HomeMy WebLinkAbout07050213 Application
City of Carmei / Clay Township Perm it# 07 D5612,) 3-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICArrION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
NAME:
b
STREET ADDRESS:
~AAIk(.
BUILDER'S EMAIL ADDRESS:
,
PHONE:
FAX:
5f>z..- Z.~5 3
QTY:
STATE: .
IN
ZIP:
!>,,,a. .
e
BEST METHOD OF CONTACT:
- 8SIO
PROPERTY
OWNER:
NAME:
f.S1'RIO~l!..
'-"PH . FAX:
Subject to compliance with all regulations
~
ul lr, , v '--
DEPT OF e5:MMUNiTY SERVIC;gs
STREET ADDRESS:
LOCATION LOT #;
&. PROJECT 51
INFO:
SEWER UTILITY G".Rlnel
PROVIDER:
SUBDIVISION NAME: .
6R/!alt)l,,)
ZIP:
f- \...-J4.ili IC.L j J
I
SECTlON:
i
ZONING:
A\\ INDIANA
z:
;5-1
Clte<:.e.o.l r i::>R 14(
SQUARE
FOOTAGE: 037 Z.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEmc PERMIT #'5 (IF APPUCABLE):
h
FLooO ZONE AREA DESIGNATION(s) /i;::..~~ ~
FOR THIS PROPERTY: /fR'~ ".~" -or 0 5'
I~V '"" ""
TYPE OF CONSTRUCTION <i\ TYPE'OF.noW~VEMENT:
j& SINGLE FAMILY ;{ ~ .rA 'N~ STRU URE
o TOWN HOME /<&/J/ ,ffJ - R~M A ITION(S)
o TWO FAMILY 'P ""/ "\) 0 PORCH DDITION(S)
# of units ~i~.g>> / ~ D/DEC DDITION(S)
constructed at this '\" 0 REM DEL
time: / '<0/ ~ I 7 Basement Finish only
o RESIDENTIAL~(For ~ I 0 ACCESSORY BUILDING
Additio,;s.':Rem'odl;ls. Etc.) / D/DETACHED GARAGE
.,. '_.......' , ,
"'ZF'~'v'~' 'ATTACHED GARAGE
PROJECT INFORMAn.?~: 0 DEMOLITION
Early Release ':,... Manufactured
Permit: _Y ~N''''' Trusses: XY _N
Lot Split: _Y -.:z{N Sump Pump: ~Y _N
0tM1e /
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) " l{()O 000 '
-Pe-ll: ",
\DlJ
\-'V
TAX MAP PARCEL #:
Cell
..... 'A', ita
o,~/;'L'/fJ9>A. '. ~II...
"'t@,~~;S
') ':Ii'"
PLUMBING CONTRACTOR:
Kl. lYloo/l.e
Plumber's Indiana State License #:
~'tlO'5'Z.oS
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendmer:-ts
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ()( BASEMENT (WALKOUT:_Y+N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences wi~hin 180
days of the date of issuance of the building pennit, 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.conJorm to, aUa-p icable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
289) and amendments, adopte nder authori r.c. 36~7 et seq, Gene Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, a oor drain are connect to the sanitary. sewer. I furt r certify that the construction will not be used or occupied until a Certificate of
Occupancy is e y the De tment of COnUnunit s~s Carmel, Indiana. II . ,I
" ;2"J,,-, T fflll~~ ~/zZ.j{)7
Signature of ner 0 Autf10rized Agent Print ~ Data' ~
************~~******~***********"**~~*******************
FIling Fees: I I /7'.. (J
, .:2. '~A .
Base Inspections: rf7 ~ u # Charged Re-
ReViews
Cert. of Occupancy: C '), '5V
/1 6/ aO
TAL:./? #a25f~;< 0
~/C/~~.
OFFICE USE ONLY: ****************.
INSPECTIONS REQUIRED:
~~ ~wer FootiIJ.9) Under Slab
~U9h 0 ~ter B~ F~ Site:J
P.RJ.F.:
...s-_ S L5-0
Review
S:Permits/Forms/ILP RESIDENTIAL
(Date)
Fee Received by:
Additional Fees
Date