HomeMy WebLinkAbout07040015 Application
City of Carmel/Clay Township Permit #:D?Otf6DJ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
I
BUILDER
OF
RECORD:
NAME:
8,,'oa-r
STREET ADDRESS:
l>> t:. Isth S't .~LJC()
PHONE:
7'a-\~l'5
FAX:
- '2)~ 1.9'8
CITY:
STATE: ZIP:
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BEST METHOD OF CONTACT:
.<..a e......Q., \
PHONE:
FAX:
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PROPERTY
OWNER:
NAME:
(=1.,-'oQV- \\~~ LLC.
'7S
STREET ADDRESS:
(k19L. b-.
LOCATION
&. PROJECT
INFO:
LOT #:
SUBDIVISION NAME: \ \ _
~ -rQ.,\s 1:\.-* r'P' de", \<. ""-'
SEmON:
\
ADDRESS OF CONSTRUCTION:
. 'd./B 1.0,.......:,'"
b\<. \t3S)
SEWER LmlITY
PROVIDER:
cm:
ZIP:
::r::
STATE:
IJJ.
\.-o.v.e
WATER lITY F' _ \
PROVIDER: '-..,C< Y ",,-e,
NAME OF LmLm EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels, Etc. J
PROJECT INFORMATION:
Early Release _Y / N
Permit: ~.
Lot Split: _Y V N
:#070Ll-DOI
TYPE OF IMPROVEMENT:
0' NEW STRUCTURE JIJIJ
o ROOM ADDITION(S) Plumber's Indiana State License _
o PORCH ADDmON(S) . J.. T1.v.Y r tJ II'
o DECK ADDmON<.&J ~o3C:Od.7 T '7 ~,,::;;, I ltt>>1S
o REMODEL . ~LF AS __ Which plumbing codes will be applied to the construction:
_ Basement F8t~9rllY I:.Ori::.I<._
o ACCESSORY BUILD~t to c ~lA):<!"I".tional Residential Code w/lndiana Amendments
o DETACHED GA~E Of" 'Of7J.o!,f'l, ....UA/0];;;;u....rn .
o ATTACHED ~ftA'G~r utate7} -Ui1ltow,j~::'~~7'ne w/lnd,ana Amendments I
o DEMOLlTIofilry OF Co f)~,~~_, a./{ re.""" ON
OF C /\.1f;~Dj(TIQt:I R'l'1licffi!'eck all that apply for the new
Manufactured AA,',1f:.tO U~:5Efi!i.)
Trusses: ../ Y _N INO ~ ClI!frv~lJJf~A4:S 0 POST & _ BEAM ~PIER
Sump Pump: >/,,-Y ~N I IVAo ;LABW~~~MENT (WALKOVT:_Y ./ N)
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
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 Cannel Indiana -1993" (Z-
289) and amendments, adopted under authority of I.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 Certifi"ca.te of
Occupancyhas been iss by epartment of Community Services, Cannel, Indiana
, ;;tctr allo.o I D~e",-\
4-3-07
OFFICE USE ONLY: *******************************.~**~***~**************~R***J15******************
INSPECTION UIRED: Filing ees. o.lr.O. '1L
t L F Under Slab Base Inspections: .;J J 1, 5'0
00' ower 0 L<. /()
Cert. of Occupancy: ..J.J 2.:_
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S:Permlts/Forms/ILP RESIDENTIAL
Date
# Charged Re-
ReViews
Site
(Date)
Fee Received by:
Date