HomeMy WebLinkAbout07020123 Application
City of Carmel/Clay Township Permit #()70~ 0 1~3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PH!5'75 J-~ () X. J.00
STREET ADDRESS: CITY:
l50 N, M E32-i OiAtJ ~T CAf2JJ. EL
BUI~DER'S EMAIL ADDRESS:.nPi
..J OANN5 ..S HE:P PEI2D ~ UL T5 '
N~:
\---u,lTE
fAX57S-gQSO
Ll'0 0 ..3 ~
STA;J
M
BEST METHOD OF CONTACT:
-t-/J\ A i G
PROPERTY
OWNER:
PHONE:
fAX:
STREET ADDRESS:
G
CITY:
STATE:
ZIP:
LOCATION
&. PROJECT
INFO: AD3SS Of CO;STRW~GRJ
SEWER UTIm:h r"'\....t) WATER lJTIllTY
PROVIDER: U""iK-MEL PROVIDER: CAi2Jvj E L
NAME Of lITlLITY EXCAVAnON CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPnC PERMIT #'S (If APPLICABLE):
ZONING:S -1-
SQUARE 5'\'/7'1:2
FOOTAGE: 6, U~
flOOD ZONE AREA DESIGNAnON(S)
fOR THIS PROPERTY: i I
"
EsnMATED COST Of CONSTRUCTION: J q I SCc"
(EXCLUDING LAND VALUE) 1O ~
A..1 SuiE-f-.UJt2 J:/; o'70:<'tJl
TYPE OF CONSTRUCTION:
GY'SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions.. Remodels. Etc.)
TYPE OF IMPROVEMENT:
~ STRUCTURE
'+--
o ROOM ADDITION(S) Plumber's Indiana State License #:
g ~~~~~~g~r:~~~s\S) (' j) I 0000 I D /
o REMODEL F' '~. " Which plumbing codes will be applied to the construction:
Basement In' '. ~ - _/
ACCESSORY BUlL'. , l6 International Residential Code w/lndiana Amendments
DETACHEDGARA( '0 U 'f I b' Cd II d' A d ts I
ATTACHED GARAG~. /1 m orm P um Ing 0 e w n lana men men
DEMOLITION ~ -_/
o
o
o
o
PROJECT INFORMATION: FOUNDATION TYPE: (Check all that apply for the ne~ ,In A-rt.l
Early Release /' Manufactured ~ construction area) PUL-L- PI/Ii I.S HE.ID VV//:JI1/11
Permit: _Y _N Trusses: _Y ---AELEASED FOR e61'y;S~CE 0 POST&_BEAM_PIER
Lot Split: _Y /'N Sump Pump: /Y --3libJ8Ct to comPI\ah~t~~~~Q~ALKOUT:_Y /N)
For Single Family and Two Family dwellings, additions, remodels, ancIJore. ._ ___~.~~,.~ \S ~~f\IS ~ae61y if ~pnstruction commences within. 18.. 0
days of the date of issuance of the building pennit, and must be compIg)!' -er~ifi6tt~ o~~~J~*~'~~. . of the issuance date. Clas~!I \ 1
structure pennits are subject to the General Administrative Rules of th~. ,o(fHflie~R1\o9~LAT Bl r~ ~'ekENlit~ime frames for beginning ~d \ \
completing construction. ";LAY uWNSHJP _ ~ t. \ l
t, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteratidlNOIA-M~re, or any',c~ai1ge'in tht~~:ofl~d~or sErys?ures ,'\ i j
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the.~Zoning ()roinance oflCarhiel Indiana -1993" (Z~ " l:J/
289) and amendments, adopted under authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts ameli,darety thereto. I further certify~h~Ignly-
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
Occupancyhas been i~ued by the ~e:artm~7t of Community Services, Cann, d, Indiana, . \ ..., I j
/ "Ll<<I ,1DArJtJ~ .s~L._. ':J-j ;yrrf'T
"gnatu of Owner or Auth. Agent Print Date .
EUSEONLY:****************************************************~*************************
INSPECTIONS REQUIRED: Filing Fees: 7; ~O
r , Base Inspections: G2 r;7 7. s 0
pper Foo '"g Lower Foot! g Under Slab ,;- S CJ
Cert, of Occupancy: ..3 3.
PRIF~L::5d 5;-'~
Fee Received by:
# Cllarged Re-
ReViews
Reviewed/Approved: Dept. of Community Services
S:PermitsfFormsflLP RESIDENTIAL
(Date)
Date