HomeMy WebLinkAbout07060063 Application
...w',.;.....":.'.'..,.'
I '" i
\ " ," /
\ '" ~ ,
" '-~!'!OIAM,~/'
City of Carmel/Clay Township Permit #: CJ r-;o feOf)&3
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 lJTILITY
PROVIDER:
PHONE:
575 -;2350
CITY:
m 1J I .JT C R-MEL
BUILDER'bM~t:s tl EP f1 ERIJ @ PUD t:;
NAME S (\(l\E-
NAME;....,
rUL Tf3
STREET ADDRESS:
l-tomE-.S
FAX:
o
5J-/-779
ZIP:
4-(OO~L
BEST METHOD OF CQNTAG:
E: IY1A I L
(Vj
PHONE:
FAX:
CfIY:
STATE:
ZIP:
AI GrLULF020
SE ON: 0
f (<. I
ZONING:~ ~ 1-
SQUARE
FOOTAGE:
WATER UTILITY
PROVIDER:
FLOOD ZONE AREA DESIGNATION(S) .. I
FOR THIS PROPERTY: /'JONE,
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o;Y TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_Y~
_Y~N
o POST & _ BEAM _PIER
-.----;
o c\ BASEMENT (WALKOUli:; " Iy;2 N.f .
1,,\ !;::..:.: (', n \:-:: II \'" I'::~, :'~ i.
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pemtit is valid\6i.J~ if(Corist~tlon commences withihhso'l \
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within.18lIilOnths of the issuance date. Cla's~ I 11\
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardin'g exPJationj~frame5f~b&nning,and
oompleting oon"ruotion. III III U 11 - U II U II
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any;c,h~e in. the use ofland or structures..::::J \
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning 0rdiriw.ce.of.Cannel-Indiana-'1993"'(Z-
289) and amendments, adopted under 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 floor drains are connected to the sanitary sewer. I further certify that the construction will not be uskd or occupied until a Cert:jfjcate.oL-___
Occupancyhas been' cd hy thr;;;;Jent of Community sc""o"'J~~;::)[ s: HE::PHG12..0-----~ (J / L/ /07
ignatu of Owner Qr Authoriz Allent Print Date
Lot Split:
. F.!', h - D3 -03 -0'-1 -.Q2
TYPE OF IMPROVEMENT: G CONTRACTOR:
~EW STRUCTURE HAm WI -I- -S ON S , I tJ G
o ROOM ADDITION(S) Plumber's Indiana State License #:
o PORCH ADDITION(S) C P I D 00 I 0 (
o DECK ADDITION(S) _
o REMOBDEL F' . h I Which plumbing codes will be applied to the construction:
a:&ment 10'5 on V
o ACCES~Y'IfJ~I,NA I. o-1ntemational Residential Code w/Indiana Amendments
g ~~:~H~'A~lr~1i I JOu~~1 bingCodew/IndianaAmendments
o DEMOLITION FO~Q TYPE: (Check all that apply for the new
Manufactured construction area)
Trusses: ~ N 0 CRAWLSPACE
Sump Pump: Y ~ Q,/sLAB
o USEONLY:******************************~********************,*****************************
~~SPEcnONS REQUI. Filing Fees: . (12'31. (p f)
c--:- F . ~ L F t' Base Inspections: 1.(37 .SD # Charged Re-
'-Up.pp-r I~ ower 00 I dl ReViews
~ ~ Cert, of Occupancy: 56 ' S'U
Ro h In Meter B se Final Site
~ P,R.LF.: / ~ I . () 0 Additional Fees
~~~~-m3t!~~
Reviewed/Approved:
S:Permits/Forms!ILP RESIDENTIAL