HomeMy WebLinkAbout07060064 Application
City of Carmel/Clay Township Permit #: 0 7010 OOCo'f
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:
SEWER UTIun
PROVIDER:
NAME: PHONE:
L ,TE I+OVy\ --S 575.;)..350
STREET ADDRESS: CITY:
. ~ () I\l, 1'Y1ER UlAN -S;.T jl,l!.J{-L
FAX'
'r! .JO &;
STATE:
IN
58' /. 770 'I
ZIP:
L/- l.o032..
BUILDER'S EMAIl ADDRESS:
NtJE, sHEPHERD
NAME: ",srVV\ E
BEST METHOD OF CONTACT:
~OVJ'l
STREET ADDRESS:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ /SINGLE FAMILY
(Y TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_YVN
y~
Lot Split:
PHONE:
FAX:
CITY:
STATE:
ZIP:
SECTIO'6U< Cl
ZONING:S l
SQUARE 0 ()
FOOTAGE: 2; ('1 L /J.-
IT
mL
NOrJl;
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
g ~g~~:.~~ID~~" "lea, /1 .n^ IS .111
o DECKAD ~~hlWIA III ' ..' UV Ilv V
o REMOBD . F' I h I Which plumbing codes will be applied to the construction:
_ asement In s on y
o ACCESSORY BUILDING UJ..1nternational Residential Code wI Indiana Amendments
o DETACHED GARAGE .. .
o ATTACHED GARAGE 0 UnIform Plumbmg Code wi IndIana Amendments
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Vy N
Y~
o CRAWLSPACE
~B
o POST &
BEAM _PIER
o BASEMENT (WALKOUT:_Y_N )
,..------- -- --'--1
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if:dons\~cticlli/~~~encesl wit!tin 180 <\ I
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 ~~Pt~iof the issuance date." Class I' \ \ I.
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expir~tionltime frames for beginning and i I
completing construction. j i r-.,'\ ! " I' II
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change:in rre use 'titaN' Oi"st&.ctmd37 ~ '11
requested by this application will comply with, and conform to, all applicable laws of the State of IndIana, and the ~Zoning Ordiria~ce: q~ Carmel Indiana - 1993~ (Z' ) ,jJ I
289) and amendments, adopted under authotlty of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory th~reto. I further certify that only i ~ J
kitchen, bath, and floor drains are connected to the sanitary sewet. I further certify that the construction will not be used or occupiedun-til"a:Ceii.i[jca.te 0[----> I
Occupancy has been iss ed by the Department of Community Services, Cannel, Indiana" L I
1iu;( J()AAJNF -S HFPHF-f2/J--tot4/cn--3
'"Sig eof Owner or Authorized Agent Print Date
OFFI E USE ONLY: ********************************************************~************************
.~ INSPECTIONS REQUIRED: Filing Fees: 7 () ~ . ?- 0
~. .p.. per F~oting Lower Footing Und Base Inspections: ~ .l 'J-': 12
~ Cert. of Occupancy: __ _
Rough In Final / . () 0
P.R.I.F.:
30
# Charged Re-
Reviews
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL
07
Fe