HomeMy WebLinkAbout07010165 Application
City of Carmel/Clay Township Permit #: (Y/CJ/Ollt..f
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME~O-~ "(C\-\CY\ \\-o~S ~~l
,
STREET ADDRES~ Q\ . n \1 '"
L.~Sd 0' NU' '-~ \.J'(',
~2t \\~~[(~S0rSM ,eo"", c.
NA3~ ~ l20\\u~ \-\-DvvJ.-'2,~ :HONE:~l,,';;)_4
STRE\;@SS:~\\"'!-r ~'"
FAX.
~(.,cl-LfE?t1 '6lo'd:(}~
-. v' SfAZ/lo 'd ~ ZIP:
LOt;"
SUBDIVISION NAME:
Oe~~
SEWER lITllITY f'"1-'" ~
PROVIDER: L \ ~"' '-\.) u
CflY:
SECTION:
ZONING:
....
u
NAME OF lITllITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
C-~:(,V,\ ~ '--~ ~-1 \ '"
:;'2""'" Me,
- '1'5 '1' ,&\,'1's'
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: ~ X
TYPE OF CONSTRUCTION:
d'SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release / Manufactured /'
Permit: Y IV N Trusses: y../ N
~SED!fuQft.r;;.QNST~f(;TlQN
---Su6Jeci'to com liance with all re I .
For Single Family and Two Familp ~RiWg.filoo.~~t~andlor accessory struct~~es, this permit is valid only if co~struction commences within 180
days of the date of iSS~Ttl@Jt1i@€S~, t H~s~~IOJ~~ertifi9~f qf, $ccup~CUIiS5.\le~ v,rttffiq 18 mo~th~ ,of the issuance date. Class I
structure permits arCtlM:Gt~ d1~~ry:r , iit.rrt~~e M1tes ciIthY~a~ of Ind~~~ ~~~e 675-tMI2)lre~dMg~xpira~ion/'fre frames for beginning and
rr VI"" LiMM vL.f\Y TO~ShtiRmstrucnon ., ,./ i ,
I, the undersigned, agree that any constructio~t:M~on, enlargement, relocation, qi-~ltJN.~l2p.-2.f.~._sJTl,lS_~g-,_Qr.'!Dyshan&.b in'the;use of land or structures,
requested by this application will comply with', 'anacoritonn 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 thh State of Indiana, and all Acts amendatory the~to, I further certify that only
kitchen,bath, and floor drains are connected to the sanitary sewer. I further certify that hie constructionwin-iiof))e~us(ilon)ccUpiea until a Certificate of
u aflcy been iss by t artment of Commurnt Services Cannel, I di~a~ z. '\ \ fl _
.n " -r 1. \;;1.D7
Lot Split:
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
0lo....'f-.. E:"",dS \l\"""'b'~
Plumber's Indiana State License #:
?c.. \D4 oo'6~"lS
Whi~IUmbing codes will be applied to the construction:
~Intemational Residential Code w/lndiana 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 SLA!l.__-'l'"BASEMENT (WALKOUT:~_N )
Date
*******ii,g~~~()o****************
_ _ U ./ # Charged Re-
A ReViews
5.,.,)0
/ ~ t' I tJ'" Additional Fees
_ \; .. V
I v ;'
Cert. of Occupancy:
P.R.I.F.:
Viewed/Appro ed: Dept. of Community Services
\mits/Forms/ILP RESIDENTIAL
Date