HomeMy WebLinkAbout07020037 Application
City of Carmel/Clay Township permit#D7020D31
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
~
BUILDER
OF
RECORD:
PHONE: S 11-1- '6~3
(IJ
FAX:
2
STREET ADDRESS:
CITY: STATE:
ll.>
ZIP:
PROPERTY
OWNER:
FAX:
LOCATION
&. PROJECT
INFO:
STREET ADDRESS:
12<0"
LOT#: i /3
STATE:
ZIP:
%03
KI
eLf e-
SECTION:
ZONING:
SEWER lJTlLITY WA R UTILITY ,
PROVIDER: L4.'1'>1 e.l PROVIDER: C ?tYWld
NAME OF UTILITY EXCAVATION CONTRA ; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUrffi' WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
SQUARE
FOOTAGE':z.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) I> I
H'L
00
-
FLOOD ZONE AREA DESIG
FOR THIS PROPERTY-
XWt bW
TAX MAP PARCEL #:
TYPE OF CONSTR
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions. Remodels. Etc.)
., ! t
'\ H
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR! ': i i i
o NEWSTR,l!Q;U~E .' /21r;J //cJ~b/~7 --...---' :':::.;!
o ROOM ABM:iIj ~er's Indiana State License #: ,/ ,!
g ~~~~~~ ~ lane" '''1111 S~AUCTION L.____ . - . - ._- - ---
II( REMOD:ITIONb~State a d L a "1.9.UI"'in
_ BalJ~MI(jl ~ n Wbi!J:~<e'tl~Il~'.' cifd..~1 be applied to the construction:
o ACCE~ M UilSlJ/1ilt~MOAlR.esidential Code w/Indiana Amendments
o DETACHED G MEl / Pi A_V. n VIl;I:;S .
o ATTACHED GARAGE \,!Jl.N~'~~fPcode w/Ind,ana Amendments
o DEMOLITION INDIANAUNDATION TYPE""
PROJECT INFORMATION: .~ "ro (Check all that apply for the new
Early Release / ~anufactured / construction area) E,"ST/;.)9
Permit: yv' N Trusses: ~ ~y 0 CRAWLSPACE 0 POST& BEAM_PIER
Lot Split: Y /' N Sump Pump:.. Y ~ - SLAB
- - aJ 0 BASEMENT (WALKOUT:_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 pennits 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 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 sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Oc~up:ncyhas~.:; issued by~epartment of Conununity Services, Carmel, Indiana. c.~,t1/-Ir~c-.1'tv- ~
~ ~~~4. ~;f;~~ I onc~,:" ft1Cl(/l'eP/J G,:{fQ :2#t': ~ 7'
Signature of Owner or Authorized Agent Print ~te /
OFFICEUSEONLY.******************~**************************************************************
9< vs,;.I<Ii'<1' fO~ It7S'tkd/tJ/), Filing Fees: /33, 5"0
SPECTIONS REQUI~ED:
U F t" L F t" U d SI b Base Inspections: J I I, () 0
pper 00 mg ower 00 mg n er a c-1\
Cert. of Occupancy: 5..3, 'J v
Meter Base ~al S~
# Charged Re.
Reviews
Community Services
( ate)
'~, (22!OQ
Fee Received by: ~ '
Additional Fees
Date