HomeMy WebLinkAbout07060156 Application
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City of Carmel/Clay Township Permit #:
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:
NAME:
~<,\ao.r \~L:l~S
l- LL
STREET ADDRESS:
tololoLR - _ '7
BUIL~ER'S EMAIL ADDRE~\ .
e \\<..c~~ '0.) o..~\.o,..\,,,""'-l.s. ,\e: . Co"",,,
NI}I:1E"
\"""\:r\70.
\-\v~ <:':, \...-LL.
PHONE:
. Lld'i'67~
FAX:
84. d~
erw
-::I:' \ 5.
STATE:
-::;;::^"
ZIP:
'-/ Iv " :;"D
BEST METHOD OF, CONTACT:
8vvo..,
PHONE:
cL..lf'd'l S'7S""
Cc,,j>
STATE:
ZIP:
Lf Ie'd- '5a
STREET ADDRESS:
LY lo l.D lo
CITY:
(; - 7~ Sl-. #- tjLY:J -:C",
NEW RUCTURE
'M ADDITION(S)
PORCH ADDITION(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
ADDRESS OF CONSTRUCTION:
\ loS- A.~\(:)--U
,.. ,
SEWER UTILITY (l-,...,-, ,~ WATER.UTILITY C I
PROVIDER: L\ \-<..W\J /zf,\V{ <\ <A.v-\-v\e..
/' '\".../...",
NAME OF UTILITY EXCAVATION CONT!Y'go~;'rLAN'CO"1/(\1S / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn-;\VEll'AND/OR"S RMIT #'5 (IF APPLICABLE):
I';v..::-'" v/ \
FLOOD ZONE AREA DESIG. NAfiON7'''~(S) V',,/
FOR THIS PROPERTY:,..' ,,c;? ""'--'
/_____ \<7:
'\ (",,\,'
TYPE OF CONST U N:
SINGLE FAMibY\J~
TOWN HOME \'0
TWO FAMILY '\
# of units being\
constructed at thiS
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_V~
_v.:Vf[
Manufactured
Trusses:
Sump Pump:
LV_N
LV_N
SEmON:
ZONING'S-
SQUARE
FOOTAGE:
\
,
'-i ~ '?f1
\'15 LfX)
07(j.pOI d)
e<;;\-t,dd.,'TA), i./Ga'T
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
\"\'\\'M(L ~0,,^-\v\~
Plumber's Indiana State License #:
'V\~N7
Which plumbing codes will be applied to the construction:
~International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB \;Y'BASEMENT (WAlKOlJT:_V ~)
,
For Single Family and Two Family dwellings, additions, remodels, and/or a~e~~r-"s!-~c~urestJlJ.lstRe~it.r~PIlly;i.~tion commences wi~hin 180
days of the date of issuance of the building pennit, and must be complete~6tdilpa\my'tss\tlu,~lltihl..f8-tb.bhb{J 3f the issuance date. pass I
structure penni[s are subject to the General Administrative Rules of the St.as;,ffil~~<e~~Jafi.d0)wijro.-~gg~li.\;he frames for beginning and
eompktmg co1\sUUSfl'\!!t Ie find Local Codes,
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, ori11tm80n or a str;un~{~liaerB~~MiRtb~se of land or structures
requested by this application will comply with, and conform to, all applicable la~fR.e{!it@fOf~GMMi_Uill r:tovi~Jt,~fdiMah'tf~armel Indiana - 1993~ (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General AssPllI fJ4t;-St~RH%c:\im', apcra:~y.,*l'}~~l~. I further certify that only
kirchen, bath, and floor drains are connected to the sanitary sewer. I further cirKl Mile ~~E:\I.~Hmt"'ilI'~ot be us~J:"'or occupied until a CertiHcate of
....Qeeupan has beecr d by epartment of Community Semees. Carmel. Indiana. I N DIANA ".
'gnatu 01 wo O'AUthO' ed gent ::2oce_~ a~\.aD I.\~ Da~-(S{
OFFICEUSEONLY:*******************************~*******************JP***~********~***************
INSPECTIONS REQUIRED: FIling Fees: 1';2. rG
<I1P - .- - ~ Base Inspections: 6L?7, :<)0
I!per Footm~' ~er Footl~ Under Slab ~ """0
_ 9 Cert. of Occupancy: 0 J ' J '
Q.OU9h~~terBa~e Site P.R,I.F.: /1. 6/00
,---~ro;AL: $r;iJL/';; b, '10
~~/~
Fee Rec~ by:
C d---l I
ReviewedjApp Dved: Dept. of Community Services
S:Permtts/Forms/ILP RESIDENTIAL
# Charged Re-
ReViews
Additional Fees
Date