HomeMy WebLinkAbout06030157 Application
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City of Carmel/Clay Township \Y Permit #0 LlOt)! +-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
.
({!>:IcK /12JfD: 4, ClNS
PHONE
317' ~<{ 2,- Slf9'1
FAX .3-
317-'i:><(B- ~DtC 3
~TE
BEST METHOD OF CONTACT:
3 (1- 331- Z-5s,"l
ZIP
4<<>-B3~
Gfl-ff.,.)c;
BUILDER'S EMAIL ADDRESS
.JL 02>!Li!;rd-~:'\-'c.~
NAME
Cz, VEJ-I kN\ <:::nu,,A LLL
STREET ADDRESS
'-t II r0. ~&tUiV6 P:v.
CITY
CM-V-'-EL
PROPERTY
OWNER:
PHONE
3n-'/)4S-5'42><I
FAX
3\i-BY'6-3<-!os
CITY
~L
STATE
::cJ
ZIP
'+~c3c
LOCATION
& PROJECT
INFO:
lOT #
1\
SUBDIVISION NAME
~.t.(1.A NS lJz.cc l<.
SECTION
ZONING:
SL
ADDRESS OF CONSTRUCTION
'-\'630 tR"'~NS ~"- ~c>L+ LM_IJ-'-EL
=N 410033
SQUARE
FOOTAGE: Go Z I t/
SEWER LfTILITY
PROVIDER: ~~L-
WATER UTILITY
PROVIDER: ~~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
~co ~;>(?
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ":\ - , Ii ' '. Oroo 3CIst:>
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): V, VGI1...SI ~~ 8';:' Co "'S"f'Q UGT7o--l
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
-
6CJ SINGLE FAMILY jj NEW STRUCTURE SCl.k'L.E<:. Pkw<..\:',aJc
b TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana State License #:
o TWO FAMILY 0 n.r-
# of units: PORCH ADDITION(S) C l' e I D553 ~J
o REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 iDt:lIrlC""""""'_--'"
Additions, Remodels, Etc.) 0 ~~R CO~ifOOGl9IDlI&in9 Code wI Indiana Amendments
....."1= ",'compliance With a/t1~~structlon Code)
of State and LOO'l!;;;q~A
ManufactDii'T OF ~~UNI~Jl~ TYPE, XCheck all that apply for the new
- Y iN TrusselCllY OF-GA / CI lUL TalA'''' 1\\0
~ I(',I?,1fJlI POST & BEAM
Lot Split: _ Y LN Sump Pump: L Y --J.M)IANA 0 S BASEMENT
Does any part of the property lie within a special Flood designation area: WALKOUT:_ y--LN
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
PROJECT INFORMATION:
Early Release
Permit:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the clate 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.
J. 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 LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I furthe . y that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
us a erti te of Occupa.ncy has been issued by the Department of Community Services. Carmel, Indiana.
~Ji;",tC> J. L=lL6 3\~,do",
Print
Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: <7;1'C .c1:;
I . /
Base Inspections: 02 C 7, 5' {}
Cert. of Occupancy: :) I. <:'0
P.R.I.F.: I ~ G i. 06 Additional Fees
'2fI!fiJT~~'j?d/"Z"' to
Fee ejv by: ~
# Charged Re.
Reviews
Site
Reviewed/Approved: Dept. of Community Services
S:Permits/FormsjllP RESIDENTIAL
(Date)