HomeMy WebLinkAbout07040191 Application
City of Carmel/Clay Township Permit #: 07txfof1/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
~ '0 '" ()\'VI e S L \.. C.
STREET ADDRESS: > \.
~. lS-l.!> 51 ~4cr::,
PHONE:
FAX:
~ ~l -'2~(,S'
'B4d-\S/5
CITY:
"," "'
STATE:
ZIP:
I.Pd 50
IS,
BEST METHOD OF CONTACT:
~S \"Ie., Ct) e,^,Q~ I
BUIlDER.'S EMAIL ADDRESS:
\ n..c.."\:,(\\'-"
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
NAME:
~\::;oV'
STREET ADDRESS:
LRl9l9Lo
,~'-IO'a
-<8~loS
~
CITY:
STATE:
LOT#:
"3
ZONING:
5-\
SQUARE Ll '2 ,-.......
FOOTAGE: -\...)':J /
ADDRESS OF CONSTRUcnON:
\-. C. V'\ c. \::N-- ,
WATER UTILITY () _ \
PROVIDER: ~"",f.-
SEmON:
\
\IJ c-S"\--+\ -e,\~ Ll Loo1-
SEWER lJT1LITY
PROVIDER:
\loQ.\G-.~
~o'7(940{qD
ESTIMATED COST OF CONSTRUCl10N:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
~D\1
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
_vLN
_V.u:::-N
TAX MAP PARCEL #:
RELE
TYPE OF I~Niltnpliance ~CTOR:
~EW ~uR~State and Local. u atlon ,"
g :g~6IrttI6lt(ShOMMUI'ff~~~S~a~~!ce~~,e_!t:
o DECKADD~~~MEL/CLA~I~lJ; \'-".c.: ""'
o REMODEL t F' , h IN I DIANII\.;Ch plumbing codeswill be applied to th"Construction:
_ Basemen InIS on Y.-../ II .... \ I ; ,II ! I
o ACCESSORY BUILDING Q<f International Residentjlll/;ode w/India.na l\'!1encfments
o DETACHED GARAGE ,/11.111 At'H?,~ ?nm 1'1 ill'
o ATTACHED GARAGE 0 Uniform PIU'1Jbl~9 Code W/I. '\lha'na-Ari/end"1en~
o DEMOLITION IL !,U/
FOUNDATI N TYPE: (Check'all-that-appIY fortlie new
construction area) J
o CRAWLSPACE 0 POST & 1lEAM PIER
o SLAB e( BASEMENT (WAlKOlJT:_V~)
i Cl/'r() 5
plL
Manufactured
Trusses:
/V_N
Sump Pump:
_V_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 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 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 srructure, 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 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 floor drains are nnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
ccupanc has been issued by epartment of Co oity Services, Carmel, Indiana.
OFF C USEONLY:******************************************************~'**********~**************
'- INSPECTIONS REQUIRED: Filing Fees: , (l,i,f: ~ 0
~per FO~g <i!ivfer FootlOO> Under Slab Base Inspections: ~ ~ 7 ~ # C;:,~~~ Re-
_ ~ ". "' Cert. of Occupancy: ,-, .'). } (j
(!f"oug~ In ~!er Ba~ Site
l f
~"~?)'07
o.te
Additional Fees
~
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL
Fee Received by:
Date