HomeMy WebLinkAbout06060014 Application
City of Carmel! Clay Township Permit #OhO 100011-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
.AJlek (.J UCLA- (YlLL.LE<
STREET ADDRESS .. J
"fLf-?? LU, I ;).6.J::!>. 57.
FAX
CITY
Z':zo,us '1ZLJ. ,,-
STATE
~OlA<--rr
ZIP
%0';
BUILDER'S EMAIL ADDRESS
'.- ~
~LL
BEST METHOD OF CONTAcr:
'1IC-<e;;>.3'(
PROPERTY
OWNER:
St..LL-".4
m LLL"~
PHONE
" '3-061/
CITY
~tolU.5UUuS
FAX
STREET ADDRESS
Lfq-gg to. 1;;;>(, th 61,
STATE
;;;;.- 0 ',1>'-+
ZIP
%0'>/
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISION NAME
SECTION
ZONING:
o
o
o
o
o
o
:::r"'Ot,'\>'-1I.
SQUARE
FOOTAGE:
s-
b '6'+ rp
ADDRESS OF CONSTRUCTION .,
4lf,?t LJ. 1;;;>6=-57,
/k.
WATER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
/
NAME OF lITILIT'f. CAVATlON CONTRACTOR; PLAN COMMISSION I BZA I BPW OCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units;
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o ~ STRUCTURE
Q/ROOM ADDITION(S)
tional Residential Code w Ilndiana Amendments
o U arm Plumbing Code wI Indiana Amendments
ulti-Family Construction Code)
PROJECT INFORMATIOI'!.: /
Early Release :t Manufactured
Permit: . Y Trusses:
- 0 CRAWLSPAC~ POST & BEAM /
Lot Split: _Y N Sump Pump: 0 SLAB 0 BASEMENT /.,
Does any part of the property lie within a special ood designation area: _Y ~N WALKOUT:_Y_N ~
OUNOATION TYPE: (Check all that apply for the new
construction area)
For Single Fa,~:,.- q'. '. i'''~l~~~~' and/or accessory structures, this permit is valid only if construction commences
within 180,' " . tll 0 . s nee clth ui in e it and must be completed (Certificate of Occupancy issued) within 18 months ofthe
issuance date~. .._ '. . '. ti.. flJift!;'M-~ ~ cif J~. ~ia~dministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
...., ....~; 5~~,_" ~<.and Lee ~s for beginning and completing construction.
I, the undersign@~Tt~~MW=Nt'fClh~~@:f!@ement, relocation, or alteration of a structure, or any change in the use of land or
~ ~trUctureS,reqlJlii~y~ ~~~i;jj~14c~pl,.\'1~{1R-;'Kg~H', all applicable laws of thc State of Indiana, and the ~Zoning Ordinance of Carmel
.-.~~:;;. ) Indiana;.1993~J.2lJ9~ ~m.~o'tl~A'dJr~ootftYliIIH:. 36-7 et seq, General Assembly of the Statc of Indiana. and all Acts amendatory
~: ~.thereto, .I further certify that only kittNfi>tANAd flo9r drains are connected to the sanitary sewer. I further certify that the construction will not be
, used oroccu Ie unt.! a crt 'c teo[OccuPilllcyhas been Issued by the Dep;tm;;1;::m;y Setvlees, Carmel, IndIana 6 II /,;JC06
Print Dati /
OFFICEUSEONLY:*********** ******************* ************!-~**************************
/? LIb. Filing Fe 5: ~ ,J' :5 J>
INSPECTIONS REQUIR 0: Go (I ~d I
bll-. 'f Base I pections: / l tJ 0 # Charged Re-
Upper Footing Lower Footing , Reviews
C . of Occupancy: ..)'3 ~O
~ Meter Bas Final
I
Reviewed/Appro ed: Dept. of Community Services (Date)
S:Permits/formsjIlP RESIDENTIAL
Additional Fees