HomeMy WebLinkAbout06060232 Application
City of Carmel/Clay Township Permit #:C:bDb023::L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
lk PROJECT
INFO:
SEWER LJTILITYC
PROVIDER: -r1!I.J
NAME c .~
Au> re/"lte t.- > h I ..:I:nc.
STREET ADDRESS r-' --;-")
/133<t tJedh"lrL n.v-i(.kk.
BUlL ER'S EMAIl ADDRESS
A,))I"~/\t.e.recl(.et
NAMr;") .
rt\ll Q....I.llen
b.l'\oo ,un\..
PHO~ ~.
lJ "t/:' .. ,,~DI
FAX <n,- OJ./'~
STREET ADDRESS E f
.;2..1:l2. . Ii)l, l s~.
lOT #
SUBDIVISION NAME
iii
CITY
STATE
I..I....
ZIP. I. 1
I..J1,l""+
ADD~S OF CON~RUCTlON l "
.,L.1;2.:2.. L. I bt. ~ Vi
L0\>H.(.~_jr/...
BEST METHOD OF CONTACT:
FAX
CITY
lI.r f\\el
STATE
Ir\
ZIP
Ul.o :;:L.
SECTION
ZONING:
tAI'I'>\~l ,..r..r-.
SQUARE
FOOTAGE:
?'5{o
WATER UTILITY
PROVIDER: ..I. WL
lower Footing
Under Slab
ESTIMATED COST OF CONSTRUcnON..t'":
(EXCLUDING LAND VALUE) ;.JD! ()1)V. LIi)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: (rfJ.,IlTYPE OF IMPROVEMENT:
o SINGLE FAMIL Y g.,.tJ~ - t:.. 0 EW STRUCTURE
o TOWN HOME ~\ ..J ROO ITION
o TWO FAMILY PORCH ADDITION(S)
# of units: "i,. 0 REMODEL
o MULTI-FAMILY ., j P ACCESSORY BUILDING
M # of Units: cfIJ leb" 0 DETACHED GARAGE
'f" RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE:
Permit: Y XJN Trusses: _Y ~N const~uction area)
. - X X t>( CRAWLSPACE
lotSpht: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y ~N
Which plumbing codes wi
o International Resid
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_y-'xN
For Single Fami~~~~l~.~ .iPi-. ;~<ld.cliti9ns. remodels. and/or accessory structures, this permit is valid only if construction commences
within ISO day Ftn~~stiJr.S:;fowJw!N.S1ilillPS1GN must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. C "MktQrGtp~lia~t$.. ~ '" ,tati ~9.fre~ministrativc Rules of the State of Incliana (See 67NltC egarcling expiration
. .' of State and LJ!l~ffle-ffiJs: for beginning and compHe . 'DmII2
I,theunderSlgne~~F!-~l(f\~INS{-wn\rf'TQ9S~WPle.w~ment,relocatlo rat, ' seoflanclor
structures requc:rt t;liis ael?l1~~v~~h'tpl~ tvi~,~JWl'l~~o, all applicable ' - a ,an t e ~Zoning Ordinance of Carmel
Indiana -19 3" ~ ,8 ~f'a~~ladp~elf~f..Hp36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. l,f ther certify that onlykitchf~rlj\d floor ctra-ins art connected to the sanitary sewer. I further certify that the construction will not be
usC1~ ;;:nt=~:~YTh'Ni}Jilli} has been issued bY~ 1~~:T~: ~::::itY SetVices. Carmel. Indiana. ll~ lot
Signature 0 Owner or Authorized Agent Print Date
OFFICE USE ONLY: ** ******************* *** ********* ******* ********T*********************
Filing Fees: Jr.: . 2.-~
INSPECTIONS REQUIRED: '...-;
Base Inspections: / G t::. ~ 0 # Charged Re-
/ ReViews
Upper Footing
),5_ SO
Meter Base
B Site
P.R.i.F.:
Cert. of Occupancy:
Q vo...; ~ Ij/s: Q..,/' 7-6- Ob
Reviewed/Apploved: Dept. of Community Services (Date)
S;Permits/FormS/IlP RESIDENTIAL
TOTAL:
~ t1 ;'.L.AlL
Fee Received bv:
Additional Fees
!ff3g.Jj 22-
~ gP:J../rJf,