HomeMy WebLinkAbout07060291 Application
City of Carmel/Clay Township Permit #: 07~odftl
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 UTILITY
PROVIDER:
NAMP()1;
PHONE: FAX:
0-75 J3S0 dDb
cm: CARMa ST7J
Z003 2-
PHONE:
BEST METHOD OF CONTACT:
COm B-1 A- (U
.;- i~~'-: ED FOR C@NSTRUCTION
SUbJ.oc,t LO compliance with at! r .
)/ 0(0 mfE:t Local COd1l8~
DEPT OF COIVi:\ilUNITY SER
UfECROr-!:' ,'i;t:L /, ,lz<ifl{N'IUWI~SHIP
I :,1 0-'.-1-
SQUARE 1 ~ I() -
FOOTAGEl(I d ~
ESTIMATED COST OF CONSTRumONd' to 0 J L/--3
(EXCLUDING LAND VALUE)
(
BUILDER'S EMAIL ADDRESS:
.JOANNE" ~\-\E.Pt-\E:Q.O
NAMESAfYl(;
STREET ADDRESS:
LOT #:
cm:
NAME OF umLl1Y EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE):
A -1- Suit1<-I"OtL E1-~
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
e<r"'SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc. J
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_yV;:;
-y~
llf. If
TYPE OF IMPROVEMENT:
I\Y" NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
Basement Finish onlv
o ACCESSORY BUI~DII"-
o DETACHED GARAGr
o ATTACHED GARAG
o DEMOLITION
T1~OqC~~ -<00 00
PLUMBING CONTRACTOR:
ltAmm ~~~.&0A)S-T;-!M(!:;n
Plumber's Indlana'Stare.Llcense #:~-; 'j "-,' 'l.'~ I) \',1
" .JJtP frYtYOTO-n II : II
h- h I - cod"~') I ~ ~ . III III
W Ie p umbmg es will be a tQjt c:onstfJJction: I I
i ,I III "L LUU/ II
~temational,Residential Code w/Indiana AmendmentS
I" Ui It.::.! I
o Uniform Plumtng Codew/Indiana'Amendments
FOU N DATION-TYPE:- (Gheck.all. that- apply-for- the.new
construction area)
o CRAWLSPACE 0 POST & _ BEAM ~PIER
o SLAB CiV8ASEMENT (WALKO~Mt:iJ
Manufactured
Trusses:
Sump Pump:
Vy N
A_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction,
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel 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 used or occupied until a Certificate of
Occupan has been issued ~ e Department of Co unity Services, Cannel, Indiana.
\ JrJA-rJ /lJE ,sHePfI ERIJ
Print
ltJ/J-'Bkn
Date .
\
o
.%gnature of wner or Authorized Agent
SEONlY:**********************************************************~**~~****************
F'I- F . / a;< J v
INSPECTIONS REQUIRED: ling ees. .-, . __
U F t- L F t. U d SI b Base Inspections: ,::;>/ rf7 ,~()
pper 00 In ower 00 In n er a
Cert. of Occupancy: ') S - ")'0
P,R.I.F.: / d- G / 00 , Additional Fees
:FaTAL: ' ff,)tcJ? 5?J
'-?-~~~ I
Fee ~ce\ved by",
Rough In
Revie
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