HomeMy WebLinkAbout07040193 Application
City of Carmel/Clay Township Permit #: rJ 7040 I ~.3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER NAME: fjrz,vte PHONE: FAX:
OF t(lI~~ &v I v J>t;'"'f2S I '];i>t-. 3it- 0~- 1<45; 51 7-SZiS' -7-1(P!
RECORD: STREET ADDRESS: ~(oo Cl1Y: STATE:: ZIP:
83S3 &/h.14 q,. 1="~ (..\",,,(hus r.-l <-t6 U"'<>
BUILDER'S EMAIL ADDRESS: . f>.v' BEST METH~D OF CONTACT:
S'.",,,~ t..ev e. % ~ -Ira. , l&-t,,~, C,,"" ~~, ""l~Ict" cd I 3i7-1 '* -S", li'2
NAME: v PHONE: FAX:
PROPERTY Mo,.;ot> .;
OWNER: 111 At,.), u,.c, ~wu.
STREET ADDRESS: cm: STA1E: ZIP:
4<t""-i.-
LOCATION lOT #: ItA SUBDIVISION NAME: , SECTION: ZONING: ~uh
&. PROJECT I'I\O"~N ..; /YIf\l,.:!
INFO: ADDRESS OF CONSTRUCTION: SQUARE z.~o $
2S ~ lAJt2t pu<' ~. Cf\ilMe l.- , J;,..; i.{<:."2-32....- FOOTAGE:
SEWER UTILITY WATER unUTY I ESTlMA1ED COST OF CDNSTRumON:
PROVIDER: tA/lAV\~L PROVIDER: ~tiL..- (EXCLUDING lAND VALUE) $ /2iJ,"''''''
NAME OF lfTILIlY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET lViW> ex",lI~ ~u!> (k-J.,.;G OoQ(eT;It.
NUMBERS; TAC DA1E(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): jhf I A~"5 ~ 0401002-1. Oll-orooSS'z.
FLooo ZONE AREA DESIGNATlON(S) "t4>M: "l<."~,\5~ 0/2091 TAXMAPPARCEL#: 1(,-()c(-2.S-v';L-OS'-oz".",,,
FOR THIS PROPERTY: o 7&'102 i~ -cA-~S--o" -D3 " ....z.. .(11 ~
Early Release
Permit:
Lot Split:
_Y~N
_yXN
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
~ NEW STRUCTURE ~(L P\U"'~1
a ROOM ADDITION(S) Plumber's Indiana State License #:
g ~~~~ADD~~~\S) C~~ooI3.s
o RE~~~fbrisfi Which plumbing codes will be applied to the const'uction:
o E~~ Co '!<f'~~'oo" ...-~.. ./~,,",~.",m.~
~ ~~~I?'/)~t)C& l'tit~~J,!q~rm Plumbing Code w/Indiana Amendments
o D M ~.tl"'Vi\.1 Lac I 1fi~1/ ~("). ,
~fY~. Ii1UN Ii Co :nUN TYPE: (Check all that apply for the new
Manufactu,ed ,vll2{ I Ily S 9hstru 8 area)
Trusses: 'XINDbt-fLA. V I; 'l2fYV1dil! CRAWLSPACE 0 POST & _ BEAM _PIER
Sump Pump: _Y ~ OWN. SLAB 0 BASEMENT (WALKOUT:_Y_N )
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~TOWN HOME
a TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
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 da.te 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 thjs applic:ltion will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel 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
kitchen, bat d.flo r drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc as bee , ssued by the Depar t of Community Services, Cannel, Indiana.
. /vi.', YD1T M. rv1(}~
Print
'-t/~.,l ,,-,
~
OFFICE USE ONLY: * ************ ************************* ******* ********* ******tjO****************
SPECnONS REQUIRED: Filing Fees: (g ::2 7.
. Base Inspections: 2'iS1 ' ~ ()
Upper Foo ng Lower Footing Under Slall C f L"O
~ Cert. of Occupancy: ~ ,~_
Rou h ~ ~ Final P.R.I.F.: Fe! ; tL 1reJJ l 0 U-5./!:J
uJ~ ; NJrJf TOTAL: 170. VO
Reviewed/Approved:-,yept. of Community Services (Date)
# Charged Re.
ReVIews
Additional Fees
~
S:Permits/forms/IlP RESIDENTIAL
Fee R