HomeMy WebLinkAbout07030144 Application
City of Carmel/Clay Township Permit #: 07tJ:''JOlif3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAl1ION
I
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Stru~ures
WATER UTILITY
PROVIDER: u~ IC:/t1 co L
NAME OF UTILITY CAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET 0
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S) ~__/;;;<\
FOR THIS PROPERTY: ~/< \<'$;\();,;;x::;,I!AI 0
TYPE OF CONSTRUCTION: \\ '\:~i_;TYpi\Of\~MPROVEMENT:
V / -- "_"0;"/ '1\ \ I
~ SINGLE FAMILY ));;> ~\NEWiSTRUCTURE
o TOWN HOME,/ ~\)\)TD' ~Qd~ ADDITION(S)
o TWO FAMILY 1- \ " 0 PQRCH ;'DDITION(S)
# of uni~,~eing\ 1>\\ I:;J/DECK ADI?ITION(S)
constructed at iilils ,/b REMODEl
time:\\\ \\\ /,/,,/ _..........-Basement Finish only
o RESIDENTIAL'(For//' , _0/ ACCESSORY BUILDING
Additions>,'Iiemodels. Etc.l/'''''.,/'' 0 DETACHED GARAGE
\ ~~/ 0 ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLITION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
STREET ADDRESS:
LOT #:
SUBDIVISION NAME:
't..-L.:JDE C?r- 1tAJ~
Early Release
Permit:
Lot Split:
_yAN
_Y XN
Manufactured
Trusses:
Sump Pump:
Y X N
XY_N
1000
STATE:
IV
S. (:.0.
BEST METHOD OF CONTACT:
e~/L
FAX:
PHONE:
CITY:
STATE:
ZIP:
SECTlON:
I 000 z..
ZONING:
001
8 7 V
SQUARE
FOOTAGE:
c,
L
3/.:.A
PLUMBING CONTRACTOR:
~~ rib ;w" 1 ~S$7\;~
~Plumber'5 Indiana State License #:
pu leOOC)lOI
,
/
ft(~hn~;~;~;;&;;;~;;r;;~~dments
o UI~191'111e!'I\!l~lt1_~IJl~~ll1M!l!l'/1f!m5l'lif
FO~TI8NW\lWnR:~IRil~flipPIY for the new
con III..aie.Q;OMMUNITY SERVICES
ClntJ~L .i::C~ IOWbISIrllP PIER
o SLAB Jl(11llfi\!~WALKOlJT:_Y~IN)
,
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 the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
It 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 KZoning Ordinance of Carmel Indiana -1993" (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 c ed to the samtary sewer I further cerufy that the construction will not be used or occupied until a Certificate of
Oc e b tment of Commurnty Se ~s, Carmel, Ind.an. L _ ).. -h:
~_;II ' gtytibT&L-O ~ ;:;'07
Print Date/ ' I
,
OFFICE USE ONLY: * * * ** * * * * * * * * ** * * * * * * ** * * ** * * * ~~ * *** * * ** * * ** * * * * * * *..7: :;* * * r2Y' Z * * * * * * *** * * * * * *
INSPECTIONS REQUIRED: FIling Fees: - {J L 0
~ /'IL :~r FFnA t. U d SI b Base Inspections: c2 /( ~ ()
pper 00 g~ Ing n er a
~ _.J Cert, of Occupancy: b3, ;;-0
~9hiii) ~ ~al ~ j
l..--" "---.-/ $-U-07 P,R.I.F.: Id.- 6()~3>ftti6"~Fees
Revi : Dept. of Community Services (Date)
S:Permlts/FormsjILP RESIDENTIAL
# Charged Re-
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Fee Received by:
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