Loading...
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: