HomeMy WebLinkAbout06120041 Application
\
\City of Carmell Clay Township Permit #(J h J ::(tJo'f L
lESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
dUILDER
OF
RECORD:
NAME:
D.B.
b.,; IcJ .Qy
PHONE:
'3n-Blj~-
FAX:
3/7 - E3'1f<,-;)07
STREET ADDRESS:
CITY:
STATE:
,r;..;
ZIP:
'16.1-80
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
01 ~ DBI</G,illl .
NAME sA(fIj; SPEC
BEST METHOD OF CONTACT:
e'
PHONE:
FAX:
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
8< PROJECT
INFO:
LOT #:
.5
We'- Ll'l
SEmON:
sea CJ.-
ZONING:
ADDRESS OF CONSTRUCTlON:
IJ"1 '5
SQUARE
FOOTAGE: tjif.5" 3 CO
ESTIMATED COST OF CONSTRumON: Jp J j r-;O oC'
(EXCLUDING LANO VALUE) 7 ~( (JOO-
SEWER lJT1LITY
PROVIDER: CT
kJb
NAME OF UT1LfTY EXCAVATION CONTRACTOR; PLAN COMMISSION f BZA f BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COl,lNTY.'WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
/ ".',..,",\
FLOOD ZONE AREA DE SIG_~ATI~N(si~~~\ ''\''
FOR THIS PROPERTY:,./~, <:'''^.ij :;:;:/\
.y.--~..;'I ,\ '';'./" \
TYPE OF CONSTRuCTioN: \~ OF IMPROVEMENT:
!8: SING(EF'AMILY ~~~'i) ~STRUCTURE
o TOWf.fHOME \ 'l. R M ADDmON(S)
o TWO.FAM~LX.'\:.\. 0 j!e CH ADDmON(S)
# of un,tS:IJeIM9 c;;y"DECK ADDmON(S)
,'conStructed at this //0 REMODEL
time: '// // Basement Finish only
o RESIDENTIAL (For ./,/' 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
\//' 0 ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLITION
BBH
-# 'j'
.. 0/11 ()K) I::iO
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
\:'Jr;T Plvff1 k.lli~
Plumber's In~na State Licens :
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
(2!l CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WALKOUT:_Y-XN )
_Y -X.,N
C~~'S~CT\~Y _N
For Single F ,,jUt t\'60~t~~! J\ J,99,t-, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
days of th flfi!fu!J1~..~' ~M~,l,ffitfinu~~pleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are s~e?ta} ~ u.em,trt~4Dil~~~ the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
nt:PT nf COlViN -r"\NN~Hlflpktingcon'truction,
I, the undersigtrelt:"~gree,;:hJ.l;. ~~RJOPctc€ hA){st~iM, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by~letiOl\.~mh\J*lpri,:}yjr);l.et\'l conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (2-
289) and ameila~eL;ts, adopted unde~i\I~ ~rrC 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
Occupancy has been issued by the De~artment of Co,/yuty Services, C/fel, Indiana.
,~-- ~~/~~ 'tT'1~ Boe.KE'.- I;).-/~-Ob
Signature of Owner or Authorized Agent ~ Print
Date
OFFICEUSEONLY:*********************************************************************************
INSPECTI UlRED: Filing Fees: g t{J., t:!!
..~::: ' Ft'~ F t' Base Inspections: ;;2 "1/, ) L)
~~r o~g ower 00 In '-' ./ _, //\
Cert. of Occupancy: ~ .7,) v
~ough 0) ~e;: ~ Site /
P.R.I.F.: ,J., /
# Charged Re'
Reviews
c ~
oved: Dept of Community Services (Date)
S;PermitsjFormsjILP RESIDENTIAL
Fee Received by:
Date