HomeMy WebLinkAbout06100207 Application
City of Carmel/Clay Township Permit #:()1010IJc2D7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures
PHONE:
3n .. J..'5'g - ').(.~o
FAX:
31'7.?73'3//Q
BUILDER
OF
RECORD:
NAME:
CHW TRAIN f(t1:.U.oDiZt-/iV
/(6>7S" G.
STREET ADDRESS:
CITY:
Z I "J..J& vI t..L-e
ZIP:
/7<7.., '/
STATE:
itJ
BUILDER'S EMAIL ADDRESS:
Cmpn:). IN €} M$JJ,
PROPERTY
OWNER:
NAME:
/lAIc.:.
STREET ADDRESS:
.Ul
BEST METHOD OF CONTACT:
3n ;L..,
~bS-o
FAX:
PHONE:
CITY:
4f;..Mt."l--.
STATE:
I/J
ZIP:
(16d' '3 3
LOCATION
& PROJECT
INFO:
LOT#:
-2-
SQUARE
FOOTAGE: fi cJq
SUBDIVISION NAME:
C.4~
SECTION:
ZONING:
1
ADDRESS OF CONSTRUCTION:
I.
,
1/:
i:
1
'\..,
SEWER UTILITY WATER UTI ':.;) '(-
PROVIDER: (;';1 P.~.t/~Vl- PRO)'IOE' ..c;J74. ';'?"C;MnJ."/--
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN C &oN I BZA.npWbDeKD
NUMBERS; TAC OATE(S); ANDIOR COUNn WELL ANDIOR C"P~RMtr(fS'(IF,.APPPCfBLE):
"'_ .~,' (:,., ^.-". ~ c'
_ ,.-'''';0 '<e,' ,
FLOOD ZONE AREA DESIGNATION(S) X (.) 'r, ~(' ')
L _ J.. I ~". 1 '.:"r' r;. 'C"
FOR THIS PROPERTY: L<.t1>t1t{(ll(J.,~ '~.'__ -?'-:" ~ t~~' ~:5'
TYPE OF IMPROILEMENT:(;'!.->:<'/ C,' ..
o NEW STRU;;Jl.~I', C(,}~,O(' ''')''
~ ROOM ADDITION(S)9' '
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATION' ""'~. 0 DEMOUTI~N
=J '1~ ~ev OJ,pT.-a.,.,
Early ,Release ,V, ,/ Manufactuted /
Permit: y ~ Trusses: Y V N
Lot Split: Y ~N Sump Pump: if Y _N
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
JIJ RESIDENTIAL (For
Additions, Remodels. Etc.)
~.
U \\;7 rq
\.1 LE"--.:;-,
OCT 3 1 2006
umbing codes will be applied to the construction:
o ~emational Residential Code wjIndiana Amendments
o
Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ 0 CRAWLSPACE 0 POST & _ BEAM _PIER
~ ..- SLAB )( BASEMENT (WALKOUT:_ Y -/ N )
For Single Family and Two FamilydweJlings, additions, remodels, and/or accessory structures, this permit 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 pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 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 confonn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel 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
OccU~:has been issued3 the Department of Conununity Services, Cannd. Indiana.
(~.--2..... ~~/1~ ~,:?
Signature of Owner or Authorized Agent Pnnt
/'/'3IM~
Dale
OFFICE USE ON L Y: * **** * * ** * * * * * * * * ** * * * * * * *}if * * ~~ * * ** * * ** * * ** * * * * *?-. * * * *0*: ** ** * * * * * * * * * ** * * * * * * *
ECTIONS REQUIRE . eI~ FIling Fees: ~3 ,")'8 I
~ , . l~ (Paase Inspections: '$. ?v ').. . () () # Charged Re-
Upper Footln Lower Footing Un L' 3 K" r.:::\ ReViews
Cert. of Occupancy: Q' '0 . V
Reviewed/Approved: Dept. of Commun
S:Permits/Forms/ILP RESIDENTIAL
Site
P.R.I.F.: --- Additional Fees
J . . ~1A111. 50;.:':'6
FeeR~ 111 It. tfR Date