HomeMy WebLinkAbout07050277 Application
City of Carmel/Clay Township Permit #: () 705[);Z1J7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
L LeHONE: FAX:
-lg'0 -'8'db"?
OTY: STATE: ZIP:
_"i'l<~ ':::L"''' 10 .+:AJ . 4- ~
B ST METHOD OF CONTACT:
"- :; . C~ e...'....cLi
PHONE: 3'ld'l &ts FAX:
1.- Lc..
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
ADDRESS OF CONSTRucnON:
\':)'14 S '\ v-"'-"", 0-
~~~~:;'~Lm b ~\D ~:;I~~Lm (:Qv- ~e \
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (DUNn' WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TYPE OF CONSTRUcnON:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
ZONI~_ .
SQUARE
FOOTAGE: S "SJD
~e...
ESTIMATED cosT; 9f...,CONSIRUCTIQN: . ~- -
(EXCLUDING LAND:VAlUEF::: \ '. -, .,
j I i II r - --' _ '-- -= ~,-
w', \$1:> '" I' ~j~~c.:t;
fiN'
"! 'I'
TAX MAP P ~PEb r
-,
I
PLUMBING CONT
-J\, 1>"-
Plumber's Indiana State License #:
~\D<O 4S 40
iil iii
~iP
'I" III
I /11
I LJ1
I~
I
j
~
Whi~umbing codes will be applied to the construction: ;
~lntemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndianal.Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release / Manufactured /
Permit: _Y ~ Trusses: .\L.-Y _N 0 ~WLSP~ 0 POST & BEAM _jlER
Lot Split: _Y N Sump Pump: Ly _N :\1'>1j~\~ 'ij'f BASEMENT (WALKOUT:_yLN)
For Smgle Famlly and Two Family dwelhngs, addmons, remodelS~an omE\Qs ~8t\\s~s perr~~~ahd only if constructIOn commences Wlthm 180
days of the date of Issuance of the bmldmg pernut, and m~s~~ b:tcI1.( catc;,.~~ 1 '~~thm 18 months of the Issuance date Class I
,tructu," pernuts >IT< ,ubJect to the Genem] Admim"'~~~~~~:~=\~ -<Il~~~~"ng exprratlon tune fram., fm begnuung and
T, the underSIgned, agree that any constructlon, reconstruc~~~nlargcd. t,'J:f~&i~"m- ~~r<tb\"tln df'a'structure, or any change ill the use 01 land or structures
requesred by thiS applicatIOn Will comply With, and conform to, all~IA~e~~ cl.~a\elM"Indlana, and the "Zonmg Ordmance of Carmel Indiana - 1993j (Z~
289) and amendments, adopted under authority of I C 36~7 et~'t\1'ehe?a1 ~~ PF-Indlana, and all Acts amendatory thereto I further certlfy that only
kItchen, bath, and flo drams r connected to the samtary se~$J re-~e\...t'ertlfy constructIOn w1l1 not be used or occupied unt1l a Certificate of
u anc has bee ed 1) e Department 0 Commu@J't'\S~tvlces, Cannel,~ndIana A
. (),:. ,~u_V\,Zwk-Jl_Se4 5.<.[)-o7
Print 0 Date
P.R.I.F.:
Cert. of Occupancy:
Additional Fees
Final
65.50
/ ~ G / (f0
,}-S-)7' 00,
CV~:61 HI~ ~-13-()7
Reviewed/App!bved: Dept. of Community Services (Date)
$;Permlts/FormS/ILP RESIDENTIAL