HomeMy WebLinkAbout07050215 Application
City of Carmell Clay Township Permit #: 070 50?1/5
~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAM' PHONE:
OF ULTE ES
RECORD: {)/ AtJ ~T CITY:
BUILDER'S EMAIl ADDRESS: R
Nf;, . -S\+
PROPERTY NAME: SA-mE:; PHONE:
OWNER:
STREET ADDRESS: CITY:
,;){)!O ~/ 77 )...
orATE, tJ ZIP:hL:l3 2-
BEST METHOD OF CONTACT:
E-M IL
FAX:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
LOT
SEfOD 7
ZONING: s-
SEWER UTILITY
PROVIDER: ~ rr
WATER LmUTY
PROVIDER: CMJ.J.[;L
SQUARE
FOOTAGE: 5"
ESTIMATED COST OF CON UCTION:
(EXCLUDING LAND VALU d-.'31 S
SUP612-l01{ E ><<2. .
TAX MAP PARCEL #~ V . 0
- (-L--(}-Q(]-Ljg-o 1.00
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA j BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S) .---3~----~'
FOR THIS PROPERTY: . _~." ,,1111 \ ;,.
~--"'\\ '\.~, -
______ \'----~:1 \\...-- \
TYPE OF CONSTR~~.oN':S?'-:""""" TYPE. I
/' ~~, \.- .........- @1\'
~ SINGLE'FAMILY':-'-/ N
o TOWN HOME\'\ <j 'l\ RO' mON(S)
o TWO FAi1iLY~ ~~? 0 P CH A mON(S
# of un.i~'l!~i,ng J:OY"6ECK ADD ION(S)
constructed. at this """"'----0 i!.Ei'JOO L
time: \\\ \\\ _---- ___ Basement Finish \.
o RESIDENTIAl (For ..............-~6 ACCESSORY BUILDING
Additions. Remodels. Etc;) 0 DETACHED GARAGE
\~......--- 0 ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
trf\-m WI d..- so1J3
olumber's Indiana State License #:
0_P / {)DQO I 0 ,
Nhich plumbing codes will be applied to the construction:
GJ....rmemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
PROJECT INFORMATION:
Lot Split:
Sump Pump:
./
V N
/V=N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
_V~
_v/N
Manufactured
Trusses:
o CRAWLSPACE 0 POST ~ p~~Ir:v! /3477:/
ED FOR OO~S1fR~~NT (WA[Ko(frC_((!lZN)
For Single Family and Two Family dwellings, additions, remodels, ro8(dojtilQtsl6tf6i~~ldrts~~~t;....s v ,I only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (C~fi~t@t:an:0upaH~ls~l'lit~hinJ.8r-~I.Iths of the issuance date. Class I
structure pennits are subject to the General Administrative Rules ~~l)~~~arttQ~~~r8:M~I~on time frames for beginning and
I, the undersigned, agree that any construction, reconstruction, enlarg~~bf?~AfIl~w ~fG~iGr1,'Q~t;1~tl\Pthe use of land or structures
requested by this apphcation will comply with, and conform to, all appl~bte taws of die State qf,JP/<4'lJN.l'WA the ~Zoning Ordinance of Carmel Indiana - 1993~ (Z~
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the Stat~b1trldti\l.~~d 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 used or occupied until a Certificate of
Occupancy has been IS u d by the Department of Conunumty Semces, Cannel, IndIana
/ I 1 ~AN,.J E. -S ~-+G.pttER..[)
/Signat OWner or Authoriz Agent Print
stJ.?:> 101
Oate
CR~
Cert. of Occupancy:
(;)
;2 @"1 5(/
(/ ...
oS S- < ~cJ
,/ / '7/ tJ d Additional Fees
TOTAL: p c;2.f7i"'/ '/c
# Charged Re.
Reviews
USEONLY:******************************************************
Filing Fees:
Base Inspections:
INSPECTIONS REQUIRED:
Under Slab
P.R.I.F.:
S:PermltsfFormsfILP RESIDENTIAL
Fee Received by;
Date