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CityofCarme//C/ay Township Permit#: 070(POao~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME PHONE FAX
RECORD: CAS~-(- 9C;/LTIlAi'" co,-,r, IH(, 311- PI b- '3 '3'" "311- ''1b- '690
STREET ADDRESS CITY STATE ZIP
>780 8, 'Z.S".. IT. INOIAI""f'l'-IS 1.1 'i I> 2-111
BUILDER'S EMAlL ADDRESS BEST MElHOD OF CONTACT:
S:<:A~ty Sb '35" (0) AO,-, COM cc....... *'" z.el-~9'f3
PROPERTY NAME PHONE FAX
OWNER: JAMES I'.t..r-r 6~V'3AvGf/ 844-6'82.'1 89&-'701
STREET ADDRESS CITY STATE ZIP
<166 w, 14' s-r sr. CI\a.",tl.- IN 'i bO 31-
LOCATION LOT # SUBDM$ION NAME SECTION ZONING:
& PROJECT n pq-2.'2.-00-00-00'f.ool
INFO: I ADDRESS OF CONSTRUCTION SQUARE 2., 000 SF
'la' 'N. I'll tr >r/l.eG. (A~fct., 'I,.J FOOTAGE:
SEWER UllUTY J'/;fnc. I WATER UTILITY ,.,,'-'- I ESTIMATED COST OF CONSTRUCTION: 1/~i05, -
PROVIDER: PROVIDER: (EXCLUDING LAND. VALUE)
'. ,,' ,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET . . .~. -,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ,
:.,
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE International Residential Code w/Indiana Amendments
O-ATIAGHED,GARAGE 1
C"~~LffiON--------. Unifonn Plumbing Code w/Indiana Amendments
I, ________ (Multi'Family Construction Code)
-IU,W', , UNDATlON TYPE: (Check all that apply for the new
Manufactured , let . .
_Y _N T . ",0,," 'v. ." structlon area)
russes. \("~ \~Jj.~ I
"rO\"-" ,t, II,.., ~ 0 CRAWLSPACE
lot Split: _Y _N S~P'I'UIl1P;(0'-="(----e.1'j 0 SLAB
n '",- ce' (;Y 'J'l"'" ,),\Y
Does any part of the pro ~T.~,~!thi€-i',_SP~~1 F!oo.!!, ~E\!i.i9nation area: _ Y ~N WALKOUT:_ Y_N
For Single Family and T iy\\~s~~q~,ii~h~:ierQ6d~t~ and/or accessory structures, this permit is valid only if construction commences
within 180 days of the ~o issu:Qtcf::.~\B~d~g'~qrot, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure ~are ~fci-~t-,~\Gi),ecal Administrative Rules of the State of Indiana (See 67.'5 lAC 12) regarding expiration
'O~'( ~c. C~ ti~~esforbeginningand completing construction.
I, the undersigned, agree that ~n's.tfuction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this aJfgllc'acion will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannd
Indiana -1993" (Z,289) and amendments, adopted under authority of LC. 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 funher certify that the construction will not be
used orr:: until>-"ertificHte of Occupancy has been issued by the Depanment of Community Services, Carmel. Indiana.
t.- _-' .J<D'f/ C,.,.Nt ~-2.'" -07
Signature of Owner or Authorized Agent Print Date
TYPE OF CONSTRUCfION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
@. RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
(j};~.:j ,I' -
I. I;:
, .'
! ,.
o POST & BEAM
~ - ~A~t"Mt:N.l
OFFICE USE ONLY: * ***** ****** **** ***** * * ** *** ** * * ** ** *** * *** **f** ****~* * **** * *** * ** ** * ***
Filing Fees: / ") 9. .) 0
INSPECTIONS REQUIRED: ,-" rO # Charged Re-
Base Inspections: " ~ J
Upper Footing lower Footing und~r Sl - Reviews
Cert. of Occupancy: fl o:'~
Rough In Meter Base Final Site ACiditiOnai Fees
pm~k~, $:!r; 10
~~~/t:!l: -~
Fee Received by: