HomeMy WebLinkAbout07010007 Application
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City of Carmel/bay Township " () 7 OIOOp~:z. #: {:P~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
STREET ADDRESS:
&'?l?g. C/2AICt Yr.
BUILDER
OF
RECORD:
NAME: gpvce
FAX:
3i7- 5'crS" - ?-(bf
~{,2SO
PHONE:
/J~ /jv/~ ]:iJ{;. 3i7-~qr;-1iJ'~
;t/: 100 j..tJt> 1~n;:A.PoUS P STATE:
L . ~ (j)1oA-- BEST METHOD OF CONTACT:
ttVVI /llf)/<7. Sb/JTT f>1{Y;tfr;f2- 3t-::r- 9it-5"f6Z-
BUILDER'S EMAIL AqORESS:
5/Vlihl\.ev tV 1'\5
NAME: .
~ot-lo,J f MAt,.), we
PROPERTY
OWNER:
STREET ADDRESS:
858
LOCATION
8< PROJECT
INFO:
SEWER UTIlITY
PROVIDER: CAfV/I-f~
PHONE:
.Jf1- 5"lS- - '10"( r
FAX:
317-5'l~- Zl/p (
ZIP:
4-b2.Q;>
:# It:>o
STATE:
-.-J
CITY:
r,<ll) (4..> AtbiA'5
SEmON:
MOPbfJ '; Mllt,J
ZONING: pv, b.
SQUARE :3
FOOTAGE:
CM?-I-f.1;f:/...- TjJ
'fbZ?2-
ESTIMATED COST OF CONSTRUCTION;
(EXCLUDING LAND VALUE)
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this t ~~~. c~tructl~ences witbm 180
days of the c,late of issuance of the building pennit, and must be completed (Certificate of Occup ed.. I of the issuance date. Slass I
structure peimits are subject to the General Administrative Rules of the State of Indiana (See 675IAC ~8r"}-in e~tol es for beginning and
r completing construction. ~ .-vWA/1"\ I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change u;- ~~pJand or structur~s
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 l.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 Certifi te ,1,
Occup' "" enSSUe~bY eD~COmmUnityservim,c:?;:;;~. r1/IfK;~~ I 'V{" I
Signature of Own r or Authorized gent Print
OFFICE USE ONLY: * * * ** * * * * * * * * *** * *** * * * ** * * * * * *. ~ * *** * *~* * ** * * ** * * * * *,,;:*.1(: i*~ ** ** * * * * * ** * * * * ** *
CTIONS REQUIRED: Filing Fees. -- -'-~
pper Footing " Lower Footing~er ~ Base Inspections: '~fo(}
Cert, of Occupancy:
Site
~ -~, "".".~"'"~
l \S'Pe'm'~IFonn'IILP RESIDENTIAL
\
FLOOD ZONE AREA DESIGNAll0N(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
Q. SINGLE FAMILY
(!!l 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~N
_y1i2N
?o,.te- )(
TYPE OF IMPROVEMENT:
@NEW STRUCTURE r
o ROOM ADDITION(S)
o PORCH ADOmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOlITION
Which plumbing codes will be applied to the construction:
@ntemational Residential Code wI Indiana Amendments
CJ1~iform Plumbing Code wflndiana Amendments
.s~~~~E: (Check all that apply for the new
D canstr a
C/;:t:>.,. ~ t~{}'v&7-A.oor & _ BEAM ---:-PIER
Opo C/ 9Jcyl~~J.~: Y iN)
Manufactured
Trusses: ~Y _N
Sump Pump: _Y ~
# Charged Re-
Reviews
(Date)
P,R.I.F.:
Fee Recelv
Date