HomeMy WebLinkAbout07010179 Application
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City of Carmell Clay Township Permit #: 070 l Dr71
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
lk PROJECT
INFO:
SEWER lfTIUTY
PROVIDER:
NAME:
ilZvc"g 4"o."~
PHONE:
/31v1 ,,/>t;~S'ir"'G. {/1- $'<(S- -'1oq,j
FAX:
.1/'7-Sqs;-- 21(..(
STREET ADDRESS:
f?:JB CoV.I4 91. tt:-(ov
BUILDER'S EMAIl ADDRESS:
S;V\/?$ /..2'" . .'
NAME:
STREET ADDRESS:
8"183
LOT#: l'?E>
b-v: IJ~$. CvM..
M/),oJo,J
4
,
I..-l.-C-
MI\:I,u
c (Z.{ l~ <;.1r. -rl: 100
SUBDIVISION NAME: ~. \
/1'101' v,oj '? /1<14:<1'-'
ADDRESS OF CONSTRUCTION;
'J~ <)~~ (A}JiE
Cl1Y:
:['pl>'4I\>Atb<-t<;;
STATE:
X,J
ZIP:
+" 'Z S;-o
GI'\-il- M Gl--
WATER UTlUTY
PROVIDER:
CA.~GL
BEST METHOD OF CONTACT:
~t.. IV/""kilv c~i1 317-11 - <;;'7~Z-
PHONE:
'31'7 - SZi S- -'/0<1"'-
FAX:
?/7 -S-tfS- -;l.16/
Cl1Y:
J;"'l>IMI 4A.U. <;;
STATE:
Ir-l
ZIP:
'it. 2~""
SECTION:
,I ,,_
~ VI",c:.1 .,
ZONING:
fob
j /7Ce(p
/ I 1i>i':;-
tA:,e.W'~ l-tV +"'-2- '3 Z-
SQUARE
FOOTAGE:
ESITMATED COST OF CONSTRUCTION:
(EXCLUDING lAND VALUE)
117-0
i<' 1""-4 exo,I/~T'< &( 1\>1> /204,1., l>~
",OLi, 1/;< Q 1003 . 0 01.0<-<:1..-2-
TAX MAP PARCEL #: II. -otI ~'Z5 - t> ~-D< "ITU>.
1/. - b'l .. 2 S'.. 07 -c.'f -P2./_
PLUMBING CONTRACTOR:
~-f IZ- P/"v;...8 [104-
Plumbers Indiana State License #:
NAME OF lJTlLTTY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANO/OR COUNT\' WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA OESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_v ~N
_VXN
'20':'~
"x: .,
TYPE OF IMPRO EMENT:
~ 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:
Sump Pump:
kV_N
_VXN
U&'1i~ OD/3 ~
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
B 0 BASEMENT (WALKOUT:_V_N )
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 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 th tat I~ISm, ~~agI-~ !iration time frames for beginning and
I, the undersigned, agree that any construction, reconstruction, enlarg~: c R"g. )Ua~~Mnge in the use of land or structures
requested by this application will comply with, and conform to, all applicab e aws 0 the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of LC 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 itary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc)j en. ued'y tho e Dep trnent ommunity Services, Carmel, Indiana.
I'-t ~u>'n- In. itA. oS; ike. 1 /2S' /0"1
Signature of Owner ltuthorized Agent Print Date I I
OFFICEUSEONLY:**************************************************~******************************
INSPECTIONS REQUIRED: . Filing Fees: S t:, 5. 6 ()
~ '. -, ,j r"(}
L F t. d SI b Base Inspections. e-.L. '7/. .)
ower 00 mg er a <" 3 . 5"0
___ ) ~-.~ Cert. of Occupancy: J
~,Meter B~ ~ Site--;;
'- _ ~ -P.RJ.F..
,
Reviewedj Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL
Fee ReceIved by:
# Charged Re~
Reviews
A-l-nuYf4 rithd. Additional Fees
~~GO
Date