HomeMy WebLinkAbout07040146 Application
City of Carmel/Clay Township Permit #:o70'-/ol':J4.p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHO~& (j> m
CITYjna-
i!tIu;f-l,93t/
If{ft;1V{)
STREET
. ~, BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
FAX
e vJ_LI
ADDRESS OF CONSTRumON I 'du <I '3 maJ,4 drfn'~i;;L:;f!ik 'i. ::
SEWER UTILITY ;;1---rt'? I "D WATER UTILITY YI-1 f) II/fr",,!! ESTIMATED COST OF CON,,:'RUcnON: ,1\-:J-.-1 ~
PROVIDER: C,d L-U-J PROVIDER: (ILl' I, II i ~ffl1DIl'G-V,~\,j(VALUE)' i I II .Y Y '1lA...J...J
NAME OF UTILITY EXCAVATION CONTRACTOR: PV,N COMMISSION I BZA I BPW DOCKET! II '."
NUMBERSi TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUrBLE): ~-~~. j -
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: L'-PI:UMBING,CONTRAC OR: I
~ SINGLE FAMILY > NEW STRuaURE ~
o TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana State[ljLic nse
o TWO FAMILY 0 PORCH ADDITION(S) 1 Q' A\
# of units: 0 REMODEL ' , ./""{ .,
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction: :
# of Units: A---
O 0 DETACHED GARAGE ~ International Residential Code wi Indiana Amendments
RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 0 Uniform Plumbing Code w/Indiana Amendments
DEMOLITION (Multi-Family Construction Code)
LOT #
STATE
ZIP
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
ZONING:
SQUARE I -/I^
FOOTAGE: Lf' J
PROJECT INFORMATION:
Early Release / Manufactured v<"
Permit: Y v' N Trusses: Y N
- ./ _'/v - 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y ~N Sump putJ\IEll::J\SE~ 0 SLAB ~ BASEMENT
Does any part of the property lie within ~eiZJ(lfI ffsl nr;;QJrI~iIiJilUCXl(:!)N-N WALKOUT: Y /N
For Single Family and Two Family dwellings, ad~~e~oa:J8rinikit(t lQ9ttBP~dm!~&~~.tl4U~~ermit is valid only if constmction commences
within 180 days of the date of issuance ofehe bttrfdTrtg peGtt, ~re1lpqI\9rm.tfte'd~eertificate of Occupancy issued) within 18 months ofche
issuance date. Class I structure permits are su~t1tVtl!9P'epe1flb\cVPJPisb!a~vt: I{u~\ri1@-E~f Indiana (See 675 lAC 12) regarding expiration
time frames fo~KI~id~1ft~r~c,t~n.
I, the undersigned, agree that any construction, reconstruction, enlargetN1l\rnC}tfllfon, or att'eU't\~Sucture, or any change in the use ot land or
structures requested by this application will comply with, and conform [O'-all' a'p~nlJ':,ible la\vs of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopted under amhority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendawry
thereto. I further certify that only kitchen, bath, and floor drains are connected [0 the sanitary sewer. I further certify that the construction will not be
used or occupied until. ertificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
- ~j-&o:p
FOUNDATION TYPE: (Check all that apply for the new
construction area)
'-/ kl/ (! 7
Date
OFFICE USE ONLY: *************************************************~*********************
Filing Fees: / (J/ J ,3D
INSPECTIONS RE UIRED: / " p '7' c..,
Base Inspections: ~ (L _ ;LV
Under Slab
Cert. of Occupancy: 5' S-, )0
Meter se CBn~1 Sil:. I ) G! 0
~ A I L ,.u.,., ~. . 0 -"~,,~
~ TOTAL: iff de 173 CJ
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormsjIlP RESIDENTIAL
# Charged Re-
Reviews
Fee Received by: