HomeMy WebLinkAbout07040161 Application
ADDRESS OF CONSTRucnON:
:1.5"- 7Jw;.. LAkES b/(Iv.=
SEWER LJTIUTY WATER LJTIlfTY
PROVIDER: C 7i. PROVIDER: C
NAME OF LJTIlfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit #:o7o'-/o/lpl
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures
NAME:
PHONE:
FAX:
CITY:
STATE:
I
ZIP:
4t,il f?
BEST METHOD OF CONTACT:
PHONE:
FAX:
CITY:
CA
STATE:
I'
ZIP:
4
$-1
LOT#:
1-19
SECTION:
i-f
ZONING:
SQUARE
FOOTAGE: f.t,
ESTIMATED COST OF CONSjRUcnON:
(EXCLUDING LAND VALUE) ~ J D.
sf611Qt}ol (PO
Sb
, n \; >- l ..~, 'I: -\ '
-- ----di I i I.
TYPE OF IMPROVEMENT: PLUMBING CONTRACT~R: ' II Iii
c/NEWSTRUCTURE PAul E. SM;T~' ,I APR 23 2007 ,I Ii!
o ROOM ADDITION(S)" eO'lllSi'~M<l e License #: J L::J I
o PORCH~DFOR _ c, -- ' .. I
o DECK A~~~{'b eOf1:\Plianc.JCl)It\lj1Vregulatlo~S I
o REMODE8uble~~Qt"'Q and Wliraa\>QQ,Qlilihod 1'" 't;e'.ppliea"lthe'conStruCtlon:
_ Basement FI~ ~~ <::'i:=R\/~~
o ACCEsso~gtlG80M"r.::~:,n\lItItlrial Wial Code w/Indiana Amendments
o DETACHEb'GllRllc" ' , ' W . '
o ATTAC~~ - CARMEL~.Jl;;jumbln9 Code w/Ind,ana Amendments I
o DEMOLITION INDl~~~NDAnON TYPE: (Check all that apply for the!new
construction area)
Fl.ooD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TAX MAP PARCEL #:
TYPE OF CONSTRUCTION:
r!l!' SINGLE FAMILY
o TOWN HOME
o TWO FAMIL V
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
o CRAWLSPACE 0 POST & BEAM I PIER
o SLAB ~ASEMENT (WALKOUT:~V U
I
-6~N
..LV_N
_Y L~
_y..LN
Sump Pump:
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this pennit is valid only if (;onstruction commences wit;hin ISO
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. <;:lass 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 1.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 Certificate of
\Qccupancyhas been issued by the Department of Conununity Services. Carmel, Indiana.
') . l/'\R; A. ~l!bS<)NG--I-INI;l\\f QbOJD7
Print Date
"USE ONLY: ************* ****************************************
, Filing Fees:
Base Inspections:
--..
;;;2 81. SO
S-:r,:)'O
/) (, /. () 0 Additional Fees
~/T9T, AL; :.#+ #021 [) :{. yo
~{lar1J /c' ~~-
# Charged Re-
Reviews
Cert, of Occupancy:
P.R.I.F,:
\ Dept. of Community Services
:NllAL
(Date)
Fee Recelved by:
Date