND\ A REMODEL 0;'-90'7 .,~ '~
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units: 0 DETACHED GARAGE ~ International Residential Code w/Indiana Ame'1,!lments
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc,) 0 DEMOLmON 0 Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
FOUNDATION TYPE:
Early Release \/ Manufactured -4 structi)
Permit: ~Y N Trusses: Y N con on area
. <v - ~ CRAWLSPACE
LotSpht: _Y ~N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _y:L(.N
(Check all that apply for the new
o
A
POST & BEAM
BASEMENT
WALKOUT:_YAN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO 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
scructures 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 - 199:)" (Z~ 289) and amendments, adopted under authOrity of l.c. 36~ 7 et seq, General Assembly of the State of Indiana, 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
used or occupied until2ate of Occupancy has been issucd by rhc Department of Commnnity Services. Carmel. Indiana,
~7 4~ If L. C:-K () C4:.-
Sign re of Owner or Authorized Agent- Print -
'2 -2 -0'-1
Da
OFFICEUSEONLY:************************************************~**~Z1***************
Filing Fees: / /. .
PO. ED: ~(a f)(')
Base Inspections: Q . # Charged /
ReViews
Cert. of Occupancy: 60 I 0 f) l
P.R.I.F.: I~;;z.~ 0 () Additional Fees
TOTAL: 15S;;', q D
"0{.(t!tt1 uhdd~~ /~jI1/o1
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