HomeMy WebLinkAbout07050210 Application
City of Carmel/Clay Township Permit #!J?fJ.'i{1;2/D
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
DA"ternational Residential Code w!Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code) "'~
PROJECT INFO O~: ~\V ~
Early Release Manufactured./ FOUNDATION TYPE: (Ch~C~~~\~Y for the new
Permit: Y ~ Trusses: ...-/Y N construction area) _..:::..S~ \e~~ 'f<:,S
. - - / 0 <;RAWLS PACE C'Q)~,~Yif#> J,.~ .
Lot Split: _Y N Sump Pump: V" Y =N ClYSLAB >~ cfid>~*~' . ~S"
Does any part of the property lie within a special Flood designation area: V""~~ 0 ,,0<:; ~K ... y ~
For Single Family and Two Family dwellings, additions. remodels, and/or accessory stc ~.-;,r.\lo$1 ~ i,,~ qr4Ji' construction commences
within 180 days of the date of issuance of the building permit, and must be complete ~Lat~}:t:)'."-<<~~~~f...~~thin 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules ~e State ~at~:~~C 12) regarding expiration
time frames for beginning and completing const~n. (j'r \~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altera~\a~]ctu.~e.or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of th)..~ ~I~diana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z-289) and amendments, adopted undet authority of l.c. 36~7 et seq, Genetal Asst--w3ly of the State 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
used ~ied nntil a Certificate of Occupancy has been issued by :!!"Jepactment of Community Services, Camel, Indiana.
, _, (/(- (. ?j>a CE )''-2r-07
Si ture of Owner or Authorized gen Print
OFFICE USE ONLY: ************************************************************************
Filing Fees: 9 &- I <' tJ
INSPECTIONS REQUIRED: I I' ~ -;7
Base Inspections: J) <7'7. :)v # Charged Re-
ooting Under Slab U . _/\ ReViews
Cert, of Occupancy: ::)): ju
Ie) G (. 00
#~,<b:5;50
<e ( ~-/1LI
BUILDER of
RECORD:
NAME
STREET ADDRESS
002
''/fll'(
tC.A,
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT # /'
~Z--
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
J,,(v..
J
SEWER UTILITY C
PROVIDER: T~ w /J
WATER UTILITY
PROVIDER: r
L. ~i..K..-P"1L
o
o
g
Site
Final
Meter
P,R.I.F,:
PHONE
FAX
CITY
/."~ .iJ/(J
STATE
,..,-.
ZIP
(( 'z..'-Io
BEST METHOD OF CONTACT:
---
c-
PHONE
FAX
CITY
STATE
ZIP
SEmON
ZONING: S'
SQUARE
FOOTAGE:j)-7 )
If....
ESTIMATED COST OF CONSTRUCTION: ..., a ' ,J
(EXCLUDING LAND VALUE) ..?--J if /) d tf.
- I I V iI= 01050'2
PLUMBING CO RACTOR:
Plf~,~ Ldia~;;''lX,cense #:
I 05Q 0 q
Which plumbing codes will be applied to the construction:
Date
Additional Fees
Cy",,~' 5-31-
Reviewed/Ap eyed: Dept. of Community Services (Date)
5: Permits/FormslILP RESIDENTIAL
~ TOTAL:
FeeR'e~~
,.-
.