HomeMy WebLinkAbout06020108-Application
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City of Carmell Clay Township Permit # Df:,tJ:;;O /O(\"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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BUILDER of
RECORD:
NAME
1-1
PHONE
FAX
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STREET ADDRESSc; ~ t1.~ OTY
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BUILDER'S EMAIL ADDRESS /?1 ;;;'l
STATE
ZIP '-<A:.
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PROPERTY
OWNER:
NAME
-I
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT # 22) SUBDIVISION NAME c-~
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SECTION J
ZONING:
5 I
ADDRESS OF CONSTRUCTION
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SEWER UTILITY C
PROVIDER: T /! I.J 0
WATER UTILITY
PROVIDER: ~ K po. ~ I
SQUARE
FOOTAGE:)LJ/
ESTIMATED COST OF CONSTRUCTION2: 'Q <V
(EXCLUDING LAND VALUE) & '" J U O. ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
.~,<t' '<...1f:-.DbO ')..0101
TYPE OF CONSTRUCTION: ". '>TY~E'~F IMPROVEMENT: PLUMBING COgRACTOR: 0,. '0,. 'il~A)
"""""SINGLE FAMILY ...--:::,tl \~.:" t1\\ C./ ~ A) GI...
<= ___.-;,~ 'I" "!j ,.'....-' EW STRUCTURE ~ <( "~"J~U-;-"'-'1. 'vi? ~-~
o TOWN I:lO~E (I";, \:~Y' tsj li~M ADDmON(S) Plumber's In4fa~ta~1;jt~s.e #: 't~ ~:"
o rvv~ FA~WY,?,:::::/ O\\~, CH ADDmON(S) I ~"'<7;# c/ ,j!- . \P ~ .~ ~
# of unlts:- . A'0'0'O O\~ DEL ~;,' <-. J-" -~, 'lO. ~.~ ~
o MUm,\ft-~IL Y 'e.1ll ~ ?, 0 A~C SORY BUILDING Which PI(-1i~~,,,,'l~' (f~~ilPlied to the construction: '{;J ~
# of Uf\I~:\ \- DEl HED GARAGE o--rnlti...atiO~Ylll!SI"".rt;al Code w/lndiana Amendme~
o RES.lD. EN, ,TI\ ~~,(For _ 0 ~A ACHED GARAGE 9:. '" '0- I,' \
Addt . R ad I Et ) ~ O(,.Qnif~\Iri;bin'iCodew/lndianaAmendments
I lons(u em.. e 5; C. _-0 DEMOLmON ,'{M.ilffi-~~~Cotj~l;lil>n COde)
PROJECT INFORMATION:------ _<19 f'" '0 "~" \. ~
\..------ Manufactured (jf~9,~~Ajj~E: (Check all that apply for the new
Early Release ( ./ Vy N -""sfrilrtion-are"""
Permit: _Y ~ Trusses: 'N f}~'o 17 ,.~. ~
. !./r:i' 7 - Lfi) -.9!!! ~~LsPACE 0 POST & BEAM
Lot Spirt: _Y _N Sump Pump: -.!LY _~Cj . tAB ~ASEMENT.
Does any part of the property lie within a special Flood designatio 'i _ Y viJ WALKOUT:_ Y i.-/ N
d- --j j.
For Single Family and Two Family dwellings, additions, remodels, and/or accesso~ctures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the 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 Carmel
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 Depanment of Community Services, Cannel, Indiana.
1/: L r;.j)oc6 2-.2./-06
Print/ Dau
OFFICE USE ONLY: **************************************** ********************************
Filing Fees: ? 7? /0
Base Inspections:';; (;"7, <( ()
Cert, of Occupancy: , <;1. 5' 0
P.R,LF,: /;< b I. ,)0 Additional Fees
TOTAL: it c2if 1 rf. ! ()
~ If-/I (l ~ 11. L n I () A~
Fee Rived 6v: - - " ~ I~ ftyt{) '--'
INSPECTIONS REQUIRED:
~e(Foot~ ~r1'~ :=:s
~ ~e ~al Si
# Charged Re-
Reviews
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Reviewed/Approved: Depl. of Community Services
S:PermIts/Forms{IlP RESIDENTIAL
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(Date)