HomeMy WebLinkAbout06060002 Application
City of Carmel/Clay Township Permit #:~:L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING lAND vf7~~-r~;;;;-;:::::-'~_~:~ ~=_,_
",' I'll '--., '\ ." '_.-.1 1.1 \\ '} I t--d r~'."", ~
'! -~:-,,:,::-~_.:,::c-' l~;;-;~: V/ i c-: ! ,'-" ", ~
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j c1ed TAXMAPPAR1~u'::i/ SEP - 1 2006 11I111
UnSY/Cl ,I , II, ill
PLUMBING CONT CTOR: JI..':::J'I
~/1It L
Plumber's Indiana State license #:
_y-i-N
Lot SPlit:RELEA-st:O-ro11 Co~!!JtR'rre:nON-Y -X-N
For SingI~1V'..h~MhY7~~' ~HfRW!WJR~s, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of hi~!~t:tht."1J ~.:ind must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure ,,~,~broMW1tJ~~~~I!5:s of the St.ate of Indian~ (See 675 lAC 12) regarding expiration time frames for beginning and
. . ~:<,.., I. .. . completmg constructIOn.
I, the un~SJm\e~r€~smsi~)fcdr@WtfuJSdnllijement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application wm fi9~lk W\tA, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted Ui\(!&'d6ffiO'tfty of LC. 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 ~y the Department of Community Services, Cannel, Indiana. " J
'-t^,~ \' ~"" t1\",~ ~u..A'<<"^ 8 - 2. 2. -0 6
'Signature of OWner or Authorized Agent Print
BUILDER
OF
RECORD:
NAME: ~K
\AU-AW\~
li.... Z-t(.. DEtL
?~
STREET ADDRESS:
Ii.\- 33<\
BUILDER'S EMAll ADDRESS:
PROPERTY
OWNER:
NAME:
I"l\ARi.. + L ,. /j '" <:A UAI-IA.J
LOCATION
8r. PROJECT
INFO:
STREET ADDRESS:
1'\-33ct
lOT #: .
NI;>,
SUBDIVISION NAME: ,
;.)/.4
l-\A"'2...EL- ~ tKit"
ADDRESS OF CONSTRUcnON:
'0'3'\ \-IALeL-- '[)eLL '~W'l
SEWER UTILITY
PROVIDER: Cl"T'{.rF ~
WATER lITIUTY
PROVIDER:
LOE t.L-
NAME OF lITILTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RES:DENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
o
o
J8.
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
OECK ADDITION(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PROJECT INFORMATION: _~
Early Release " I.~
Permit: _Y IN
Manufactured
Trusses:
PHONE: '
84-8->8<1<1-
CITY:
CMW\t. L
FAX:
Sf ATE:
r;,..J
ZIP:
</6033
BEST METHOD OF CONTACT:
PHONE:
Bq.8-~99
FAX:
CITY:
Q.A.~i,\\E'-
ZIP4bo33
STATE:
;J:,J
SECTION:
M)f
ZONING:
SQUARE
FOOTAGE:
~7
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
BEAM _PIER.
o POST &
~
SLAB
o BASEMENT (WALKOUT:_Y_N)
Date
OFFICEUSEONLY:******************************~~*****************************~******************
INSPECTIONS REQUIRED: C FIling Fees: , / ,'0 -a, 3
{l'iiPer Footiij> Lower Footing Under Slab q/r1 Base Inspections: I f.t ~ 5"0
~_ Cert.ofOccupancy: s. 60
~ough I~ Meter Base Final Site
P,R.I.F,:
# Charged Re-
ReViews
Additional Fees
c
'<:'/0';..3'1
9--1 tf-o
Reviewed/ Approv : Dept. of Community Services
S:PermitsfFormsfIlP RESIDENTIAL
Date