HomeMy WebLinkAbout07030205 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
s. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
\
City of Carmel/Clay Township Permit #: D703~Jt)f)r-,O
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION!"""
For Single Family, Town Home, S. Two Family: New Structures, Additions, Remodels, S. Accessory StrJctures
I
Nt;~"eAJ'~or~ \-\Y"\1..
STREtltS\;. '7
BUILDER'S EMAIL ADDRESS:
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PHONE:
L~
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STATE:
-r- tJ '
ZIP:
CITY:
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BEST METHOD OF CONTACT:
Rm4.
NAME:C
S,'\\J~ ,....
PHONE:
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FAX:
'-/d'~<C;
ZIP:
STREET ADDRESS:
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CITY:
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ZONING: '::::r 1
SQUARE
FOOTAGE: (p~
SUBDIVISION N~ \
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ADDRESS OF CONSTRUCTION:
\'d'1l'3C) ,r'(...e
CtK\I.)"b
SECTION:
LOT#:
Q';S
,
ESTIMATED COST OF CONSTRUcnON:~
(EXCLUDING LAND VALUE) . () c::,c;,~
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NAME OF UTIllTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
-'''- -
V ,IN
VvN
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
. Manufactured
Trusses:
Sump Pump:
U_N
LV_N
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~SEMENT (WALKOUT:_vLN )
Early Release
Permit:
Lot Split:
For Single Family and T WQ Family dwellings, additions, remodels. and/or accessory structures, this pennit is valid only if construction conunences 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. Qass 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.
t. 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 floo rains nnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan as been su t e epartment of Co . unity services~. C I, Indiana.
.C\: ....~~ U\~ ~.D\
S' \. Print Date
OFFICE USE ONLY: *************************************************** f4j*"*
Filing Fees: U ./
,;)'1
5.3
P.R.LF.: I ~ ~ ( 00 Addluonal Fees
I ~~:J11~
Fee ecelved by: "' Date
Base Inspections:
# Charged Re-
Reviews
Cert. of Occupancy:
Reviewed/Approved: Dept. of Community Services
S:PermltsjFormsjILP RESIDENTIAL
(Date)