HomeMy WebLinkAbout07050244 Application
.City of Carmel/Clay Township Permit #: ()76!5tJ~'-iL/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Str'!ctures
\ '
BUILDER
OF
RECORD:
. .
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
-PA-\l\ ul,. ~ C-PHONL,:b<6 rC/3c
-\-A9(:)lu'-= s.lC~OPL..') :O.~ L{~~L rz..\
~EST METHOD OF CONT!~: t II
L eLL- is SJI'-F-Ek:. ~Tl -2 S"1,
NA~f.SJC:
STREET ADDRESS: S
2\0'2...- .
BUILDER'S EMAIL ADDRESS:
~
NAME:
C-\0LL-\ /-li ~o\J 9 J:U l
,ROEEr ~..oZtS~
y \l2~~()UT Q.\ ~uE
LOT#:
SUBDIVISION NAME:
ADD ESS OF CONSTRUCTlON: (/
O~~-S- $, ~\Lll.W\\\.L
SEWER UTIlITY
PROVIDER: .$:~ \ L.
WATER UTIlITY
PROVIDER: ~vJ 8- L-.
FAX'
6~6-\ 'S0
PONE:
0\, -O:Y'l \
Chs~
~~\ .-9q~ \
STATE: ZIP:
qlc~3.1
SECTlON:
ZONING:
~~
SQUARE t
FOOTAGE::3 '20D
ESTlMATED COST OF CONSTRU a..N: rl\,~"
(EXCLUDING LAND VALUE) \ ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TACDATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units being 0 DECK ADDITION(S)
constructed at this 0 REMODEl
time: Base~Q~ Finish only
o RESIDENTIAL (For _ ~ ",AGtf5Si5~lllJllDlNG
Additions, Remodels. E\!='6B C()!j~':riii'~~HQMARAGE
~ELE"SEO . ce..[ii\h At--RED GARAGE
.'lJp\\on . I9fMOlITIQtI..
PROJECTI ~flIA'F1O~:, :)nCl L " ,-D\jICt:S
." \ St2..e' ,,,'f"I Scn p
Early Release 0 cntJN\\ManLifact~r~NSH\
Permit: DEP~LN' EL TreJlS3sl' U _V _N
Lot Split: C\ll'-OBC,,~N';ND~ll-'Nl~ump: _V _N
\1
PlUMBI
Plumber'
Which plu
o es WI e applied to the construction:
o International Residential Code wI Indiana Amendments
o Unifol111 Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the,new
construction area)
o CRAWLSPACE 0 POST & BEAM ' PIER
o SLAB 0 BASEMENT (WALKOUT:_V----1N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures. this permit is valid only if construction conunences 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 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any co struction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested b this application will c ply with, anc!.conforrTfto;-aILapplicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z~
289) a me nts, adopted u r authori!:Y'of r.c. 36~7 et seq, Ge: eral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kit en, bat an floor drains ar nnected'to the sanitary sewer. I fu er certify that the construction will not be used or occupied until a Certificate of
'Ccupanc as en issued by De / tment of unity Servic el, Indiana.
S P l?- c:: .fI.-
.'S>-3l-01
Date
****************************************************
131) "00
, 67 a SO
Filing Fees:
Base Inspections:
Rough In' , Meter Base Final
Lower Footing
Cert, of Occupancy:
Additional Fees
# Charged Re-
Reviews
P~d /'1{".
00
ReVieweCVAPpr.?Yr~: Dept. of Community Service
S:Permits/FJmS/ILP RESIDENTIAL
Fee Received by:
Date