HomeMy WebLinkAbout06120099 Application
City of Carmell Clay Township Permit #: (()G r ~() '1<1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, lk Two Family: New Structures, Additions, Remodels, lk Accessory Struct!ures
PHONE: FAX:
J' y y l>-:?/7 ~
BUILDER
OF
RECORD:
NAME: 7 ~L' " _
..J 1..jr-P'-- .f-.V7l1r:c.
ADDRESS OF CONSTRUCTION:
I y 5-5
PROPERTY
OWNER:
STREET ADDRESS:
LOCATION
lk PROJECT
INFO:
lOT #:
SEWER UTILITY
PROVIDER:
12...
~L
STATE:
.:DV
3J
/ /"I()-1/E:
ZIP:
FAX:
/1.90/MB:EASED n'. ~., ~~ 2-1
Sub;ecllo com~ce with ail RcgulillR'f!':1!':
of State and Local Cod~s
SUBDIVISION NAME: DEPT OF COMMUNITY SilWNitCES
CITY OF CARMEL I Y I
~!NDlANA
/tEL f'J' _ C4'e/h ~ '--
;V1/1-
ZIP:
ZONING:
SQUARE
FOOTAGE:
s;r3
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) It;; OC-O-
coo
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE 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:
Lot Split:
Y~/
Y~
f./'f
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT:
PLUMBING CONTRACTOR:
/1/ IJ
o NEW STRUCTURE
o ROOM ADDITION(S) Plumber's Indiana State License #:
- q",.I!OR€H:;([)DITION~C 2 7 2006 '"I ,ill!
/0 DECK ADDmON(Sj C
o REMODEiJ i\ . !L.! I .. .
B ,! i I ".t.F' . h. I Whlch.plumblng;codes will be applied to the construction:
_ as~men Jms on y~"------- I
o Aeer:i:iORY BUILDING 0 International Residential Code wI Indiana Amendments
, ,
o DETACHED GARAGE ..".' ~.D.'.U-""f---PI b. Cd II d' A d ts
o ATTACHEDGARAGE .-- nl ann urn Ing 0 e w n lana men men
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
1//
_V-/ N____________
_V L--N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
-G~POST &
BEAM _PIER
o CRAWLSPACE
o
SLAB
o BASEMENT (WALKOUT:_Y_N )
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 permit, and must be completed (Certificate of Occupancy issued) within IS 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 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
Occupan has been issued b e Department of Commurnty Services, Carmel, Indiana
i..'y)rr/~ 1f~/s(..I.z '1 12- -2..7 -0(,
Signature of Owner or Authonzed Agent Print . Date
OFFICEUSEONLY:*********************************************************************************
~CTIONS REQUIRED: Filing Fees: fO (J 0
~e;';~ Lower Footing Under Slab Base Inspections: ,I t ?' ..f!J # c~:~~r;5Re-
:'_ y ~ ~,J Cert. of Occupancy: 53. ,,) z:;
rough In ter Base C~ ~ .
'-----_ P.R,LF.:
Additional Fees
/
TOTAL:
~30o. 00
Fee Received by:
Date