HomeMy WebLinkAbout07050036 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
~
City of Carmell Clay Township Permit 0//1:):; cp 3 S
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME:
PHONE:
FAX:
L:, ;J (y
~w
STREET ADDRESS:
STATE:
ZIP:
CITY:
BUILDER'S EMAIl ADDRESS:
BEST METHOD OF CONTACT:
'7 S'!J-l.t l7--
NAM .
PHONE:
~?i'-8f~3,
CITY:
~..a.-
ZIP:
'/l.D"!, ~
FAX:
.<.~':) L.
STREET ADDRESS:
I wt%1Alt>1iiJ l>t-,
STATE:
LOT#:
33
SUBDIVISION NAME:
SECTlON:
~fL~-r
ZONING:
'.,
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ADDRESS OF CONSTRUCTION:
SQUARE
FOOTAGE:
21-0
I
werr~D
WATER lITIlITY
PROVIDER: N ~
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
~.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (OONlY WELL AND/OR SEPTIC PERMIT '5 (IF APPLICABLE):
'()
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
,\ ',"i"
& ~ TAX MAP PARCEJ #:- , -l.t)
"'00 '4S.r- i . '/ ! :.1 '<:(:-'1' I! Jit,t'/'l
0'/ (,.,.') I, r., I I j ,I.
TYPEOFIM Tlf'~co,,'!f ~M8INGCONiRAdoR:MAY - 7 7007 I;U'ill
o NEW STRU ~ O-^' Q'&!e :;';"'I1C 00,,1/ i II U I N ~ ill 'j I
o ROOM ADDITION~m1 .' 0-14 I) J1.IlJnilll\~' '~na State License #:- - --" I
o PORCH ADDITION(S'W{1, 'IIt/. c~/ e~ Uc I
o DECK ADDITION(S) <::( VJ1~" Co' rs8, /'~ ' - --..--
o REMOBDEL t F' ' h /t1Il'>;. /~/cJ- i&ji;liii>g ~';;1./(be applied to the construction:
_ asemen InIS onry'/.1A" k t:;:I:J ~-S
~ ACCESSORY BUILDING 'V, I~IIl!~""al ReSIdential Code w fIndiana Amendments
o DETACHED GARAGE , 'I1L. ~"':~-, ,
o ATTACHED GARAGE 0 Unlfo~ym'Ilmg Code wfIndlana Amendments
o DEMOLITION "I/^
FOUNDATIO'N"TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE X POST & _ BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
c.Jo
SM--
S)JlujD7
PROJECT INFORMATION:
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. Clas$ 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. -
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use orland 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" (2-
289) and amendments, adopted under authority of r.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 Cert.ificate of
Occupmcyh ,n ."n,d by th 'par ,nt of Co nilY's""")c,,, C??:l::
r Print
! I
OFFICE USE ONLY: ********* ******~.**c.*;+:*********~~* *****.** ******* ******** *3 **o(J*******************
PECTIONS REQUIRED: 7''(jI FIling Fees, ? . ....-
U F. L F t' U d /:.SI 'b ,Base Inspections: / --;7(;2. ':') 0
pper 00 g ower 00 mg n er a ,
55 5"0
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
_Y -4-
_Y~N
-Y4
_Y1N
Sump Pump:
I..
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Reviewed/Approved: Dept. of Community Services
S:PermitsjForms/ILP RESIDENTIAL
Date
# Charged Re.
ReViews
Cert, of Occupancy:
Site
Additi~nal Fees
(Date)
Date