HomeMy WebLinkAbout07010190 Application
City of Carmel/Clay Township Permit #:~D
/
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:
SEWER UTILITY
PROVIDER:
NAME: <,'our
me,~ Ll~
f. , 15 tb 'S\.~ L/ro
PHONE:
FAX:
L\';)-~d<..~
ZIP:
,/i.J,';)SD
STREET ADDRESS:
L, ~
4d-\~/5
\s,
STATE:
'IN '
CITY:
3:'....
BUILDER'S EMAIL ADDRES~ \ BEST METHOD OF CONTACT: \
Q\\~~-\\'-"CSoJ ~""bDV-'n<:>""\tS\\~.cc)Y>-, e."",-~\
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
.i+o D"1o I () 1<29
NAME:
,...\00< \m~. LLL
STREET ADDRESS:
L..\"\'~ .b-. "7 --b "2:>~- ~4ro
LOT #:
SUBDIVISION NAME:
~t\;\
PHONE:
<6l.{~-
FAX: '3L/ d - 't),L,??
7'5
cm:
.:L...
STATE:
~jJ,
ZIP:
L/(g'd '56
)s,
SECTION:
\<, '-'v-,
ZONINGS _ \
SQUARE LJ 1
FOOTAGE: ~- \1
\
ADDRESS OF CONSTRUCTION:
W,;' L,,~ \"ks'~e.\d.. ~/J'%D'7<{
WATER UTIUTY (\ \
PROVIDER: "-..-c......,-'V""I""\<:"-
ESTIMATED coSt OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
~ r! ; i '
ill I:
:-.
CTRw\::>
\ \ 5: CJ:X)
JTt>H
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABUE):
TYPE OF CONSTRUCTION:
fSlf" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
if NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
V./N
-V7N
Manufactured
Trusses:
Sump Pump:
.Iv N
.j V -N
TAX MAP PARCEL #:
Co. ._
.__.--1
PLUMBING CONTRACTOR:
. \\..-,t"2- ,,"""-
Plumber's Indiana State License #:
\>\D--:'>Orhl'l
Which plumbing codes will be applied to the constr-uction: ,
'6l5 International Residential Code w/lndiana Amendrrients
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
1I1S1i~ift~XOUT: V 7 N )
For Single Family and Two Family dwellings, additions, remodels, and/or acc~~9lY.A~I{~lG~\ltl~\~rnrii'ld'Jv i~~~fonstruction conunences within 180
days of the date of issuance of the building permit, and must be completed (~~ate 0 ~S:fJlis~ ..tl1:ii)J~I,DRI)\p.~ge issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana~ ee i..lA.G ~Wg npiRtYoh'1iltll\bialnes for beginning and
completing~i€l.F UIVl r'1 rN TOWNSnlt"
I, the undersigned, agree that any construction, reconstruction, enlargement, relocMdfi:IOl;.~.~r~'l!tRMffik.t~r~ cHange in the use of land or structures
requested by this application will comply with, and conform to, all applicable lawtMlh'iSWl"of't6atana, tlP9~~g Ordinance of Carmel Indiana -1993'" (Z~
289) and amendments, adopted under authority of I.C 36-7 et seq, General Assembl):o'f the State of Indianlp.Jdd' Mi'Acts 'amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Occupanc has been i ed by th Department of Commuruty SerYlces, Carmel, IndIana
. ~ ;;;,;,\uQ,lJ~", 2e\\er-S . ~~~ otd<1:cO?
OFFICE USE ONt V: ******************************~~******~****************~..;*i**~O******************
INSPECTIONS REQUIRED: FIling Fees. "2..2 !:. .j
Base Inspections: ;;2'77 .J V
C'pper Foot~ wef'Footm!r) Under Slab ..-.
_ Cert. of Occupancy: , r:-::J .J 1)
~ Site r;, . ()O.'
~ P.R.I.F.:
~O?Y.1i)
J ~ ()
# Charged Re-
ReViews
Additional Fees
J
roved: Dept. of Community Services
S:PermIts/FormS/ILP RESIDENTIAL
(Date)