HomeMy WebLinkAbout06110018 Application
City ofCarmel/C/ay Township CJrellO ~r~t #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
for Single Family, Town Home, & Two family: New Structures, Additions, Remodels, & Accessory Structures
(
\, '!~~I'~'>//
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER: ( I.,
NAME:
,Lj'Z;: y,'
PHONE:
FAX:
lo.w(U' (<-
STREET ADDRESS:
St; VV1 <- as
BUILDER'S EMAIL ADDRESS:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
NAME:
CITY:
STATE:
ZIP:
-,1,- ('"
BEST MErnOO OF CONTACT: 4:30 - 3 '7 7 tp
Lwn~(
PHONE:
".1- 335"3
CITY:
lei l;t-hd
STATE:
TIJ
ZIP:
'-1&67'1
FAX;
, ,,'"- < ko.-t'h(.(i"
STREET ADDRESS:
4L/5"" c.\,<u'on Whi'
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
}j) RE~~D~NTIAL (For
r Additions. Remodels. Etc.)
LOT #:
312-
r
f.
SUBDM5IQN NAME:
')0
ZONING:
SECTION:
c.("<.c..~
ADDRESS OF CONSTRUCTION:
14LI, (
Early Release
Permit:
PROJECT INfORMATION:
y,0N
y:)aN
SQUARE
FOOTAGE:
Cf z :;-
(.
WATER UTILITY
PROVIOER: C. cu l""c
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) Ii 5' COO. 00
NAME OF lJT1LTTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
Lot Split:
!VIA
TAX MAP PARCEL #:
, -'.
TYPE Of IMPROVE~.M: . PL :.\ :~.J '.> \, \ '.\
o NEW STRUcrU~NMb.i.' It. '::-~1~ ,', "'~\.....~>/ \\\ \\\
o ROOM AODITIO 11i&~ '1''' n lana State. LicenSe #: \ '. " \ \\
o PORCH AOOmON(S) .,S J....L.I I t'1;u . \, ""RJ '. I\)\ ,\
o DECKAoomdlv,tl!lb 'S&po" Nn"'f~' op-:.'>.dQ!I\ m1 'ill'v\J 1\) \
""" 0 L .1<Tln6 V/e~ . v(J~ .m;:;:-.'I J- '.
>-' ~MBDE~. fJJ/IEl4IwliiBi7""'mhi!l!l 'ill"t!!~1'b econstruction'.--. "
~ asemen Ill, S" rr-uf?S)e J...'r!:/-':::J'.~ \ ~". __--- I
o ACCESSORY BUILDIN ci.1.SN 'lfh'8i'natro.!~Sl,ReSid~nf,!,~Od~.~/Indiana Amendmen!s,-'-
o DETACHED GARAGE U;) J.J~O 01,~ \ U ,....- ,_____
o ATTACHED GARAGE ITUrif....,.UJ!j~f1IrIfl~ w/Indian~_A.!!'endments
o OEMOLITION 'tf::J"7;'I/__-
fOUNDATION'rYPlIQ (Check all that apply for the new
construction area)
Manufactured
Trusses:
_V2S:.N
_VRN
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB BASEMENT (WALKOUT:_Y~ )
Sump Pump:
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 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 conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel1ndiana -1993" (Z~
289) and amendments, adopted under authority of I.c. 36-7 et .'leg, 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 sanita,")r~r...I furij~~rcertify.that the construction will not be used or occupied until a Certificate of
Occu cyhas be issued by the Departmen((;i Community Services, Carmel, Indiana.
.'.ZJQ~,J, L4wrtv'C 11/&/010
Oate
************************************************************
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/// 00
S J', s((J)
Filing Fees:
Upper footing
INSPECTIONS REQUIRED:
Under Slab
Base Inspections:
# Charged Re'
Reviews
Lower footing
Cert. of Occupancy:
~ '_ Meter Base (Final
!JilL. ;4#
Reviewed/Approved: Dept. of Community Services
S:Permits/FormS/IlP RESIDENTIAL
'-Si~
(Date)