HomeMy WebLinkAbout07010017 Application
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City of Carmel/Clay Township Permit #: () 70.1 00/7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
B~U Qi/,4/&i.€/I f3l1i/.P
. ,..Ie
PHONE:
3i7 - ~"S'- '109>'
FAX:
Ei7- '!:9S"~Zl6i
STREET ADDRESS:
%3'il3
s-r.
#/"0
CITY:
--1IIJ>iANl'/,l!pt-/S
STATE:
IV
ZIP:
s'O
BUILDER'S EMAIL ADDRESS:
oS MeShv' ........s-/r4 h...,' I dlA"S. ,-",,",
BEST METHOD OF CONTACT:
Sl.:)'r-r (l1 &':.>tE P.
3'7-7/</- ~7f1-
I
i7 -P~S--2J.'i
PHONE:
FAX:
PROPERTY
OWNER:
NAME:
1110111);./ ..;- M.4/AI uc
STREET ADDRESS:
g3~3 C-/Uhu
#/017
CITY:
J)I4N4~W_1S
STATE:
IN
ZIP:
s-o'
LOCATION
& PROJECT
INFO:
LOT #: SUBDIVISION NAME:
I/IL./)IAI~
SECTION:
/11iJNIJ,tV .;--mA/,N
ZONING:
NAME OF lffiLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICAB
SEVoJER lITILITY
PROVIDER: Ci4-,eJ11CL
WATER lffiLITY
PROVIDER: C4eJ"'lEL
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE)
1/
t;Ae;n eL- /,10/ :6 )-.3 "J-
SQUARE
FOOTAGE:
W1U5 t:)(~4V"-;oJ(;'
7)p A-l>t..S # 0'107 IPo,>6 d<!IP7 QC
11.-""1.. Z.S- -oz. -o"(.-c;;w. "'''''
',-o<)-U~02.- .~- ."
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: 2..(l rJ E k
TYPE OF CONSTRUCTION:
i SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
4w~N
_yetN
Early Release
Permit:
Lot Split:
TYPE OF IMPRO
fiif, NEW STR~
~ ROOM ADOITION
o PORCH ADDITION(S)
o OECK ADOmON(S)
o REMOOEL
_ Basement Finish only
o ACCESSORY BUILDING
o OETACHED GARAGE
o ATTACHED GARAGE
o OEMOLITION
fV/./!,/,Jl:1
S:ense #:
~~/S{,
Which plumbing codes will be applied to the construction:
@ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST&_BEAM_PIER
SLAB 0 BASEMENT (WALKOUT:_y~N )
Manufactured
Trusses:
&Y_N
_Y -(9
Sump Pump:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences witNn 180
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 Carmel Indiana -1993" (2-
289) and amendments, adopted under authority of LC 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 en i sued by the Departme t of Community Services, Cannel, Indiana.
}vf . ~r.r-r M. ~O,; ~
Signature of
Print
o.te t {2/ D!'
,
I
OFFICEUSEONLY:************************************************************~*************~*****
INSPECTIONS REQUIRED: Filing Fees: ~ '! 2, '0 ~
.r-:-: ~ -. Base Inspections' -J 7? ')0 # Charged Re.
t.... Upper F~g Lower Footing Under Slab . C' Reviews
crou~ ~;e :.:~:occupancy: Illr~~ 3 :p;,d Additional Fees
U/dJ -" TOTAL: (' 8/0023.-9'0
Reviewed/Approved: Dept. of Community Services (Date) '~~.? '~..-7
S,""'ml~/Fom'/ILP RESIDENTIAL F Rib ;;----c:p ~
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Date