HomeMy WebLinkAbout07010194 Application
City of Carmel/Clay Township Permit #: () 7 () for ttf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
76EffLf ,i-bM f~
STREET ADDRf?S: AA <"
q;2.0.,2 IJ. /'1 Et/ D/4tJ 0f-O' 300
PHONE:
n 5&,Cf.3Y3
.J:JD/:5
FAX:
-9i7 YIP'1071
STATE: _ / ZP'i
...::r-N <t'&d2t. 0
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
FAX:
.30 Pi,?, 707/
[~;mn YG 03r;J
LOCATION
& PROJECT
INFO:
LOT #:
/1 ()
SUBDIVISION NAME:
Il{AGe of
SECTION:
&()O/
ZONING:
'5/
d ./~
/60/ :2.00
ADDRESS OF CON~U'?lON:
,;(&:2P Hlcor-r
SEWER UTILITY I _ WATER LfTILTTY
PROVIDER: C T I? w'D PROVIDER: C 1/ eM f L
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTILTTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ol<, WATSO.}
(;{)
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TAX MAP PARCEL #:
JAN 2 6 2007
TYPE OF CONSTRUCTION: ,I\'- TYPE OF IMPROVEME~.(f:' PLUMBING CONTRACTOR:
go SINGLE FAMILY I. v\~;C ls6 NEW STRUCTURE v6/oc;'-'1s('~ ,E,4R..L C f-Ity i!__Sp.!:!S
. TOWN HOME \J' ~W~ e ROOM AD~ ' 10 " "Plilmhers Indiana State License #: '.
TWO FAMILY .\~'" 0 PORCH AD 0' -'-Or;>;> -CT.., ,/..05
# of units being, v- 0 DECK ADD S) l"O;"'S:~to /JIt...;' 1:..0, 9' 09
constructed atth,s 0 REMODEL 0., I" <<'-., h~ :II"~ 'II b I'ed h '
ti'me' B t F' ,r-h ~ I '. ()j Wn.!F ....u.mbmg; 5 WI e app I to t e construction:
. _ asemen In IS on y ~/..,. ('\' It I . Fit
o RESIDENTIAL (For 0 ACCESSORY BUILDING' 17-;1.<., @()~tematrBn~b~ntial Code wI Indiana Amendments
Additions. Remodels. Etc.) 0 DETACHED GARAGE '(-~ . 'Vi.>, <'0,,_ 'i\;YF- PI' '
o ATTACHED GARAGE 1;\1- :o/C~n~f~,~u!!, ng',e dG'w/Ind,ana Amendments
o DEMOLITION 0'--1 ....'I,. '- I?,t
'OUND I!l PE: (Check all that apply for the new
c6nstru ~
o CRA~tw~E
,
- '-_._--~-_.____J .
PROJECT INFORMATION:
Early Release /
Permit: Y V N
Lot Split: Y V N
Manufactured
Trusses:
Sump Pump:
~_N
v' Y _N
SlJ\B
o POST & BEAM _PIER
o BASEMENT (WALKOLIT:_ Y _N )
For Single Family and Two Familydwel!ings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 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 permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 -1993n (Z~
289) and amendments, adopted under authority of I.e. 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
occuP'j'fcy has been i"ued by the Department of Community Seme.es, Carmel, Indiana.
'-.. -:i.fC-- ~.A- "'*-/ IIA fV1~/...urT /- ;;'(07
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:******************************~~************************c;**~*******************
INSPECTIONS REQUIRED: FIling Fees: 0 3 , 0/2
~~ Lower Footing ~~ Base Inspections: r2 '/ 7- ~O
.--::.:::::= ~ Cert. of Occupancy:
o g.!:' I Meter Base nal Site
P.R.I.F,:
# Charged Re.
Reviews
/;0
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/fOrmsjILP RESIDENTIAL
Date