HomeMy WebLinkAbout06090045 Application
City of Carmel/Clay Township Permit #:OC(tJq&tJ1fS
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BEST. METHOD OF, CONTACT:
31'7 /S!..h(;.>;~!bl!J /3/?E,u{)/} PYi.--
Subi tt ' NSTRLJ6j~rdJ;Y~Y' ',.
"rf ~I~ with all re alia /,.'
ca odes", ( .:,...
STREET ADDRESS: DEPT OF COMMU CITY..', </0
NITY SERVIC!i:S "-
LOT ~7: SUBDIVISIO,N NAM' : _ TOWNSHI~ ',,- SECTIO~?'<, <fu~~
G/tS~ ~5 '\ "- Ie*, /,';) ~
ADDRESS OF CONSTRUcrrON: "\. /<// /SQUARE
3977 l1,VtJ!fETTI bAlue '\.. ~:<~;FOOTAGE:o/D8"Y
SEWER lJTILITY WATER lJTILITY OltO<1 (fO Lf tL ESTIMATED COST'OF CONSTRU6l10N:
PROVIDER: C L.14'Y '"1'olUIVSHIP PROVIDER: C./Htl-f E L. T (EXCLUDING LANDY LUE) //2. 1./ s- (5, '-/0.
~~ME'Of'!!I!-rn;y;El(CAVAT:ioN:tONTRAg:tJR; PLAN COMMISSION / BZA / BPW DOCKET f! t!J1 N DE)( r E It
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANO/OR SEPTIC PERMIT #'S (IF APPUCABLE):
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
NAME:
I< 13
(..;..t:>Hc5
STREET ADDRESS:
S7L10 bE'C-ATul2.
BUILDER'S EMAIL ADDRESS:
NAME:
S/}}1
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: ">'
.&-bA/1:
OF CONSTRU N: TYPE OF IMPROVEMENT:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
PROJECT INFORMATION:
y ~
y~
Manufactured
Trusses:
Sump Pump:
~
Ly
_N
_N
Lot Split:
PHONE:
3/'J
FAX:
~/(!JCl
&' LI
OTY:
::CA.JO Il/ ~ L /:-
STATE:
..:C .v
~.r2.7'/1
FAX:
STATE:--:'
ZIP:
, ::"w< MAP rrARcEt-H?k .1!f5i
PLU M BING..GElNTRACTOR:
~MJ1rl{"t: SteCLmDL[PA/
Plumber's india-;'~ "State License IN :
~ ~l{D1. 4]
Which plumbing codes will be applied to the construction: .
6' International Residential Code w/Indiana Amend~ents
I
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for thelnew
construction area)
o CRAWLSPACy 0 POST & BEAM PIER
,... 0 SLA!L-c:LB"'S_EM~N.YW~, LK,OUT:_Y M)
_._ __ ~---, c, _, .. 0_',,0
;.1_,\ \~-J I( ..1":;-") I' \-..1/ '~-" .,.:
For Single Family and Two Family dwellings. additions, remodels. and/or accessory structu~~s'; tNs,pernut: is,:~~:~r!!Li!S.2.~S~~fq.o~ c~mmences within 180
days of the date of issuance of the building permit, and must be completed (Certificate ofOCcup~cy issued) within 18 months ofihe:issuance dateo Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (Se'e:675/I~C 12) regarding expiration turi~ fr~es for beginning and
. .. completing constrllctionol.1 r'\\ 1 _ Q '1/"1" j:! III
I, the undersIgned, agree that any construction, reconstruction, enlargement, relocation, or altera~lO~ qf a stru~f.l or antthangQfi\ the Use of l~nd or structures
requested by this application will comply with, and conform to, all applicable laws of the State of lridiank,1 and the "Zoning Ordinance of CZarmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State ot'Indla\1?, and all Acts amendatory.thertto~.I ftirther certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the con~truction will not be used or occupied until ajCertificate of
occupancYha;, n issued by' the Department ofConununityServices, Carmel,lndianao l..________ . - 0-' ___,I rJ, /
. ''M IHv'l 'SCS>/f hC-ll>tiJLt.!7 "J-0EluT '7 t, CJL,
_~tureofO- or',~z~, tPnnt~ ' ~~~r
OFFICE USE ONLY: ********* ********************************************* ***************************
.' INSPE UIRED: /t't Filing Fees: I r 1. .!!o
U ~F - t' n\\'t Base Inspections: 1. 7 7. ~ 0
pper ~o~ '1 .-
. , Cert. of Occupancy: 6 '3. 5'0
Rough In Meter Base J 2di. /
P.R.I.F.: j 00 Additional Fees
~~~L389.IfO
(Date)
Reviewed/Approved: Dept. of Communi
S:Permlts/FormsjILP RESIDENTIAL
# Charged Re-
ReViews
Fee Received by:
Date
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