HomeMy WebLinkAbout07020099 Application
City of Carmel/Clay Township Permit #((/7 DQ dJor1
,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
SUBDIVISION NAME:
d/" Mrr c~/J
ADDRESS OF CONSTRumON:
~.A>'r
_C:: / WATER UTILITY
1'lK<-/ PROVIDER: CAJ2n.rJ
NAME OF UTILITY EXCAVATION COI'ITRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC MIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATIONeS) /
FOR THIS PROPERTY: X llll1,S"uuf
TYPE OF CONSTRUCTION:
BSINGLE FAMILY .fl'h:J
o TOWN HOME -
o TWO FAMILY
# of units being
constructed at this
time:
~RESIDENTIAL(For
Additions. Remodels. Etc.)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJEC
INFO:
SEWER UTILITY
PROVIDER:
STREET ADDRES :
1"'8 LV- C4~MIi'/
BUILDER'S EMAIl ADDRESS:
0'1"'"" f 1'",
NAME:
CIiSr
NAME:
7~JO?
STREET ADDRESS:
/ 8''13
Early Release
Permit:
PROJECT INFORMATION:
Y~
- J7:::"
_Y_N
Lot Split:
PHONE:
bl?)'Ju-~ f)()
cm:
Il rl
FAX:
)
ZIP:
~'"
STATE:
.:T;..t
-t)1t..
':L
BEST METHOD OF CONTACT:
'"
r'~""
- ~"
.(.,Ile' .J/-e;tn-ll'
PHONE:
1- 0807
cm:
C,4:X"u'/
FAX:
STATE:
~
SEmON:
ZONING:
SQUARE
FOOTAGE:
3~
ESTIMATED COST OF CONSTRUmON:
(EXCLUDING LAND VALUE)
75'"PiO
TAX MAP PARCEL #: FE B 2 0 2007
TYPE Q.f' OJ) PLUMBING CONTRACTOR:
<?1. ;?,z' i", g,
~ NEW 6>" ""Ie "0 .5c~Le'l. V~.JI6
- 0 ROOM ADoIbo'JI ~~1~0'<' Ii) ~jij1:/;) r's Indiana Sfate licenSe #:
o PORCHADDii'~~j,,,,,, Oc to? ~' "?/~
o DECKADDITIOllc;'J< (,~.$/ <;> ~J
.....10 REMODEL t q.;F'~/ 0/ 'I).. I(t;}",.,es will be applied to the construction:
. ~ _ Basemen I r_ry,q . ~~.,.'V"
r/ ACCESSORY BUILDI Y J.;~tema~al Residential Code w/Indiana Amendments
o DETACHED GARAGE n...: ~, .
o ATTACHED GARAGE ~..u~'~' Plumbing Code w/Ind.ana Amendments
o DEMOLITION ~ f
FO TION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
Y~
Y~
o CRAWLSPACE 0 POST & _ BEAM _PIER
efSLAB 0 BASEMENT (WALKOlJT:_Y~N)
Sump Pump:
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
struc:ture 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 - 1993n (Z'
289) and amendments, adopted under authority of r.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 Certifica.te of
Occup~a.s been issued by the Department of Community Services, Cannel, Indiana.
~~~ 2:4>...v..v 4:n-/j .2-2~Hn
Signature of Owner or Authorized Agent Print Date
*******************
OFFICE USE ONLY: *****************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
SPECTIONS REQUIRED:
Lower Footing Under-Slab
Reviewed} Approved: Dept. 0
S:PermitsjFormsjIlP RESIDENTIAL
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# Charged Re-
Reviews
P.R.I.F.: