HomeMy WebLinkAbout04120064 Application
City ofCarmellClay Township Permit #: Of ~oOIo'f
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
Richard Roethke
STREET ADDRESS
11271 Crooked Stick Lane
BUILDER'S EMAlL ADDRESS
N/A
PROPERTY
OWNER:
NAME
SME
STREET ADDRESS
SAME
LOCATION
& PROJECT
INFO:
LOT #
SUBDMSION NAME
Crooked Stick Estates
89
SEWER UTIliTY
PROVIDER:
ADDRESS OF CONSTRUCTION
11271 Crooked Stick Lane Carmel
WATER UTIliTY
PRlVATE PROVIDER: PRIVATE
NAME OF UTIliTY EXCAVATION CDI'ITRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUmY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
(]I ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit: _Y LN
Manufactured
Trusses:
PHONE
~ (317) 581-0300
FAX
CITY
Carmel
STATE
IN
317 581 0900
ZIP
46032
BEST METHOD OF CONTACT:
PHONE
FAX
CITY
STATE
ZIP
SECTION ZONING:
SQUARE
FOOTAGE:
ft
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLUMBING CO
N/A
Plumber's Indiana
Which plumbing codes will
o International Reside w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family COnstruction COde)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~Y_N
o CRAWLSPACE
Lot Split: _Y.--lLN Sump Pump: _Y --.X...N OCJ SLAB
Does any part of the property lie within a special Flood designation area: _ Y --.X...N
o POST & BEAM
o BASEMENT
WALKOUT:_ Y-----1L-N
For Single Family and Two F~y dwellings, additions, remodels, and/or accessory structures. this permit is valid only if construction comritences
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, th~ undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requeste by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indi -1993" (Z; 89) and amendments, adopted under authority of I.c. 36;7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
theret I fur er c illy that only kitch ,and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used o~ pied I til a mea. Oeeupaneyhas been issued by the Department of Community Services, Carmel, Indiana.
R;r-n:::lrn R()j:>t-n'kp
Print
12/06/04
Date
OFFICE UsE ON Y: ************* * * . ';.tAN"g**~~:*~*17******************
INSPECTIONS REQUIR~'EASr=D FOR c~U1 1,__/ FI'7') # (It d R
. -m::1- ~ ~iWHiIi~MjglIlls\tlons" (Il. r if (../ arge e-
Upper Footing . Lower FO(Q ~~tSta60mPhan I ('''''~ ' ....7'\ () 0 ReViews
of State andder€oorv ~e'Ec t2N.-
Rough In etef Base Fin~ PT~f COMMUNITY SE . -0. ;s /
CITY OF CARMEl!'tCtA-Y TOWNSHIP OAdVdltional FeV'-
'N\~itf TOTAL:
Reviewed/Appro
S:Permfts/Forms!ILP R
(Date)
Fee Received y:
1/3/ )05'