HomeMy WebLinkAbout06090086 Application
City ofCarme/lClay Township Permit #: f)fa Of! OD<6&
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, lit Two Family: New Structures, Additions, Remodels, lit Accessory Struclures
I
~2Blf:~li};~t~~~l5'9'1 "1!fX:
~ I- -
CITY: C/1KI"\ fl...
SC. 'iT /Vl1J/1.I1./S
BUILDER
OF
RECORD:
NAME:
-
l/I/
~..;o .4 VI:'" III. 6,
STREET ADDRESS:
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
orrj ~ 000 (,
NAME:
Sco"H......c;I/(/S PfP/V?/S
STREET ADDRESS:
LJ// :111.0 AVE-
E.
LOCATION
lit PROJECT
INFO:
LOT #:
SUBDIVISION NAME:
SEWER UTIlITY
PROVIDER:
r fYl e-l
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COU",", WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
.; rn" ROOM ADDITION(S)
o PORCH ADDmON(S)
{ 0 DECK ADDmON(S)
\iO 0 REMODEL
,5t\. . _ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
ATTACHED GARAGE
DEMOLmON
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
[F' RESIDENTIAL (For
Additions. Remodels. Etc.) {}.
Early Release
Permit:
Lot Split:
Sump Pump:
_yXN
_Y~N
~~
,
STATE:
ZIP: ~6 03;1.
C'clL
In 990.33
PHONE:
3/7 -.!>75. ::5''7
FAX:
CITY:
(}/7~r>?E L
STATE:
p(
ZIP:
7'6 i'J.3~
SECTION:
ZONING: R-3
SQUARE
FOOTAGE:
A,9f"
ESTlMATED COST OF CONSTRUcnO
(EXCLUDING LAND VALUE)
.5"('JC)
<L.d. TAX MAP PARCEL #: .....__-;; [; '~;':i~ \
PLUMBING CONTRACTOR: /~~0~ \G.-.~\\\ ' \
.J."r ,_/ fie:;, (""',;::./ \\ \\
/v-"'/,,:C- \C\ \S.,,>_/ \
\\\) ~ \
Which plumbing codes will be ap \ e constru . :----
o International Residential ~e iana ~dmerits
o Uniform Plumbing Code w/i~ments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
c:E(" CRAWLSPACE 0 POST & _ BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory Stnlctures, this pennit is valid only if construction conunences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" '(Z~
289) and amendments, adopted under authority 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 t sani sewer I further certify that the constnlctton will not be used or occupIed llntil a Certihca.te of
Occupancy has been issued by the Departm of umry Setvlces, Carmel, Indiana ~
~ )5i&Jl'l€ (r?FJ-'~/. '1-)f-iJc..
Signature of Owner or Authorized Print'-- Y Date
OFFICE USE ONLY: ************************************** ************************~***************** *
SPECnONS REQUIRED: Filing Fees: ,I h 5'. '7 r7
. . Base Inspections: J h h_ (0
Upper Footing Lower Footing Under Slab / <:"1 ~
Cert of Occupancy: J J. ~ iJ
~ Meter Base ~al S. ite -------..
_ - _ . _.----J P.R.LF.: . Additional Fees
IONt~~c3 y,p. '7 J'
Fee Received by:
. of Communi
# Charged Re.
Reviews
Date