HomeMy WebLinkAbout07050053 Application
City of Carmell Clay Township Permit #: 0 "tf) f) r1if53
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
,
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER lJTIUTY
PROVIDER:
FAX"
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PHONE:
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CITY:
(IJDI/IIIItPOl...lj
BUILDER'S EMAIL ADDRESS:
RoVo 1.00 €. SBC GLoBIJL -NET
NAME:
LIlLL.AHArJ SALt GOt...
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STATE:
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BEST METHOD OF CONTACT: E
PHONE:
FAX:
STREET ADDRESS:
Lf '3 J
lOT #: ;? I
ADDRESS OF CONSTRUCTION: 4533
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em:
2 lo,vSvlLLE..
ZIP:
SUBDIVISION NAME:
STATE:
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1
ZONING:
WOoD 1-t4vE;I
SECTION:
elf< .
SQUARE 7
FOOTAGE: ~ 0
J~_~(J'V ~ Ii"
MAY -7 200 11111
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G\ \C-W
WATER UTILITY .
PROVIDER:
U5
ESTIMATED COST OF Cb'f'fsTRJGBON:"
(EXCLUDING LAND VALUE) t...:...-::J ~
. ! ~
~
NAME OF lITlLITY EXCAVATION CONTRAGOR; PLAN COMMISSION / BZA I 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:
}J ,,+ I 1\iD^-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: ~
~ SINGLE FAMILY &\~. 0 NEW STRUCTURE ~o ~
o TOWN HOME V / 0 ROOM ADDITION(S) &fV. c,. Plumber's India a State License #:
o TWO FAMILY \Zl' PORCH ADDITION(S) 61(/'U
# of units being 0 DECK ADDITION(S) ~(_\i9'
constructed at this 0 REMODEL -:>'
Which plumbing codes will be applied to the construction:
.J time: Basement Finish only
II'l RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y J N
Y/N
Manufactured
Trusses:
Sump Pump:
-Y4N
_Y~N
TAX MAP PARCE
I
I
J
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
I
FOUNDATION TYPE: (Check all that apply for the new
construction area) ~ \.
o CRAWLSPACE CJ~~~~~~PIER
0"'SLAB l~~_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this'.s ' Iy if construction commences wi~hin 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupan ~eii) within 18 months of the issuance date. Class I
structure pennirs 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 LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitche th, and floor drai re connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dc c)'h s y the Department of Community Services, Carmel, Indiana.
M /(HA6L T PR.OIf{) "7 ('11/ yo"
Print
Date
NLY:**********************************************************
Filing Fees: "
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
~r FO~ Lower Footing U
~U9h ~ Meter ,Base
l
Reviewed/Approved
Site
# Charged Re-
Reviews
<;; - 0- 0\
Dept. of Community Services (Date)
"'~~~ II S/o ~;"~
Fee Received by: Date
S:Permfts/FormsjILP RESID NTIAL