HomeMy WebLinkAbout04120038 Application
,.
"-
. City of Carmel/Clay Township Permit #: f)0[-"}J)D$t
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ SINGLE FAMILY ~ NEW STRUCT!.If}~..
o TOWN HOME ~C~~~J
o TWO FAMILY RELEASED F . l"t' ~
# of units: !';lIhj8ct to compi' e ~ooee
o MULTI.FAMILY 0\ State a LdI:!ID1_~~~~~G
#OfUn'ts:~OFCO U~At .~~
o RESIDENTIALL~ CARMEED I H AA'GE,IP
Additions, RerMlJ I ,~f) I \r-@lfllMAOLmON
PROJECT INFORMATION:
Early Release ~ Manufactured v' FOUNDATION TYPE:
Permit: ,Y N Trusses: -AY _N con~ction area)
. . - A CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y
BUILDER of
RECORD:
NAME
RH
PROPERTY
OWNER:
NAME
STREET ADDRESS
.~~
LOCATION
& PROJECT
INFO:
LOT #
~!
SEWER UTILITY
PROVIDER: C j,etJ J:)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN CDMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANO/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
PHONE 1>'( J
6? /?o -2
FAX f: :(' - '(22
-62
cm
STATE
.-7?ij
BEST METHOD OF CONTACT:
Co
PHONE
FAX
cm
STA
ZIP
;,(
SECTION
ZONING:
I
SQUARE
FOOTAGE:;2? .z.p
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
H
'OiVd
I
4~
Plumber's Indiana License #: ~ .....~
/fJ.<.> 9-0 '1 ~ ~ 'l.P~.#_
Which plumbing codes will be applied to the construction: ~~> ~.
~ International Residential Code w/Indiana Amendm!.ts /
o Unifonn Plumbing Code w/Indiana Amendments V
(Multi.Family Construction Code)
<
(Check all that apply for the new
o POST & BEAM
~ BASEMENT
N WALKOUT:_Y
N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit 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 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 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 until a Cjerti!fljlue of Occupancy has been issued by the Department ~f Community Services, Carmel, Indiana.
~z: ,p~ cf. L. C-"eO CF h -.2 -tfy
Signa of Owner or Authorized Agent Print Date I'
OFFICE USE ONLY: * **** * **** * ** * ******** ****** ****** ******** ****** ?** *):1 * *** * ****** *** ** *
Filing Fees: (0 q ~ I ~ 0
SPE ED: '7 / tJ
. Base Inspections: ^-JOt). 0 # Charged Re.
U per Footin Under Slab r ReVlews
Cert. of Occupancy: 0 () I 0 0
Sj~ 6~~O"'"'
TOTAL: /'v ~ V:3, ~Dona'~
I I'ib