HomeMy WebLinkAbout04120061 Application
City of Carmel/Clay Township f\-"5 Permit #: 04, ).CJO(", I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory St~uctures
BUILDER of
RECORD:
NAM
.8 .K~ IN ?e.i'rk;s
STREET ADDRESS _
71<; E ...Sd-- JeJ
BUILDER'S EMAIL ADDRESS
dc,.tJtd
PROPERTY
OWNER:
NAME
s cC
STREET ADDRESS
LLC
~?CJ
mY
,ri? .s'r T (V~;"IU'f
ZIP .
6"2 gCJ
BEST ME1ll0D OF CONTACT:
7J1./ -l )" go
I
% 'II...J ,Ca/'Y1
PHONE
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
B TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
bROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
FAX
cm
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
~"
ZONING:
UD
SECTION
5"003
SEWER UTILnY
PROVIDER: L
ADDRESS OF CONSTRUCTION
333 aM-twell 5+--
lAJC-
ESTIMATED COST OF CONSTR
(EXCLUDING LAND VALUE)
NAME OF UTILnY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y Y N Trusses: _Y -1LN
-r- 0 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-A-N
Which plumbing codes will be applied to the construction:
E International Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for theinew
construction area)
o POST & BEAM
R? BASEMENT
WALKOLlT:_Y -4--N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory strAeteF;J\!5 P>!llDIrefRl;emif:c:pPfF~!IIflmences
within 180 days of the date of issuance of the building permit, and must be completed .f(:7;J;:tID.Cflfe ort:5ccE-I?a~cx ISSU,e lr~t1u.'"fi ':m hlPiiH's of the
issuance date. Class I structure permits are subject to the General Administrative Rules '6M:'K~~rt?orHldlbW.r(~@67'3t ~1~i~Aftl1Rf~iration
time frames for beginning and completing constructib:ri?tate and Local Codes.
I, the undersigned, agree that any construction, reconstruction, enlargement. relocation, or a@f!~ifcO~_I~ s~~en or
structures requested by this application will comply with, and conform to, all applicable la~ ~eAt~e of ~v...<p1 t "Zcinin.sIO~anc~JfCarmel
Indiana - 1993" (Z-289) and ameodmeors. adopted under authoriry of I.c. 36-7 et seq, GeneM1AsJerl.!\Jy did,\tSM.d-I . d llil~~lilry
thereto. I further certify that only kitchen, hath, and floor drains are connected to the sanitary sewer. I further c~,lq.Nl.tf: construction will not be
used or occupi . a Ci . te Occupancyhas been issued by the Department of ~/munity Services, CarmeJ.Jnctiana.
, - 'auidi? IPiI/J /2 -9-iJ'I
nature of Owner or Authorized Agent Print Date ;'
OFFICEUSEONLY:************************************************ ***********************
Filing Fees:
Base Inspections:
Cert. of Occupancy: 50 , 0 'L)
P.R.I.F.: ..5'f.. '7 . 0 0 . Additi07"
~~~L:j ~.~ J
----=- /rJ~. /;;2-/(,-OG
F e ved by: '
INSPECTIONS REQUIRED:
(upper Fo~wer FOoti~~ Under Slab
(lfciu~ Ii061etet B~ (Final ~
: Dept. of Community Servic
DENTlAL
# Charged Re-
Reviews