HomeMy WebLinkAbout07040206 Application
City of Carmel/Clay Township Permit #: C) 70 "IV 71)(0
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:
t(l.v(~ ~u,.:,~
PHONE:
f,v I t4ft-'f25 J :r,Je- ,
] tl- t;qs- -"I"~ s;
FAX:
.2/, ,s;q:;- - 21 b /
STREET ADDRESS: D3C3 /l ...
o. 0 v~lt:lC, 'it. .Jr11X>
cm:
I"'l>{4..vAf~l-l~
STATE:
'I,J
ZIP:
'-k>z.,-z>
Mo,..lo,J .. tv(4,'" I f....U;-
BESJ MI}HOD OF CONTACT:
c"tpff /11 DC~ev u it
BUILDER'S EMAIl ADDRESS: 'b
Si'1t6kavt!- ~1->,>1Ya .1J;(d"""5. C&,^
STREET ADDRESS:
";-,LlVLl2.-
LOT #: SUBDIVISION NAME:
11 A l'-\or-\o,J < flW,J
ADDRESS OF CONSTRUcnON:
t;V r:1,o~,.JU5 91'. 61\P-Ma I rr--:>
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
jlJ..--TOWN HOME
TI TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
NAME:
PROJECT INFORMATION:
_v\' N
_VKN
~---' ..
TYPEOFIMPROVEMENn
,",. f/I,'I
k NEW STRUCTURE r.'
o ROOM AODITI<iN(S)
o PORCH AOOITION(S)
o OECK ADDmON(S)
o REMODEL ;:,' 'c; ,!
{~ 8~semen~.F_in,15h only
o ~ACCESSORY BUILplNG
S2~ETACHE.I?G.~Rf,GE
Y8t'i' ACHED G!\~GE
0>< OI.:ITION ';;
~. ..:'<\('; J' ".,
~"J< CJ
Manuf Ii!. :0-1
Truss~s': ....'. ' ~Y---;--N
sump"pump: iff- t! V.:\;:::N
Signature of
Print
P.R.I.F.:
3/1 -1/<1 -~787.--
PHONE:
FAX:
C;Uv.&-
cm:
ZIP:
STATE:
SECTION:
ZONING:
put
'2,1'" rb
4b232-
SQUARE
FOOTAGE:
SEWER UTIlITY WATER UTIlITY ESTIMATED COST OF CONSTRUCTION: k
PROVIDER: C4\<2-W\:l2'\..,.. PRDVIDER: CI\'~L-- (EXCLUDING LAND VALUE) '-f /2-0, 1:>DD
NAME OF lfTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET 01'....... el<;C"'VAl'l.:ltt p" b lU-u';.e' tr.t""'T '/J:.
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):} 1If' ftl.~> -.if ~<to1oo3(p 04:0100",5'2-
FLOOD ZONE AREA DESIGNATION(S) ..., '-,1/ .. \,,- ,- iI1~~""" 'V TAX MAP PARCEL #: Ie; --Ocl_jlJ'" &l -OJ:' -02-<-. OOD
FOR THIS PROPERTY: VVr-...., 0"- ~ 0 7f')~1 O;L 13 I c, -O~( -- '2,,--,,2- -03 - ~7--/. 00.
Early Release
Permit:
Lot Split:
PLUMBING CONTRACTOR:
C2--~?- P'u",\h
Plumber's Indiana State License #:
C-P8&& bol:.
Which plumbing codes will be applied to the construction:
~Intemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
e!( SLAB 0 BASEMENT (WALKOllT:_V_N )
,
For Single Family and Two Family dwellings, ad.....ditions, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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 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 - I993~ (2-
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, a d floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy s b en i ued by the 0 partmen f Community Services, Carmel. Indiana.
({"oTt M. M ~~-,t.,
OFFICE USE ONLY: ******* ********** ** * * ******* ***** *****.****** *****~ *'*****2)******* ********** ** *
INSPECTIONS REQUIR D:~ Filing Fees. /7 7. CJ
. .'~ Base Inspections: a. 5?' Z. f:: ().
Upper Foot, g Lower Footing Under Slab ~ ~ D
Cert. of Occupancy: ,~::; . ~
r /'W-/(9 LI 5 / ~ r C?/;:e
TOTAL: 9'1
~
Date
# Charged Re.
ReVIews
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:Permlts/Forms{IlP RESIDENTIAL