HomeMy WebLinkAbout07050183 Application
City of Carmell Clay Township Permit #: 0-' 050\ e ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
'e.-lI\.-\- s..\-
PHONE
"I L-q - (0"1).:1..
FAA
1u,'1. -(", 33
~~I ZIP
'N 4l.20l
CITY
L. <=""5\-" \ ('f'
BEST METliOD OF CONTACT:
PROPERTY
OWNER:
PHONE
FAA
STREET ADDRESS
cm
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
'). Co 'Zi
\. spBDIVISION NAME
\J \ \ c+:
ADDRESS OF CONSTRUCTION
SECTION
VO,
A
lONING:
'E 5 \ 'bEl-ITI
SQUARE
FOOTAGE: ~Co05
SEWER UTlUTY W R UT1lJ1Y /_' ESTIMATED COST OF CONSTRUcnON:
PROVIDER: C\)Z. ill b PROVIDER: L It k.}/\ 'i...L (EXCLUDING LAND VALUE)
NAME OF umm EXCAVATION CONTRACT9R;:P~~ COMMISSION I BZA I BPW DOCKET \ I 0705
NUMBERS; TAC DATE(S); AND/OR COUr;r;:o~'AN I~R SEPTIC PERMIT #'5 (IF APPLICABLE): <:; R A:\.{. 's M.I\-I IV T'EfJ
"~:.7", ,~
TYPE OF CONSTRUCTlON, ~ '0;/ 1n' IMPROVEMENT: PLUMBING CONTRACTOR: \)
~ SINGLEFAM~L~iyY", STRUCTURE B ruc.E;.. 5 M.rrl:t i'l-u,\l\~ \!<)b
-0 TOWN HOMV(('0' _~ 00 DDmON(S) Plumber's Indiana State License #,
o TWO FA~I!;Y ~/ " 'V POR ADDmON(S) he \ ^ \ ^" ,,\ I _
# of UnitS:?..? / " " ODEL ' _ L! _ !..lLl d _ ~'"
o MUl.'ry;:fAMIl:Y _'-~" ACCESSORY BUILDING
# ofUnit:S:\" ~, DETACHED GARAGE
o RESIDENirA.b:(~r ATTACHED GARAGE
Additions;'Re~OdeI , DEMOLmON
P 0 ECT INF ~~ON:
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~niform Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
Manufactured y FOUNDATION TYPE: (Che~ that apply for the new
Trusses: _Y ~N construction area)..J:J~~ \O~'b
, 0 CRAWLSPACE r<..~"v'PC)5!MEAM
Lot Split: Sump Pump: -J.J _N 0 SLAB ~'!:J ~Qi~,BAS~;!\~
Does any part of the property lie within a special Flood designation area: ~ ocP ~~ .~y-LN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory st~.....-.er ' ~p~ i~ ~Q construction commences
within 180 days of the date of issuance of the building permit, and must be campier ~~t.~~~~~n ued) within 18 months of the
issuance date. Class I structure permits are subject to the General Adtninistrativ . ~li~: ~e ~'\}(ail1 e 675 lAC 12) regarding expiration
time frames for beginning and c ~c9l\ v ~'v ~'?-
I, the undersigned, agree that any construction, reconstruction, enlargement, relaca. ~~ alter1i~ [. ac:E ~any change in the use of land or
structures requested by this application will comply with, and conform to, all applica e iWS ~stft~r In a, and the "Zoning Ordinance of Carmel
Indiana -1993" (2,289) and amendments, adopted under authority of LC. 36,7 et seq, Ge sS&:Vbl1 of the State of Indiana, and all Acts amendatory
thereto. I fu her certify that only kitchen, bath, and floor drains are connected to the sani ~;. I further certify that the construction will not be
used or pied until 'btilica of OccupancX has been issued by the Department ommunity Services, Carmel, Indiana. ( (
\( t= t.>-T Si+A-FHR Y'h'S S It _OJ
Print J Date
OFFICE USE ONLY: ***********************************************~***"**~***************
Filing Fees: / 0<. b f-,.. 0 V
I~SPECTIONS RE. UIRED:i)' 91, ./ Il # Charged Re-
,.-;-;: Base Inspections: I}-- J (j
~per Footi~;L wer Footin Under Slab /' ReViews
~ ~==---=:. '\ Cert. of Occupancy: So .;J ()
,,,,, '" --"'~.,;, E-'~. "'i> PR" ~OTAL' / J- < /. ~i J' 6J' "";7-
Revlewed/Approv : Dept. of Community Services U ~ ~ ~_
S:""ml",_"ILP RES!DErmAl ~