HomeMy WebLinkAbout06100149 Application
City of Carmel/Clay Township Permit #OIoIC(J/1f1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILTIY
PROVIDER:
N~('"'cO'l"" \\G"",e'5 lLC.
STREET AqDRESS: ~ ~ ..0.>-
l>>\g\o\9 [:;.,,5 vI, -..4CP
PHg4d -I g'1'S'
FAX:
8<f;;?-~L.8
CITY:
::t:",~\S \
STATE: ZIP:
y(P01SD
...l..;J ,
BUILDER'S Et'lAIl ~DRESh BEST METHOD OF CONTAp":
e,\\'Z.(\.'O~'\""$ 'c.)~,,-'oey-\-.c~ \\c:. .Co...... ev--ev'
NAME:
\?\.. '100....- ~o"",e;. I L LL
STREET ADDRESS:
1.9\'~{, -e;, 'l5-b ~ .-=,,=yro
LOT #:
~f
TYPE OF CONSTRUCTION:
FZf SINGLEFAMIL Y
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
~y ,; N
~y .LN
PHONE:
<6'1;:) -\~IS
FAX:
qd-~~
CITY:
T""", IS,
STATE:
-rAil
ZIP:
4(,~5D
SEmON:
ZONING: I
s-
SQUARE I ~ '<.
FOOTAGE: l-\ U '1 ..:>
SUBDIVISION NAME:
~\"...c.:.\~ cd \-\C\
U)~~+:.1d ~,J. '-lGt:>'7
ESTIMATED COST OF CONSTRUcrrON: d- C'
(EXCLUDING LAND VALUE) \:;:), ~
I
TAX MAP PARCEL #:
PLUM G CONTRACTOR: _
W~\\"vd!-z.. ~\"""'D-~~
Plumber's Indiana State License #:
- \?\03oo-;;)/
o
o
o
o
Which plumbing codes will be applied to the construction:
g1ntemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Manufactured
Trusses:
Sump Pump:
/Y N
.../ Y =N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB vf' BASEMENT (WALKOlJr:~y7 N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within ISO
days 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
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 -1993n (Z~
289) and 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
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 as been i \ by the De artment of Commuruty Semces, Carmel, I~lana .
, , ~Oe..t,\""", Ll..\llW"S I Ao..~+ /0-/9-D(""
o utho' Pnnt ~ 'is'' Date
OFFICE USE ON L Y: * * ** * * * * * * * * * * * * * ** ** * * * ** * * * **. ~ * *** * * * * * * ** * ** * * **** * *.,J! H:Ifi/ * * * * * * * **** ** * * ** * * *
FIIII!fJ Fees: ~. ;3 0
INSPECTIONS REQUIRED: RELEASED FOR CONSTRUCTION ..:2 - .(0
C Upper FO~ d:"ower Fo.otln!f'J Unditll$Jllti to com~H~~r,sdg~!atlon6 - 11 ~
~ . c;:: ~f StatEGlfl'ti bf)OlicQ~a\wy: ~ 3> 0
c: Rough In <:.,61;;ler Bas~ -<:=""!:, ~ fIilf F COr,,~M~r;JITY S~::RVICES /- /'/, AO
- C-~-F CARrt1~t"'CLAY 1'OWN8111~ 0-- "'-
INDIAN TOTAL: c23
I)
t8/J.-5'
# Charged Re.
ReVIews
Additional Fees
(Date)
. of Community Services
S:Pe . I OfmsjILP RESIDENTIAL
Date