HomeMy WebLinkAbout07010196 Application
City of Carmel/Clay Township Permit #: () 'I ntfll 10
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
,
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
Nl3EAZE t<. JioME5
~o~AA.tMl(fn.iAJ $k 300
BUILDER'S EMAIL ADDRESS:
+1YIt:........., -f + @ h ccn..C''-: (.O/Yl
PHONE:
..:517 5~ 9,
S//^J/I'107/
t/~~~ 0
3531
T}./
STATE:
CITY:
:INf) /s
BEST METHOD OF CONTACT:
PHONE:
:3/7 5(,9 35'6
LOT #:
1103
SECTION:
GOOI
ZONING: S j
NAME:
EALO? }--/-o tv1 fS
STREET ADDRESS: CITY:
q.2-0d )J /v1r:/ZIO/fltJ Sr. 300 /Alb VS
SUBDM$ION NAME: W rI
) Iff/Ge" fiT F5T LiI'J
AD~ESS OF CONSWUcnON: 5
;.,J.f.,/i.. flICi.JTT T/-rrT
SEWER lITIUTY WATER UTILITY
PROVIDER: (! / J! w .D PROVIDER: CAI-fJ1t:-C
SQUARE " I
FOOTAGE:;2 7 / ~
NAME OF lJT1LITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT:
.~ SINGLE FAMILY ,I l./'''tt ls;j NEW STRUCTURE
A TOWN HOME 'l-'V~I(~ cJ ROOM ADDITION(S)
o TWO FAMILY . d\ \', ~ 0 PORCH ADDITION(S)
# of units being \1'" ~ \ 0 DECK ADDITION(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels, Etc.) 0 DETACH ED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y VN
-l7.
_Y_N
Manufactured
Trusses:
Sump Pump:
V Y_N
vY_N
ESTIMATED COST OF CONSTRUCTION: .
(EXCLUDING LAND VALUE) , /50';; () 0
JAN L \) {,uu/
IO~" '.')
\10):0" (, ~\'-"\
/ ',0, .'\., 'I...
~ '-~<' ,.~':7,c. ....fAx..MAP)WKEl #:
r'~ -, :) '.,,-. . I '1
\...- '--I') ""., ~"~J '~'- /
.."".,,~ ......../.: 'C" / "J",_ '", \l
1/1 ~ '.O.~ 'U_ ',,-, .:"'\
PLUMBING.CONTRACT0Bt
/1; /(11). ~og' "
Plumber:$'Iridi~na'S" 'Lice
'7 0 ~ .
Which plumbing codes wi ~ lied to the construction:
o International Residen~code w/lndiana Amendments
~. Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o;l
:
~N.5
o CRAWLSPACE
o POST&
BEAM _PIER
~ SLAB
o BASEMENT (WALKOLIT:_Y_N )
For Single Family and Two Family dwellings, 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 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" (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, barh, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a CudBeate of
occup'aJ1c:has been issued by thl;]e De tment of Community Servic~eI, Indiana. , J I
Lr. /Y/1-1 J ~ IIA fVl8-1--1 ff /,}</67
St;nature of OWner or Authorized Agen Print Date
OFFICEUSEONLY:******************************************************~******* ******************
F'!' F ' 30 0
INSPECTIONS REQUIRED: I Ing ees, '
Base Inspections: D> 1'7 <:) 0
Cert, of Occupancy: S 3, scJ
P.R.I.F.: / ;?-. (,.~() Additional Fees
~;;~02~?~~o
Fee Received by: Date
Lower Footing
\
Site
I
Reviewed/Approved: ept. of Community Services
S:Permlts/forms/IlP RESIDENTIAL
(Date)
# Charged Re-
Reviews