HomeMy WebLinkAbout07050010 Application
City of Carmel/ Clay Township Permit #: 0705cbfD
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PHONE:
575 -J-35D X ,J{)G
1\5~rDs: tV cm Cj~R-fvt6L STATE, rJ
BUILDER'S EMAIL ADDRESS: n p BEST METHOD OF CONTACT:
ANf-lG, S liEPI-\E:e.I~ ~ uLrs > CD'YJ -
NAME Pu LT~ !-\-O(YJ sS
FAX:
5 ~ (- 7 7q L
NAME'
ZIP:
'1003J-
PROPERTY
OWNER:
PHONE:
FAX:
STREET ADDRESS:
cm:
STATE:
ZIP:
FLOOD ZONE AREA DESIGNATION(S) I J" \\\,\' \ " ' '2. 'l,Cj
FOR THIS PROPER1i': I "- \ V .., . OtX
TYPE OF.CONSTRUCTlON: TYPE \ F l'
0"5INGLE FAMILY g/N \ CTURE
o TOWN HOME 0 R OM ADDITI
o TWO FAMILY 0 PO CH ONeS)
# of units being 0 DE ADDITION(S)
constructed at this 0 REMODEL
Which plumbing codes will be applied to the construction:
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING IM"fnternational Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAG' 0 Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION: 0 DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
Early Release ~~ Manufactured../: construction area) U--N FI N LS 1-1 &.0
Permit: ~ Trusses: _Y _" 0 CRAWLSPACE 0 POST&_BEAM_PIER
Lot Split: tJj;.y~' loS$<J;.,mpPump: ~_N 0 SLAB ~EMENT(WALKOUT:_Y_-rr)
For Single Family w . ~ ~aiS' remodels, and/or accessory structures, this permit is valid or!Iy if\c~~~~t~n!i~o~.e~~~t wi~hln\II80.\
days of the date of iss~ 0 ~u' t, must be completed (Certificate of Occupancy issued) withiri. ',8 months of the issuance date:- Class:I ': Ii
structure pennits are subJe.ct~;h~Gl:ner . i>>l {t-ftules of the State of Indiana (See 675 lAC 12) regarding eJcpiiabon time frames for beginning'~d \ \
)9,~-'i?t/j1 OCq ">? OIl, "tv, complet;ng c~"'truction. , 11r-,\ I. ' ; 'I; ,
I, the undersigned, agree that any co tl~I;Vs%ctrote^nl~t, relocatIOn, or alteratIOn of a structure, or anYfc;nange mJ ,_ f')"s': II
requested by thiS application will c~}i ~tp;iln fo~ 'M~5 laws of the State of Indiana, and the "Zoning R~i*~~ce 0 Carmel Indiana - 1?93", (Z~i Jj
289) and amendments, adopted under~~tJrit770U. _ ~~q, ~_ssembly of the State of Indiana, and all Acts amendatory th~reto. I further ce~~y.!.h~only
kitchen, bath, and floor drains are conn~ciidk~h1 a~~~r. I furt r certify that the construction will not be useil or od:upieduntilaCeroocate of
Occup:mcyhas been issu the Department of o~~~ces, Carmel, Indiana. \
~~I.#~ \.}f)/t-NrJS -:sHEPHEt2JJ-41;)f.tJ70'T
~ ,.., Print Date I
LOCATION
& PROJECT
INFO:
LOT#:+ I
SECTION:
ZONI~ _ I
SQUARE L1 .c::;" :::/ I I
FOOTAGE: T ~ ,
SEWER lfTILfTY
PROVIDER:
o
ONLY:*********************************************************************************
INSPECTlO 5-REQUIRED: Filing Fees: ~5 7 1Ie>
~u""::; F ""'--"-"'F <it. Base Inspections: ') -51 ()tJ
~ng ower 0 mg Slab .
~ Cert. of Occupancy: ,~~> c-o
o gh I eter Base inal Site j'~ ,( I. ~ ()
P.R.I.F.: ~ 0_
UJf uJJj TOTAL: ' /,:/?j /. 7f)
ReViewed/Approved: DepL of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL
# Charged Re-
Reviews
Additional Fees
Date
Fee Received by: