HomeMy WebLinkAbout06120101 Application
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City of Carmell Clay Township Permit #: Oio I dO/ 0 \
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
STREET ADDRESS:
D'M
BUILDER'S EMAJJ- ADDRESS:
cJ{ 5<< /q,'rt
NAME:
STREET ADDRESS:
/36151(
LOT #: 7)..
0<0\(\
~j)
Sa.l a. ,'A
/'r, co/>1
(6 rJ f.v"'lhr Dr
SUBDIVISION NAME:
-r/,<- wt!Jocfs q
PHONE:
FAX:
'317- f!'I'I- :278'0
CITY:
STATE:
II/)
ZIP:
l.(tt5 3 A..
C"r/>1.e I
PHONE:
BEST METHOD OF CONTACf:
~o" eeI1317-'13/-2IS;;;l
317- 'fI'ILf-"J?'I50 FAX:
CITY:
STATE:
:t:1fJ
ZIP:
'16052-
Gr,.,~ /
SECTION:
<u.J:...
ZONING:
ADDRESS OF CQNSTRUcrrON:
5q~ acS"
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
Ao.~ rI RE~~D~NTlAL (For
-.!?'" Additions. Remodels. Etc.)
SEWER UTILITY WATER UTIUTY
PROVIDER: C4r~1 PR_OVI~E_R:~:::::'C"r......!
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION}SZA/BPw bOCKET'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/ORfSEPTIC PERMrr-#i~njj;-APPi.IcABLE):
.1: I
FLOOD ZONE AREA DESIGNATlON(S) ~ I r~'\ \ i . il':
FOR THIS PROPERlY: X "~'.s:' i I. ' ii:
VUj ;'1
".\ "r 1" '.
TYPE OF,IMP OVEMENT:____~____: c'pLUMBING CONTRACTOR:
%1'At"r I/' AcJ.fj/ ?l",~/^-9'
Plumber's Indiana Sta License #:
PROJECT INFORMATION:
Early Rele~e.1
Permit: '1-tW'
Lot Split:
_v v'N
_v",LN
c; bo ll~
o NEW STRUCTURE
O"ROOM'ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o RE'1PDEL
~ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
_VLN
..LY _N
SQUARE I /I
FOOTAGE: ! 7 R() F,., "::J
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) :J 2 Sf ooD
TAX MAP PARCEL #:
lnc.
~t..<:# /O~ :<39,/
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendm~nts
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~BASEMENT (WALKOUT:...lLY_N)
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 permit, and must be completed (Certificate of Occupancy issued) within Iii 'jfths of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana~Olng ~ ',', ~Vfn time frames for beginnirig and
completi, " . " - - ~
I, the undersigned, agree that any construction, reconstruction, enlargement, rei at' " ' ' t , C ange in the use of land or structures
requ"red by this application will comply with, and conform to, all applicable lalG~e of ndiana, and the -Zoning Oedinance of Carmel Indiana -1993" (Z--
289) and amendments, adopted under authority of J.e 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 Certifica.te of
Occupan n~iS'Dee 'ss t epartment of Community Services, Carmel, Indiana.
n GtY\. '54 Lt:ilil
OFFICE USE ONLY: ************************** ****~~******~******** ******* *****:5C'******************
INSPECTIONS REQUIRED: FIling Fees. 1/'33.
. . Base Inspections: / / /. liO
Upper Footmg Lower Footmg Under Slab < ~ ~()
@)_u ~ r- Cert of Occupancy: -'> 3. J
Rough In Meter Base Final Site ~
~ P.R.I.F.: Additional Fees
l V><l ~ClN~ I-?:-r/J ~~ ~
ReviewedjApprbved: ept of Community Services (Date)
S:PermitsjFonnsjILP RESIDENTIAL
,._,,,"," T' '/ r&' 00..
Sump Pump:
"
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Date' .
# Charged Re'
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