HomeMy WebLinkAbout06090168 Application
City of Carmel! Clay Township Permit #:Dfclf7ID I h8
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Strtictures
I
ZIP: I
7' 33 I
ZONING: I
-;t I
ADDRESS OF CONSTRumON: / 'J 3 17 J) J SQUARE .., - I
OC b 13n>.... -fr,,, 1l.D4 1 CA.~/, IAI '/60)3 FOOTAGE: r-o~O
SEWER UTIlITY WATER UTIlITY ESTIMATED COST OF CONSTRUCTION: IJ f) <I!. I
PROVIDER: C ",,~L PROVIDER: C ('WI c.L (EXCLUDING LAND VALUE) 11/0 I Deo I
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET I
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): I
BUILDER
OF
. RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
rv'\QiJ'\f<lo\ lot
STREET ADDRESS:
o
l.Co
NAME: AA- I I
Ir(,t..."....fL.
STREET ADDRESS:
/~1b I f3r/)y>1 fD~ Io...J
&IU/
SUBDIVISION NAME:
'-c: v,'U
c
FLOOD ZONE AREA DESIGNATlON{S)
FOR THIS PROPERTY: X. ! J
,;..-'"' ~~ (,
TYPE OF CONSTRUCTION: _,_TYeE OF>IMPROVEMENT:
_--- <::\ I! \C \\ IV
o SINGLE FAM.~LY_~\';; ~i ":J O::?NEw\~RUCTURE
o TOWN !,.pM,E rG~ (~.~~:---1IIl Rib~IDITION(S)
o TWO FA~~Lr- ~_:--- 0 PQ DDITION(S)
# of umts, !il>ing , l\ ~rm() DE, , 0 ITION(S)
c,onstrul:telllatth!lic.o '2. :> Ojil- RE. DE
time: \\,,\ 'o"{~Base entFinishonly
Iij RESIDENTIAL ,or ACCESSORY BUILDING
Additions,'~ ~ 0 DET HEn GARAGE
ACHED GARAGE
o DEMOLITION
For Single Family and Two Family dwellings, additions, r models, and/or accesso stru tur ,t permit is valid only if construction commences within 180
days of the date of issuance of the bUildinglefte, s e lJPleted (C; 'fisate of Oc pancy issued) within 18 months of the issuance date, qass I
structure permits arecmm.... I n~e State of.ltidiana ( 675 lAC 12) regarding expiration time frames for beginning and
-', 'g construe . n. I
I, the undersigned, agre at c s on, reconstruction, enlargement, relocstiol}.. 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 - 199}''' (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 the sanitary sewer. I further eertify that the: construction will not be used or occupied until a Certificate of
Occupancyhas been issued by the Departmen ommunity Services, Carmel, Indiana.
, '# F ~-IA.._
Signature of Owner or Authorized Agent
OFFICE USE ONLY: ******************************~~**;***~*************d*:;Ji**5!!*******
INCPJ;~ONS REQUIRED:. FIling ees, - . -
r ,~ ~. Base Inspections: ;J. ~. ())
\J.!tJper Foot, Lower Footing nder Slab 0
- . ~ Cert. of Occupancy: ~, j{J
~9h ~ Meter Base inal Site
,
~~P~~Ltt~~mmunity s~~c:'1D:I~
PROlE
Early Release
Permit:
Lot Split:
MA
_Y v"N
_YvN
Manufactured
Trusses:
Sump pump:
Print
CITY:
STATE:
....,,( :z...
BEST METHOD OF CONTACT:
C.:LL 1$
0,""
PHONE:
(3(l) m. 'I/^~
FAX:
CITY:
C"'r~1
STATE:
-nJ
SECTION:
:I-~ 0-01 .000
PLUMBING CONTRACTOR:
-.lh:L Tt.or1\ kr'"
Plumber's Indiana State Licenle #:
~C R9/0()~9S-
Which plumbing codes will be applied to the construction:
.,liil I
al Residential Code w/Indiana Amendments
COdewjlndiana Amendments
(Check all that apply for the new
o POST &
BEAM _PIER
o BASEMENT (WALKOUT:_ Y _N )
n..~-.4,v__y
or
9A..?/o,:::;
D.te
'~~ ~sJ;;~':
Fee Received by: Date
S;Permits/FormS/IlP RESIDENTIAL