HomeMy WebLinkAbout07010005 Application
City of Carmel/Clay Township Permit #: (j 70 I 0005
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
NAME:
eLS ColI-s-trvcL'a,., /"c
PHONE:
317- 6'1"1-O'-l0S-
FAX:
9.;?<j- 0<06
ZIP:
(;;(5<.(
eIlY:
STATE:
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT:
J'BARQETT e,LS (CY\JS(f>,JCT!OO, LoyYI Pile::>",
NAME:
C.. .t:J: 7<" "",.Il
STREET ADDRESS:
JIJ
,P. 'c k. (VI", .~
PHONE:
317-705- ISYL
CITY:
Curh1<'
STATE:
JAJ
ZIP:
Lf(;6 3 ~
FAX:
LOT#:
SECTION:
ZONING:
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
ADDRESS OF CONSTRUCTION: SQUARE :2io 7 D
/03' "".-oJ Gr...,/ IA-! Z/t.d32 FDOTAGE:
SEWER UTI' rrI1\ D -c" cf) WATER UTILITY C ~"A I ESTIMATED cOiT]d{CONSTRUCTION,.J1
PROVIDER:-' U "'"" <Jld~ PROVIDER: 0' ,v,-'<..I\ (EXCLUDING, ~~P!VALUE) q ~
NAME OF UTILITY EXCAVATION CONTRACTOR; P N € . I D" . i ! ! -"j i i
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ~!!l~I!OC$llllMpI~ARFilb>.BLi!):RegulatIOi1S: i! !!
" L.
llEPT OF COMMUNITY SERVI
TYPE OF CONSTRUCTION:
o SINGLE fAMILY
o TOWN HOME
o TWO fAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_y -LN
_y -LN
JAN
2 2007
o NEW STRUCTU
b(. ROOM ADDITION(S)
[5 PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Pc.. I q L/ 00 110
Which plumbing codes will be applied to the construction:
~ntemational Residential Code wi Indiana Amendments
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 ')(J BASEMENT (WALKOUT:_Y----X-N )
Manufactured
Trusses:
Sump Pump:
_Y~N
1-Y _N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
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 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 Cannellndiana -1993~ (Z-
289) an 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,\ th, and floor dr . s are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc ni" by the Departmmt of Community Services. c\mel1C.""a\ ':<. tJi I)OL1.-
~ ~ l~' \. )a(r-Vt\- ~. fDL 1
Print Date
OFFICE USE ONLY: ****************************************************;*~3** ********************
PECTIONS REQ.UIREO: Filing Fees: /;: / :::0
----.., Base Inspections: LJo I:> ...J
ower Footll]g' Under Slab ,
~ ~ " Cert. of Occupancy: S J - S'a
~~ S "-
- P.R.I.F.:
# Charged Re-
Reviews
Additional Fees
l-'/tJJl
(Date)
S:Permits!forrnS/ILP RESIDENTIAL
Fee R