HomeMy WebLinkAbout06120061 Application
City of Carmel/Clay Township Permit #: O(oIA.JJtYal
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
NA .
. -r'oOY ~ \1c..
STREET AqD~ESS: jh c......l. =*U07'. CTIY:
t...!9blD E.~5 ~\. I 'U 3",
BUILDER;S EMAIL ADDRESS=r,. \\
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STREET ADDRESS:
LDLJ~l.D c- '7slhS\.~lJeb
a.\- ,\\0-. de",
Lo<..<,;"f..<..-rl ,_vJ. %D)L{
WATER lJTIUTY r- .- \
PROVIDER: \t-Vl..,....""'~
NAME:
~.....\oc.r-
LOT #:
SUBDIVISION NAME:
\' '\'C;, \ s
Lav",L
PHONE:~
ADDRESS OF CONSTRUCfION: ~
'2,Q 1.\ '5 'W \ ""' \
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-ISIS
STATE:
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BEST METHOD OF CONTACT:
e~'\
PHONE:
FAX'
4 -g;;J&'g
ZIP:
tf~(). SD
CITY:
.~
STATE:
':::r:AJ .
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ZONING: I
~-
SQUARE ~I .5~
FOOTAGE: .:..)L.O
ESllMATED COST OF CONSTRUCTION: {\ \h" D,,-r-----
(EXCLUDING LAND VALUE) - d ...) I U'J
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPllCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
Q""SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
r:iIf'" NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
B"t\"'z..
O<a. I?-ClO(aO
TAX MAP PARCEL #:
,If""
PLUMBING CONTRA~R: .
h)',\\..-.y( 'Z- \'->~\~
Plumber's Indiana State License #:
~\o~6Dd7
Wh.5b plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amehdments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
EarlY,Release ./ Manufactured
permlt~ .::!;,iJ~t;~~:';<,\~Y ~N Trusses:
Lot Spilt:; }!.\!:['~"2,<{/ N .suJllJl. p'umJ!:
~ FOH l.iuNS, RU
For Single Fanill , ~=n~, ~ati._or accessory structures, this permit is valid only if construction commences within 180
days of the da~e of i~~~~&f~i&tai6JJJll. . ~t9S~t be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pemU~OJ?-. .1t9F>e01'{~tfl'~~uJ~~we St.ate of Indian~ (See 675 lAC 12) regarding expiration time frames for beginning and
'. I" . ~'~~ v HVh.,.I&;iilpletmg constructIOn.
I, the undersi~~~t~p,6ts1AVu~relocation, or alteration of a structure, or any change in the use of land or structures
requested by this'appIka. t,ion will com~.: tWP~~ ^onro~ "t';:aTI"app,-fdt'e laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana -1993" (Z~
289) and amendinents, adol'ted under JJ~~~. 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 Qrains are c ected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
ccupancyh beeni" mentofCOOnitys~e"carme Indima.. ~-\ \3-' \\..0 lo
Date
o CRAWLSPACE 0 POST & BEAM PIER
o SlAB ~ASEMENT (WALKOUT:_Y ...-;;
J 1'7.,~1 -0
Dept. of Community Services (Date)
# Charged Re-
ReViews
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