HomeMy WebLinkAbout06100143 Application
~f!Y ojCarmeliClay Township Permit #:()Io /6,0143
;SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
..or Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Str\.ctures
BEST METHOD OF CONTACT:
5-721
NAME:j2~ :r~~~s. 501- -zX"t
STRE~DQ2b ~ tJle CMtMS DtITYCAI2m~
SUBDIVISION NAME:
7lo S Pet P-e.M
ADDRES~FrDu~N: tSlP rM'bmS 7)~ti~
.";:> ~ ",. ESllMATED COST OF CONSTRUCTION: c::.-
CLUDING LAND VALUE) '2- V, (Ji)'b
JER
.<ECORD:
PHONE:
5V'5' ~ 72 r I
~eL
FAX:
STATE-
JiJ
~P: 03 L
BUILDER'S EMAIl ADDRESS:
./ 1'''''- .
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION.rBZA)'BP-W, IT
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEP1:fC'~EiiMrr ,kS'(1f APPLICABLE):
.....c"'....--.... \....;- ____.........-
~ ,\
TYPE OF IMiiR EMENT: PLU G CONTRA
\\\ \\\
o NEW st~\lOTt.IR
o ROOM A'DDITION{S) Plumbl:.r's Indiana State License #:
o PORCH A DITI rt E:L.
~KAD k _~ 8~<) E:~R=
REMOBDEL F' . \::)Jh l~1 t L Which pl;(~na.~ lWI-be oppned to the construction:
. _ asement Ims ony ~ 't:fco 'Vf,:) .
o ACCESSORY BUILDING ~alf'!'}.l!l ~eo\tiiiljflge w/Indiana Amendments
o DETACHED GARAGE l7;w:~:_QIp 'iit'b ?~ 'V&
o ATTACHED GARAGE LJ''I!))r ~ lfl!lJ:r:c}!W/;f "'~endments
o DEMOLITION C-4;-",~1. c~o:/~rllur..... ~ 1'/(). .
/ FOUNDA.!:M!! t\,tf. h:-u1!~ y~lfIlIWTor the new
Manufactured _y ~,/ construction,,;vrt. !/ C / S S. . IOns
Trusses: -7 0 CRA~~.AvG:H dU,M/1S'. BEAM _PIER__________
Sump Pump: _Y _N 0 SLAB BASEMENT y---.:::::N)
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
8L-
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
:;rr
CONSTRUCTION:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL {For
Additions. Remodels. Etc. J
PROJECT INFORMATIO..!!: /
Early Release ~/
Permit: - Y ----;7'
Lot Split: _Y_N
FAX:
:0TE: 4:&O;sL
I
eMT! kL
0-
SQUARE
FOOTAGE:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences 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 permits are subject to the General Administrative Rules of the State of Indiana (See 675 CAC 12) regarding expiration time frames for beginning and
~ completing construction.
I, the undersigned, agree that any construction, ~onstruction~ enlargem~nt;relo ion, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, ,md conform to, Ml applicable laws 0 he State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z;
289) and am dments, adopted underauthori~ of LC. 36~7 et seq~Gent!ral Asse bly the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen. ba , nd floor drains 'fe connected to the saniroIY sewer. I tUrthe2~ ify at the construction will not be used or occupied until a Certificate of
Dce e h been issue ytbe...Depat 'ento~' uty ""~es~\ I. ndianat-rf'- De-u0E;S (O/;~/d?p
rint Date
OFFICE USE ONLY: **********
Upper Footing
~rj)-
j/~
/
***************************~*******~t*******************
-/ Filing Fees: /..5 3 .<)u
/ I (. tfO
~ 3 S-O
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
Site
Additional Fees
P.R.I.F.:
(Date)
~
Reviewed/Approved: Dept. of Community Services
S:Pefmits/FormsjILP RESIDENTIAL
Date