HomeMy WebLinkAbout07050194 Application
CityofCarmellClay Township Permit#: D7050!9-lf
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 UTILITY
PROVIDER:
srR5CrOs~
BUILDER'S EMAIL ADDRESS:
. ANNE..S,t-JEPr-IEi2D@R
-torYlES
SfREET ADDRESS: SkM6
Loa I 1 I
FAX:
8'1 - -/1 q 1-
l/.-t/b 3:J-
o
CITY:
CA(?ju,U
STATE:
N
BEST METHOD OF CONTACT:
TYPE OF CONSTRUCTION:
g' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
yV;;
-yV;
FAX:
PHONE:
cm:
STATE:
ZIP:
SECTION:L{
ZONING: S _ (
WATER UTILITY
PROVIDER:
SQUARE J I IV)
FOOTAGE: ,1.ou-1
Oif3
A -1. S lAJ.f;Q.LOR S Xc. '
~Old;
ESTIMATED COST Of CONSTRUcrrON: I n
(EXCLUDING LAND VALUE) to......,
NAME OF LfTlLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
d NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
Basement Finish
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TAX MAP PARCEL #:
I- 0 -2'2-,,-
PLUMBING CONTRACTOR; /,'. -
---111\1)'\ (Y\ ~ SO tJ.s , (1\1 (!..,
Plumber's Indiana.State'licelise#Mff 2 I
QP/90q,1 O~I' O"'\~~~! ~! !
hich plumbing cOdesWin,be appUed ~~ction:UU ,;i) I
....../ 11/ ,LI ~MQi ~.,.,
L:T International R, esiden . 1[fi,rVt, , , d.IRen. ts I'
I " ~'(\ O~-N~'_"~,(,i ,
o Unifonn PIUmbil\ll~e",,~i., .C#a.?l'~, a , . .-fL~p
. ~ ~\?;0 "OCF:d ~:(i J !' I '
FOUND : ?;to>~;lt'lI'tti<il: ~'ply forthe 'new
const ~ .~?;\.e ~\l' (,V"" .'
~pO~~~~6P #\,~~_ BEAM _PIER
o ~ ~E~(WALKOLJT:_Y_N)
FLOOD ZONE AREA DESIGNATION{S)
FOR THIS PROPERTY: "At; <\.- -z.,"
Lot Split:
-DD'I,CCQ
Manufactured
Trusses:
Sump Pump:
v( N
.AN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this ~~ . is valid only if construction commences within ISO
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupan~issued) within 18 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 constnlction.
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~ (z-
289) and amendments, adopted under authority of 1,e. 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 Certificate of
Occupancy has been issued q the Department Community Services, Cannel, Indiana.
~DAI\lNE-S HcPHEP.O
5 /:J-/ 101
Date'
/Signature of Print
~CE SEONLY:******************************************************(S~*J**********************
INSPECTIONS RE<QUIRED: Filing Fees: g L :Ie
_.- -~ n J?'/: '--0
~Footi~~r F~,' Under Slab Base Inspections: ~ .::>
. ~_,...-::::::::;: Cert.ofOccupancy: Y'S"~O
~C!:IeterB~ ~nal ~ P.R.LF.: /- ~ 6'/ tit! Additional Fees
~.u,.: ~~Tf~: /TJ . ,4122;7' 6'j!' 9'tJ
~~ U /s!/&~
# Charged Re.
Reviews
h~ S -7_S-
of Community Services (Date)
S:Permits(FormS/ILP RESIDENTIAL
Fee Received by:
Date