HomeMy WebLinkAbout07010001 Application
City of Carmel/Clay Township Permit #:07 () 1000 I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
6(/ ,'jell'''
c 750.~-h
,.
STREET ADDRESS
60>330
/s
7575
STATE
JA.r
FAX
5'1,cj-7.5'?O
ZIP
&. .250
LOCATION
&. PROJECT
INFO:
BUILDER'S EMAIL ADDRESS I,
. . 111 laC! ,50 ""
NAME \...
G [Cine
. . BEsyMETHOD OF CONTACT:
rc;cksZJn ,/')U 6J-T'J "
PHONE FAX
!p5/ - 5 '751
r6C~:Scl , t7d
PROPERTY
OWNER:
STREET ADDRESS
/370
STATE
JIW
~ZIP 033
~o3':<"
tJ5
ate
ZONING: R \
UARE I
FOOTAGE: ,
lOT #
---
\\ ::-':C, ,<~---::-..:
,j----- -'. ....' , i
ESTIMATED COST OF CON5T1!MCITON: '. ...,
(EXCLUDING ILf!:~,it!ALUE) <PI' 'it t;f='f ;:ex;'
111 :"
~ lu Ii! JAN - 2 2001
TYPE OF IMPROVEMENT: PLUMBING ~.~~TRACT~~:r~_j (01
o NEW STRUcrURE ~ ~ SA'V\"_~ V l"V~
o ROOM ADDmON(S) Plumbe'~~~ State License~:-_
o PORCH ADWION(S)..f- pc./'-14 'DO {:;L x,+ S1,Y\',+iJ JltY'1 14,
~ REMODEL ~a.so>101J ' ,/ -'-..\
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction: -1"'""
o DETACHED GARAGE 'tJIntemational Residential Code wI Indiana Amendments
o ATTACHED GARAGE ..
o DEMOLITION 0 Unlfonn Plumbing Code w/Ind.ana Amendments
(Multi.Family Construction Code)
, "I
lit ill
Iii /Ii
','! Ii!
SEWER UTILITY
PROVlDER;~.:,,----
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEUL AND/OR SEPTIC PERMIT. #'S (IF APPUCABUE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y ~N Trusses: _Y LN construction area) ,
V " . 0 CRAWLSPACo..:tRIJCIGbSr & BEAM
Lot Split: _Y ~N Sump Pump: --J>.--Y _N ~ C01'l\:;i~i r~~tlllA!lEMENT
Does any part of the property lie within a special Flood d . n~VlI cleS. WALKOUT: y)O, N
For Single Family and Two Family dwellings. additions, remodels, an&Hi cc~&P~~ ~m~~i~ 0 . f\OIlstruction com~ences
within 180 days of the date of issuance of the building permit, and must ~e~~t!'-eeS' cY:~:?fQ~~ 'kithin 18 months of the
issuance date. Class I structure permits are subject to the General Ad~~hles ~taf~laD'a TSee 675 lAC 12) regarding expiration
time frames for beginnin~il.I>4tc~clil !s!:riii<rWN,tI.
It the undersigned, agree that any construction, reconstruction, enlargem&l.\rH~catlon, or altera~fn'tiUcrure, or any change in the use of land or
structures requested by this application will comply with, an~:rm to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z,289) and amendments, adopted underauihority of 1:6:-36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, ba ~ floor drains are connect to the sanitary sewer. I funher certify that the construction will not be
used or oc~upied n. a ~tiIicate of Q upancy has been is~~~ the De ment of Community Services, Carmel, Indiana., '
/ be: - . /J.=t5i ( . ,. , jb./rF7
Signature of Owner or Authorized Ag nt 1/ Print I Date
Upper Footing Lower Footing Under Slab
~ Meter Base ~~ Site
**************************************************
Filing Fees: /33. :J 0
Base Inspections: ! I/. dO # Charged Re-
Reviews
Cert. of Occupancy: , ') 3. ,)0
P.~ ~ '. Additional Fees
~~lP'(fO
Fee Received by:
r