HomeMy WebLinkAbout06100209 Application
City of Carmel/Clay Township t)(,gJoq~r#7 ~
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:
STREET ADDRESS:
>t _ ~ljbe:,
BUILDER\S EMAIL ADDRESS:
e \, ~c..\o-e.:\-"'S 6:l c..-r
NAME:
.-\oe:,>r ~~<;;. LC..
STREET ADpRESS: ~
u1.919~ "'{;.. Iv. 0I-_=F4DC\
CITY:
...Lv-
STATE:
\~. -xJJ,
s\
BEST METHOD OF CONTACT:
. c.ovr,
e""'-O<.l
PHONE:
\{~,\~'1S
Is,
ZIP:
4l.!,'dSD
STAlE:
cm:
"::I3
LOT #:
'2>~
ADDRESS OF CONSTRUCTION:
"~ ".,.. \
\
SEWER UTllTIY f'->.-:. ~
PROVIDER: \...- \ ~\....yu
~Y',
WAlER UTllTIY (J _ \
PROVIDER: L>^""'""e.,
SECTION:
ZONING- ._ \
WtiS~\e\d. -s.J. t("'(flt
SQUARE 5"-> t I
fOOTAGE: ., ~~
ESTIMAlED COST OF CONSTRUCTION: "" \0, .~
(EXCLUDING LAND VALUE) <:>l v'--^-^-J
~ \..i-1\-z... ~c.Cl....a\-\ ".-f ~ f DO:< 0
NAME OF UTlLIlY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DAlE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured /'
Trusses: !Lv N 0 CRAWLSPACE 0 POST &
Sump Pump: V _N 0 SLAB VSASEMENT (WALKOUT:
......,(' \ r _.
For Sing4:.f~.rot [~ faQi9-.dwellihl~ id~j.,on.},:~ls, and/or a~cessory' structures, this permit is valid o~if constrUction corrunences within 180
days of ~kte'bfitsu~cel~fl~eibuilding pi~S~d must be completed' (Cert:iEicaieof Occupancy-issued)$iFhin 18;nonths of the issuance date. Class I
structur~t:~tft-~rs~j~s~t~N~fj ~~l}~al A~strafiv~ ~uIes of the St.4~/)q~diana (See 675 lAC 12) regard!?g el'p'rration time frames for beginning and
0\ ~")l~h~~. ~ r.',\ it ) (".:'r".l ~::,L:R\' !Ct:~. completI?~c~I?-~trUcnO~7. Iii 1 III .
I, the undersign~a~,thg~y. constructloh, recQnstructlonr(jJtI~~ment, relocat:.l?~, or a:fClHitlorrofS std.0(}e, or ,any c;h~ge m the use of land or structures
requested bp:lm'awHdtioj;! 'ffll fODlPly ~12,}.i~8 cbhMH-X ~~,aH applicable 1<1:~~ o~ t.,h.e State of Indiana, and the ~ZOnfng'O#inance of Cannel Indiana -1993" (.z-
2~9) and <iHlf!lCh.ntfitRa~t\ii~~:;u\t~~\~ of I.C :6~7 et seq, General Ass~ql;bly: of .t?-~~ lndi~na, a~d all ACl',a,m~~~tory t~ereto. ~ further .c~rtify th~t only
kitchen, b\dl, ~n~ flOor drams are ~~t1~eated to cne samtary sewer. I further certify that _0-e ~~~s~ctl'?~.y1.!l,n?t.be ~~e<;l or occupied until a Certihcate of
Occupancyh been issued eO tmentofCorrunuruty ervices,Cannel~Indiana,i'/\\ tJ ,'-::';1 :',,)) ~:;l \\,)
P,;"~oc.7tr 'Zit~r~c~+
Lot Split:
_V~N
_VLN
TYPE OF IMPROVEMENT:
V'NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
OFFICEUSEONLY:*****************************************************~**~**********************
F"I" F . '} ./--7)
INSPECTIONS-REQUIRED: ; mg ees. / ,"><, r ~~
U ~~F ti L F t" U Base Inspections: d 'i'l .)
pper Footing ow.!!!....,?!' I n ,(' 3. 'i6
Cert, of Occupancy: J ,'"
P,R.I.F.: I ;Z 6" / rJ 0 Addi"onal Fees
~ TOTAL: 0/0255'1 7d
(Jj)~)^ 17-, '--L(4a/J--::1
~~" ~ ,,(310(, ~
"
1<::.;
Reviewed/Appro Dept. of Community Serv ces
S:Permits/FormS/ILP RESIDENTIAL
TAX MAP PARCEL #:
PLUMBING CONTRACTOR: \
W:\\""'t:.~ 'Y\u,",'n\~
Plumber's Indiana State License #:
~\D2>bD;;>1
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendm~nts
o Uniform Plumbing Code w/Indiana Amendments
I
I
(Check all that apply for the new
FOUNDATION TYPE:
construction area)
BEAM PIER
V..LN)
IO~\~
Da"
# Charged Re-
Revl~ws