HomeMy WebLinkAbout07010207 Application
City of Carmell Clay Township Permit #:()7 D I t>1-D']
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
:,."
,,-'I
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NA .
1"E
tI5~W)"E~:. Mf:Q1 01 M) -SF ,sLu
BUILDER'S EMAIL ADDRESS:
00ANNE.&~
l.YE
~A-~'---/ PHoNE:.. ,"." '
~I J L..'r . .,'.)!-"[.
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NAMlT) , _ .
11J.,Vn:1
STREET ADDRESS:
FLDOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: It
LOT#: 113 VILLAON ~ME: F E:ST UA
f~4150Ni-tUM GOLT LN
SEWER UTIliTY . J WATER UTIlITY
PROVIDER: W REG I DNA!- PROVIDER:
NAME OF UTllfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
Y /N
Y~
Lot Split:
FAX:
5
ZIP:
STATE:
qEOO7
ZONING: r
..:J - I
SQUARE
CARMEL, (rJ 4~D3:J- FOOTAGE: I.o;LI q
ESTIMATED COST OF CONSTRU ON"
(EXCLUDING LAND VALUE) .)..3</ 5'57
SuPE-Qi of< EX C .
o - ti-F- 0/ Y. 00
A-
01 0(02.0
'I
TYPE OF IMPROVEMENT:
a/ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOlITION
Manufactured
Trusses:
~~N
-.0 _N
PLUMBING CONTRACTOR:
Plum~d~,;;~~~~t~~~
C%- 10000;01
'10.n7
~"'''''
Sump Pump:
Wh~ plumbing codes will be applied to the construction:
g International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) PI N \5H~ D 'FfIR-nAL vJ I BAn-f
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ASEMENT (WALKOUT:_Y V';;)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 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 I.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 Certificate of
Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
\.WAtJ tJS sHEPHH? f)
'Signatu of Owner or Authorized Agent Print
USEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / (;/ () 'f.SJ
. . Base Inspections: r::2"2 2: J C!
Upper Footm Lower Footmg Under Slab -J ~O
Cert. of Occupancy: b. ~
. ~nal S~) P.R.I.F.: /;J (; I dO
Oate
i/~/a
.
# Charged Re.
ReViews
Additional Fees
2--Z-
Dept. of Community Services (Date)
S:PermltsjFOffilsjILP RESIDENTIAL