HomeMy WebLinkAbout06120089 Application
City of Carmel! Clay Township Permit #: 0 (J t1(jD 8<1_
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
PHONE:
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STATE:
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FAX:Sy(_
STREET ADDRESS:
11 .2 r ".</.
,VeK..
/?/ CITY:
ZIP:
( l. :z. Vv
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
z:= - /71.t:<t I.
NAME:
FAX:
STREET ADDRESS:
Cl1Y:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
LOT' crY'f
~
6F
&Juf
SECTION:
C/..
IoIJ
ZONING:
P0
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ADDRESS OF CONSTRucnON:
2P/Y W, 0
SQUARE
FOOTAGE:
SEWER UTIUTY. WATER UTIUTY r- ESTIMATED COST OF CONSTRUCTION:
PROVIDER: CT;f.. W (? PROVIDER: '- i:A ,t::. (EXCLUDING LAND VALUE) :z 6? Q () o..~
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I B""....ew DQ!':KEr' on'/J/i'_'! vO~'"
NUMBERS; TAC DATE(S); AND/OR COUNn. WELL'AND/OR SEPTIC P ~s'(IF NP~I;E\: qnce ,- ~.., !,DI {'
,//~',\ 1..,;, tin II I ~ .!A('IJ
~/-' ~' ~ ,- "'UA ~',c I "r",
FLOOD ZONE AREA DESIGNATIO~(SJ' ....;;:~ \ ;- C,'" '.1'VrI '^ T..~!J.AP'fiA1/fJih'
FOR THIS PROPERTY: // ~\\ \:;::-;;.\ "irr.111::- .... II y ... ES. Of1S
/ - ~\ '-.:,.,-/ , , ....... I _ () ..
TYPE OF CONSTRucTioN~/ TYP \ MPROVEMENT: ltvJPLuMBlNG'CONT~R: .& ~~....
. " I' "/ (0 \ """UV;ll-- . vVV,.~ <to.... ...
~.GLE;fA~I,!// i)l\:l RUCTURE P- CUt ( 'V~.., ~ ..0 ...... .
o TOW!'l.H.o~ME ~\ OOM DITION{S) Plumber's Indiana State Lic'ense #: ~~;"~~.
o TWO FAMl!- Y <~,," PO ADDITION(S) / .~
# ~~ In-lts, bei~\" 0 CK ADDITION(S) / rJ F'1 () '1 ~
constructed at this REMODEL .... . I>
timeo\\ \\\ /' B t F' . h I ~IC umbmg codes will be apphed to the construction: .,~
. ',/ _ asemen InIS on y . "A
o RES!?ENtI~L'(F.O{ 0 ACCESSORY BUILDING International Residential Code wI Indiana AmendmelRs
Addltlons.'Remodels. Etc.) 0 DETACHED GARAGE . .
\ / 0 ATTACHED GARAGE 0 UnIform Plumbing Code w/Ind,ana Amendments
PROJECT INFO~MATION: 0 DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
/f /u it...
Early Release
Permit:
_Y_N
_Y_N
Manufactured
Trusses:
Lot Split:
Sump Pump:
~ N
~N
o CRAWLSPACE 0 POST & BEAM PIER
CY--SuiB I3-1lASEMENT (WALKOUT:_Y ~
For Single Family and Two Family dwellings, 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 IAC 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 Carmel Indiana - 1993''' (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
occupanCYh7~~Y the Department 01 Commurnty semCe?_el(I~di:,e " C ~ / -z. _ 2.1 _ cI 6
re of OWner or Authoriz: Agen Print ' Date
OFFICEUSEONlY:*********************************************************************************
INSPECTI UIRED: Filing Fees: j 1 '1:-' (J
Base Inspections: .;:2'77 ,0
.53. :)'0
/;2{/.(J()
, .
,;2L.
# Charged Re.
Reviews
Cert. of Occupancy:
P.R.LF.:
Additional Fees
Reviewed/A roved: Dept. of Community Services (Da)
S;PermitsjformS/llP RESIDENTIAL
o
Date