HomeMy WebLinkAbout07030197 Application
City of Carmel/Clay Township Permit #:n!JO?JO] q7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLIC~TION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
j
BUILDER of
RECORD:
PHONE
P f,I'I- 13'0'1
FAX
p~~ - 303/
PROPERTY
OWNER:
STREET ADDRESS CITY STATE ZIP
/Ol? flET-AI.i.t'Y C/IZLt.e C/f'/?-/?1EL $/J ~(,03:L
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT: ~ ~ /11a i I
'/av/chn@'/avldtnol'{vnbvi//er.co#). -130,/
NAME PHO . \,J:...':-"'\.... -."'JiAX.','-."
5/1t7'J IF A- s .tJ1I j.L Detf. ubjec' t(? ~~~i:pdE.nC(~\\'!I.:h a.. I ~'dulatlons
STREET ADDRESS
CITY 0 E ::-:'T
",(""" ,<;TATe'v ':lCC1\'i"""'S
~,,".)!.I,l\':~)", I '-'....t1.V,'t:YL:.
,,.-,.
,
LOCATION
& PROJECT
INFO:
lOT #
/0
SUBDIVISION NAME
.,-/l1T (.JOOD 5
I I ',..,., .', ('-.~-"'- '
0;= t.JIL4-M/>1/E?~N~A
ZONING:
.s-I
ADDRESS OF CONSTRUCTION
~97 I.3tJ.,Lbe,et./OO.o L##t(
c/1lZ~ e-L f.v ~t;,032-
SQUARE ~ A
FOOTAGyt2
)6
TYPE OF CONSTRUCTION:
5i6 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
ESTIMATED COST OF'CONSTRU81ON<" rt'.""-J -,-~---'---~'
(EXCLUDING LAND Vt~~E) I ~.!~'_21.;Z f)) (j 61' C .;
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW OOCKET ., iL~;O.IV\ ! :1: 'J
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): VI "" ~
,
TYPE OF IMPROVEMENT: ~Iii LUMBING CONT
~S
rgj NEW STRUCTURE L;J t::b J /1/111: III
o ROOM ADDITION(S) Plumber's Indiana
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
cr/lwD
WATER UTILITY
PROVIDER, C/ft2rnITL w#ff,(?
#:
Iii 1
I 'L......":
. .' I
}<?~
....
SEWER UTILITY
PROVIDER:
Which plumbing codes will be applied to the construction:
o International Residential Code wi Indiana Amendments
~ Uniform Plumbing Code"w/Indiana Amendments
(Multi-Fam\1y Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
, / _ / construction area)
_Y ~N Trusses: _Y ~N
. / / 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: y-Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y V N
o
1XI
POST & BEAM
BASEMENT
WALKOUT:LY_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 1B months?f 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 apphcation will comply with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel
Indiana - 1993~ (Z~ 289) and amendments, adopted under authority of l.c. 36~7 ct scq, General Assembly of the Statc 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
US:x7i~cate of Occupancy has been issue~~: :;pa:::~~~munitY Services, Carmel, Indiana. j' b c. /07
Signatpre of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ********************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS
RED:
. t:!/*****
P.R.LF,:
] 33,IfO
.s 3. S'()
(2 (, /. () 0 AddiUonal Fees
OTAL: -# )---a' !i3fj67 If)
/7
# Charged Re-
Reviews