HomeMy WebLinkAbout07050125 Application
BUILDER
Of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INfO:
SEWER LfTlUTY
PROVIDER:
City of Carmel/Clay Township Permit #: D 70 ~fbt)
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
ION WINOOuJ f~,o
";;"7q -[.306
..--=:
.-L...N 0
STATE:
Is ~
ZIP:
41c S-O
BEST METHOD OF CONTACT:
€-rrriER... ...p
BUILDER'S EMAIL ADDRESS:
Sm,+ 57S!" 0) she., )01:,
NAME: Yo..N Ir-J <r- 2hv
STREET ADDR~SS: V t:( CO r(;
3 '-/1 ~_'( LJ
1>"Io"l~1 )
PHONE:
~'n- 5'1'1(,
CITY:
ZIONSVI lIe
STATE:
~;..J
ZIP:
4l.011
SUBDIVISION NAME:
LON IT B~o.,\(..~
ADDRESS OF CONSTRUCTION:
3~tjq VE.RDvR~
SECTION:
;;t
ZONING:
5 - \
/.~o
LOT #:
LArJ(;
SQUARE
FOOTAGE:
WATER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION;
(EXCLUDING LAND VALUE) / <;i 0 00
to LAY T
o NEW STRUCTIIPt~.L!l.NA
o ROOM ADDITiOl'/(,,-j'
ii" PORCH ADDmON(S)
BOECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
.",i "
I,! ?nn7 I I.
q, " i i
L.t II~'.'
I --.--.---____----1 ~ I
CONTRACTOR~ A ...J
Plumber's Indiana State Licens #:
time:
~IDENTIAL(For
Additions. Remodels. Etc.)
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
PROJECT INFORMATION:
~ Manufactured
y -=--N ~usses:
_Y~ Sump Pump:
/
Y N
Y~
FOUNDATION TYPE: (Check all that apply for the new
construction area) /..
o CRAWLSPACE ,:: POST & _ BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
Early Release
Permit:
Lot Split:
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 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 Stare of Indiana, and the "Zoning Ordinance of Carmel Indiana ~ 1993~ (Z~
289) and amendments, adopte under authority of l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, an floor ain re connected the sanitary sewer. I further certify that the construction.Yffil not be used or occupied until a Certificate of
Oeeup eyh.s , ssu d yth'D'par entofCOmmUnityS'rvicmrt~;1 ~nf{f-ri 5;;~/01
of Owner or A cwized Agent Print Date I
OFFICEUSEONLY:*********************************************************************************
INSPECTlONS REQUIRED: Filing Fees: ;/,/,() ,I Q
U F ~') L F t" Under Slab Base Inspections: I/}), - P
pper 00 ng ower 00 Ing . "/l
r Cert. of Occupancy: ~>;. 'i?L
Final Site
"~~~i2j'0'. /;"~"'-
Fee Received by: Date
# Charged Re-
Reviews
S:Permits/Forms/ILP RESIDENTIAL
(Date)