HomeMy WebLinkAbout06080126 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #:iJJ, ()g()}~-,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME:
('
,JDOv..>
Co
STREET ADDRESS:
Ii! '11..01 s-+\ewocJ
J)r
BUILDER'S EMAIl ADDRESS:
Shor,+h 575", '0 sbc L.be, Lilt*.
NAME:
c",,", €'
II",""
STREET ADDRESS:
;1./08 fUll( -Dr
SUBDMSION NAME: ~
't'DMd
ADDRESS OF CONSTRucnON:
109 ~h(.
LOT #:
5~
SEWER UTILITY
PROVIDER: Cltt
WATER lJTlUTY /I 0 J
PROVIDER: \..Ar /)]6
5'71- '-3M
_(.,?,M
em:
:::I:iJ 0 ! S
ZIP:
4L.~>D
-LN
BEST METHOD OF CONTACT:
OfF'ct: IJ- S--?'l - &, 1,) 0
PHONE:
'/,/:,-- I '3 ~c
CITY:
-:;:,..JJ' {r
FAX:
STATE:
-:::rW
ZIP:
'/,-:1. 0
ZONING: R I
SECTION:
:J:J:C
...Dr
SQUARE 5-"
FOOTAGE: oe.
ESTIMATED COST OF CONSTRUCT10~
(EXCLUDING LANa VALUE) HI
00,
NAf>1E OF UTIlITY EXCAYA ON CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNADON(S) oJ
FOR THIS PROPERTY: .f\
TYPE OF CONSTRUCTION:
bd' SINGLE FAMILY
'd TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
;>y RESIOENTIAL (For
7\ Additions. Remodels. Etc.)
PROJECT INFORMATION:
_Y~N
_Y -i.-N
UrJSil/N>l:!u
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
~o ROOM'ADDITION(S)
PORCH ADDmON(S)
DECK ADDmON(S)
o REMODEL
~ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
iy-,
_Y-ii-N
Subject to compliance with all regui:,:uuns
I
o p'fCjf e'6%1'MUNITY SEI\W>cS
,t.Jc Ii::';
.--< .-(-'..'.) \,
CONTRA<filRllri\NA,';i-~, ~/
\'~/'~
.<::-/ ,,<,
o ~ 1. 0,
..-
, \\ \ "
Which plumbing codes will be applied,to,the constrl!Siion:
.\ \\\ /'
o International Residential Code..lw/Imfiana Amendments
\';r/,,-
o Uniform Plumbing Code w/Ind~~..~..~!!)er,.aments
FOUNDATION TYPE: (Check an that applrf,or the new
construction area) '/,<.,
, \
, \\\
.\.\)\\
" ,\
'\ \1
V)
\\,/
,
..'
"'
Sump Pump:
PL
Plumber's Indiana State License\#:
"\
!)
"
o CRAWLSPACE
o POST & _ BEAM _PIER
SLAB 0 BASEMENT (WALKOUT:_Y_N )
,
,\or Single Family and Two Family dweJIings, additions, remodels, and/or accessory structures, this pennit is valid only if construction corrunences within 180
"lays 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
7ucture 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.
\ undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
\ted by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 199r (Z~
\d amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
" bath, an floor in re connect to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
'f[h e" e yt~eDep entofCOmmUnitYService'.,s.~,ol.In1::) ~ <Jj,
lLiLLi.!fC/ , rr r" 'F{ -,).;}.. - 0 (.
Print Date
~ONLY:******************************~~**********************~*~**~1)*****************
'JllSefCIlONS REQUIRED: Filing Fees: / I ' '2
o "' 0 Base Inspections: I '.I ~ . .5 0 # Charged Re-
'~ower Footmg Under Slab .3 50 ReViews
" ~) Cert. of Occupancy: \ Zj I
) Meter Base Final _ Site
P.R.I.F.: Additional Fees
'351. 7'f
q-/0-:'(j~
Date
TO
ITIONA
Fee Received by: