HomeMy WebLinkAbout07010021 Application
City ofCarme/lClay Township Permit #: 076/ OO;Zj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8. Two Family: New Structures, Additions, Remodels, 8. Accessory Stru,ctures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME:
13IWU {;;();vS-r1!-1i Bi/hD~J
STREET ADDRESS:
~~ 8'~ ce (Ct 5'7
PHONE:
'L S-17 -S-9',,-
FAX:
3'7- s<)r-;?/~I
:# /P()
CITY:
~JVbJ~I\IA1"Ii""S
STATE: ZIP:
III J/.6z-so
BUILDER'S EMAIl ADDRESS:
SW'~ si---t.f
'L~l~..s. ;...
BEST METHOD OF CONTACT:
SCC7'T yUDS~
PHONE:
FAX:
3;7- S'1r t-2./ J./
ZIP:
NAME:
/nO/VIJN I-m4lAl. '-u
STREET ADDRESS:
.8'~ 8'! c.e4-l{;, -r # lop
LOT #: SUBDIVISION NAME:
'BVIi..J;);N4 ~ U7 I.
CITY:
:pJ ~ J 4-N 1+ f' 0 /-l.s.
STATE:
/1/
o
SECTION:
j'M 0 "'0/1/ /YJ FI- / N
ZONING:
~fft
N
SQUARE .iJzt=
FOOTAGE: ~ ..z.
/$~ J.,~I OS)
I
ADDRESS OF CONSTRUCTION:
'foB' hi ml1-/N sr J'Ht:'-
~CL
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERlY:
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPU
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
iii TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc. J
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
ltJty 2(N
_Y-filN
WATER UTILITY
PROVIDER:
. ?z-
~t;.L
ESTIMATED COST OF CONSTRurnON:
(EXCLUDING LAND VALUE)
8<U,..V><f71
1j'
2..LJ IV E ;c
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
fi7 NEW STRUCTURE ~ "e.fl!.. P/..Vfl'll} oJ/'
~ :g~~HA~~D FOR ~'ffifje'i'l~ License #:
o DECK A:;S~t;1l compliance wit~'<>i~ ''3 S-
o REM~DEL . C?f State and WMllIlIPhooollll!l.codes will be applied to the construction:
o ACCE~r~~~~~MM~I:'liMr6ifij6IWlllUiSential Code w/Indiana Amendments
o DETAdMW~CARMEL i.-C"hY T()W~''''LJ''''' .
o ATTACHED GARAGE 'lY'I:Illiform.nurmwng""de w/Ind,ana Amendments
o DEMOUTION INDIANA
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
ttLY _N
_Y@-N
o CRAWLSPACE 0 POST & BEAM PIER
@ SLAB 0 BASEMENT (WALKOUT:_Y IN)
,
Sump Pump:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences wiriun 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 appllcation 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 LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, 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 ed bIt: De~nunUnity Smokes. carm;~:;;; III . M t;6tlefl- ~
Signature of orizecl Agent Print Date
OFFICEUSEONlY:**************************************************************.******************
~SPECT10NS REQUIRED: Filing Fees: . I::, ()? /~
U F t. L F t' U d Sl b Base Inspections: ;2 ?? S # Charged Re-
pper '"g ower 00 '"g n er a '3 ,- rJ ReViews
~ r::'C _ '\ Cert.ofOccupancy: J. ...J
~n J IlP !'.It.Lt-.: /11 Jrr:z..;qclu ~,~ Additional Fees
WJL- . ~-;7 /TOTAL;, . ~; 73P./o
ReviewedjAppmved: Dept. of Community Services (Date) ~~~
$:PermitsjFormsjILP RESIDENTIAL Fee Received by: /' Date