HomeMy WebLinkAbout07070137 Application
City of Carmel/Clay Township Permit #:0707,0/31
,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME &,I\fn,
if IThMes: flUe
STREET ADDRESS CI1Y
-;5'o:t>"t 8d;. v/et.J Pt. /nJ,:a.,1()...
SU LDER'S EMAIL ADDRESS
:,(\ +rcLC e..r U @.. S ()Gbiobrl _ AJEi""
I
t..fS-3LI/7
PROJECT INFORMATION:
Early Release j Manufactured ./
Permit: Y. N Trusses: ~Y ~N
Lot Split: =Y .j N Sump Pump: /y ~N is ~~:LSP~~~S~ ;~~M /
Does any part of the property lie within a special Flood designation area: _'Su" t to Com ~H<~NSTflL1C'TION
Fo~ Si?gle Family and Two F~ily dwellings, ad~iti?ns, rem?dels, and/or accessory structures: t~~l)lit g . t5hW1Pc~~aJceQJdle:g~lInences
WIthm 180 days of the date of ISSllance of the bUlldmg permIt, and must be completed (Certiflca~t;fIO't:~~'Nf~~1'f,9\ ~I'-
issuance date. Class I structure permits arc subject to the General Administrative Rules of the S@le1af'I6~'J!1f?.FFltC.17J,hfgln:h'~ ,~'Pl~S
time frames for beginning and completing construction. '-, f 1_ -'./ vLI\Y 1 'VVNSHI
I, the undersigned, agree that any construction, reconstruction, enlargement, relocarion, or alteration of a structure, or any iN@~MM use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana. and the "Zoning Ordinance of C<lrmel
Indiana - 1993" (Z- 289) and amendments. adopted under authority of r.C 36-7 et seq, General Assembly 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 or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
q:L.-4J.., B/";"_~b-4.
Signature of Owner or Auth~ent
OFFICEUSEONLY:************************************************************************
Filing Fees: JOJ-Y.1j) ,
INSPE RED: "l111 7, 50
Base Inspections: tX':Q _ _
Under Slab
Cert. of Occupancy: 55. '5lj
) 'Jf.R I. dO
t
PROPERTY
OWNER:
lie)
STREET ADDRESS
/2572 r'
flf'crct
$-f-,
LOCATION
& PROJECT
INFO:
LOT # SUBDIVISION NAME
)...2..$ I;r/1 ti- e c.;F tv e:> f- C/ Ci-
ADDRESS OF CONSTRUCTI9N
/77"-1 /l6ur 16.-:) J Dc
SEWER UTILITY
PROVlOER: C i ().
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
III SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
"f{ R. J;' .4 I/-
Print
Si
P.R.I.F.:
F R
STATE
PHONE
'7 7 - -c;-
.>( c.EY-()~:L---, --
CITY .
C6--rf'.'ld
STATE
W
lIP
SECTION
ZONING:
SQUARE f'.'j 'J
FOOTAGE:V.<.6.L.-
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) / 106 /J (J ,J
PLUMBING CO NT
SG.hu ler
Plumber's Indiana State License #:
(P~ 165"Ss~5"
Which plumbing codes will be applied to the construction:
., International Residential Code w /Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
/3 0/1/ /A.4-6-l..~ A I
'7-/9 -(j 7
Daie-
# Charged Re-
Reviews
Additional Fees
,2..0