HomeMy WebLinkAbout07050170 Application
City ofCarme//Clay Township Permit #: (nOso nO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory St~uctures
I
I
BUILDER of
RECORD:
PROPERTY NAME FAX
OWNER:
STREET ADDRESS cm STATE ZIP
LOCATION LOT # (d POOL sEmo;;a A ZONING:
& PROJECT j
INFO: ADDRESS OF CONSTRUCTION \/(11 e [Me: SQUARE 1'--/ /er
FOOTAGE:
SEWER UTILm Q/1Yw ESTIMATED COST OF CONSTRUCllON:
PROVIDER: (EXCLUDING LAND VALUE)
,.() OS' Olls:Ff
"'~I
PLUMBING CONTRACTOR: 0,.-,,, .0/(1 9 i~ A
U If \ Cq~ Cot @ :?6'-<<<< y~
Plumber's Indiana State Lie #: 8o",~~~
/05Qtl/ ~B
Which plumbing codes will be applied to the construction: I
",,'"' ........::;~ \ \ \, \. \
NAME OF UTILITY EXCAVATION CONTRACTOR;, PLAN COMMIS5)ON / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR coU,;ti"wElL 'Ar{D/oil',,sElrnc PERMIT #'5 (IF APPLICABLE):
..../~ \\ ",/"'" \\\ \\
-c:: \\-~>. ';---/ \. \
TYPE OF CONSTRlICfION:) \:~- TYPE OF, MOVEMENT:
k """"(,,;;'r ~ ,'" SO """
o TOWN H(),f11E~ 'l. \ . clOM AD mON(S)
o TWO FAMI~yJ \\I~ POR~DDmON(S)
# of Unlts;\ 0 pODEL
o MULTHAMil.Y ~ (2) ACCESSORY BUILDING
# of Units; '\ 0 DETACHED GARAGE
o RESIDENTIAL or 0 ATTACHED GARAGE
Additions, Remo els c.) 0 DEMOLmON
PROJECT INFORMATION:
Early Release / Manufacture~~ FOUNDATION TYPE: (CheC~ that apply for the new
Permit: _Y ~ Trusses: -+Y _N construction area) ;<..,0 ~'I>
/ ^' v' 0 CRAWLSPACE & ~~ & EAM .
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB S-<"~BAS-&.
Does any part of the property lie within a special Flood designation area: _ Y ~ ~~~c,. ~- Y4=-N
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structurc~@ Rdtni~~~I1J.l onstruction co~mences
within 180 days of the date of issuance of the building permit, and must be completed (~&~'1'~~~~~u~ ) within 18 months of the
issuance date. Class I stnlcture permits are subject to the General Administrative Rules ~t;.~.~",,-~"\~75IAC 12) regarding expiration
time frames for beginning and complet~~yy~~n.~~'\.- \ _ N~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocati~b(.~atJlo.~&\i~ 2&.~: change in the use of land or
structures requested by this application v..rill comply \'.ith, and conform (0, aU applicar,Q~~~-';of (h~~c of~a~\ifla the "Zoning Ordinance of Carmel
Indiana - 1993n (Z~ 289) and amendments, adopted under authority of i.c. 36-7 et seq, G~eral ~~it~v ~e St~ of Indiana, and all Acts amendatory
thereto. 1 further certify that only "t en, bath, and floor drains are connected to the sanita~'t"'~~ urther certify that the construction will not be
used m ace ied until ~.certifica e Dccu anc has been issued by tractme~t oNtO ity Services. Cannel. Indiana. ~
Pri~ ~~
o International Residential Code wI Indiana Amen4ments
o Unifonn Plumbing Code w/lndiana Amendments:
(Multi-Family Construction Code)
OFFICEUSEONL :**********************************************~~~*********************
Filing Fees: J-ZU . gO
INSPECTIONS RE UIRED: '7 r,>r) --tJ
Base Inspections: CZ.- {L / r J
nder Slab
Cert. of Occupancy: ,"')5. 5U
dO
c2
# Charged Re
ReVIews
Site
P.R.I.F.:
Additional Fees
Po
Fee Received by: