HomeMy WebLinkAbout07050272 Application
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('<>"i:"::!.~' City of Carmel/Clay Township Permit #: ,.
\ . ) RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
\ '~o:..::,/ For Single Family, Town Home, & Two Family: New Struct' ry Structures
BUILDER
OF
RECORD:
NAME:
,-:If<-l/DO
CITY:
STATE:
ZIP:
t.j(p
-r~
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
e \ i u~\x. t 'b ~ Ct--r\oor \.-C>~<:,\ le- CD..,.., e"""c.. I
PROPERTY
OWNER:
NAME:
c"'-'\L"S U:.
STREET ADDRESS:
LPio(:,t9
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
CT~.\.0\)
G.'7, ~ ~.~4co
PHONE:
'8ljd,i~/S-
~l
- 8:;)<.,'8
CITY:
STATE:
--'"-'"
ZONING:
fsQ!iAR~ LI '\<>~
_ "FOOl!>&Ej -,.. ~
NAME DF UTILITY EXCAVATION COI'ITRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
.s\)~111 MAY
II IJ
T MAP-PARCEL #:
L
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
if SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_yLN
_yLN
TYPE OF IMPROVEMENT:
VNEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Sump Pump:
.0_N
~y_N
PLUMBING
"' ~ .
Whi~plumbing codes will be applied to the c~nstruction: W~, 6ito1\S
'&t" International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB !;If' BASEMENT (WALKOUT:_Y V N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory stIuctures, 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 permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 - 1993" (Z'
289) and amendments, adopted nder authOrity of I.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 fl drain connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
cupanc as bee i d Y l\e Department of Co unity Services, Carmel, Indiana. \ .
\ - '-'''''5.\.:~_\""", Z<"\\.<YS IA- --A- h'3f)-o,
Print 0 ~ Date
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: . f P -1:f}
B I ct ). Q -? # Charged Re-
~- ~ Ft. ~ U d Sib ase nspe Ions: "'" IT /.
P 00 ~wer OO~' n er a "/1 Reviews
- Cert, of Occupancy: d;--S' )U
C ROU~ ~ ~ S!V P.R.I.F.: /.01 "I, dO
,
6 -.J-. Q
Rev; pt. of Community Services (Date)
S:PermIts/FormS/lLP RESIDENTIAL
Additional Fees
eived