HomeMy WebLinkAbout07040061 Application
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City of Carmel/ Clay Township Permit #: mDL/-tJO b I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
lOT #:5
ADDRESS OF CONSTRUCTION: SQUARE IJ1.ffll
53 2 S p!2J ~ . FOOTAGE: 'roLl
SEWER lfTlLnY /''/)u('] J^!I''7l WATER lfTlLnY CAt2MBL ESTIMATED COST OF C\W?J:f'!( . CTIO
PROVIDER: (/'JJVV ._I::::!.-- PROVIDER:' _,(f,Xql,lO~\"'~~!ffiH: . \: \
, _, '-~""..Jr_:::Gr..;_ n ,~Tl ,';01., 1
NAME OF UTIUTY fXCAVATlON CONTRAcrOR; PLAN COMMISSION I BZA I BPW DOCKET :.,~;)LOC,t'r~~e0~n.BY~-:;',~\ '~(' I c"Bcte's)\
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): ,;~~__~< \iQ~9.((1~t~."~'~1.') ~~~~~"'\ 'SER:~\CES
FLDOD ZONE AREA DESIGNATION S) ['E3\ ' :r..x:M~P'P,{R~':;')j:! y yeW
FOR THIS PROPERTY: ' ", .\./1 . :- I"'! n!\i\ ~~. ~ I '..J ' \' \
t- ,:":1 ' ,r- \..t - 't" _., ~ ~___' \
PlUMBINGCONTRAC'tOR:" M~/
\~ \\' / -'
, ,-,I .__ .'_
,~ .- ,
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
BUILDER
OF
RECORD:
PROPERlY
OWNER:
LOCATION
& PROJECT
INFO:
CONSTRUCTI
STREET AOp.RfSS:
8'lo S; VV . CAr2.MfL
Vf:,
BUILDER'S EMAIL ADDRESS:
NAME:
'f:.V I t-1E
STREET ADDRESS:
/'3'6. "2 S
NEW STRUCTURE
ROOM ADDITION(S)
PO H ADDmON(S) ;J
CK ADDmON(S)
REMODEL i)\'::N\if,lA-n
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION /
Manufactured _y'./
Trusses: ----7
Sump Pump: _Y _N
PROJECTINFORMATIO~: ~
Early Release /
Permit: _y ~
Lot Split: _Y _N
PHON~_72.1 /
CITY EL /;.::r LI!d!B L
L 1'._ BEST MET~D O~ CONTACT:
L-8 fJESiUTlLi IJ ffflE&. CCWl
FAX:
PHONE:
57/- 2.11
FAX:
Plumber's Indiana State"'License #:
\..--~
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o
o POST &
BEAM _PIER
SLAB
o BASEMENT (WALKOLrr:_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 Cannel Indiana - 199r (Z~
289) and am dments, adopted under authOrity of I.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. [further certify that only
kitchen, b ,nd floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan yh heeni>>ued thelli:pattmentofCOmmUnitYSecviCeS'Cannel'IL~ ~ME:S Lf-/-=>-/D7
of OWner or Authorized Agent Print Date
OFFICE USE ONLY: ******* ** **** *********** ********** ********** ****** * **~*'-*~**n t**************** ***
F'I' F j:Jt:' v L
INSPECTIONS REQUIRED: ling ees:
. . Base Inspections: / j ( t1 0
eupper FootIng lower FootIng Under Slab S<"'.. J/ /)
Cert, of Occupancy: .J , "
Rough I Meter Base CFin;1 ' ~
_. P.R.LF.:
$3~ f 00
Dept. of Community Services
Its/FotmS/ILP RESIDENTIAL
# Charged Re-
ReVIews
Additional Fees
TOTAL:
Fee ReceIved by:
Date