HomeMy WebLinkAbout07060154 Application
City of Carmel/Clay Township Permit #:_07fio{') 112 Lj
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:
NAME:
c...KQIYI~IO,.l LUINClOvJ ~ii '0'(00..... ~
STREET ADDRESS:
'Y<!lol <+
() -Dr
BUILDER'S EMAIl ADDRESS:
$fI1/"1- S'1SlocU SbC. \e/' l-I1~*
r
STREET ADORES
ILDC v-JOOc\VI{.W
LOT # f.t ~
5, Dt'
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
1<'0 'vJ
r
WATER lJT1LITY
PROVIDER:
PHONE:
FAX:
,,0 SYi - (.10
5'1'1-(,300
STATE: ZIP:
RELEfI.$;ED FOR ~dl1UCTION
OF liHti2tllP lance with all regulations
of Sti1te and Local Codes.
ONE: .
"'<18 - ~~oOF CARMEL I CLAY TOWNSHI
ZIP:
4<00 3 ?..
ZONING:
- I
CITY:
STATE:
:::eN
~m
Th1
SECTION;
SQUARE I J
FOOTAGE: :J:2..,
ESTIMATED COST-OF..CONSTRUCTION:__ ~"______
(EXCLUDING LANDNAt. UE) '("I:M-i'l\'O-.',.;;\ n;. :-~,; I
;!! \ \ i r . t, n' ,..::'\. .'U\\jl I .. ,,'\ ,',
i iLl!'1
Ilr,\
TAX MAtljARdiL #:
,
PLUMBING CO~TRACTOR:
"';It
Plumber's Indiana State License #:
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / aZA / BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
. -illll'l
II' ,
Ii : ,
i'I' IJ'
" ,
itS I
I
FLOOD ZONE AREA DESIGNATION(S) X
FOR THIS PROPERTY:
U rJ s.l1C~ de. b--)
TYPE OF CONSTRUCTION:
'Il6 SINGLE FAMILY
"a TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y -t-~
_Y --XN
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
J& PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
_YXN
_Y+N
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o
Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
CRAWLSPACE Ji.. POST & _ BEAM -KPIER
SLAB 0 BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit 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 1
structure permits 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 r.c. 36r7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, b th, 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
o c fh be IS by the Department of Corrununity Services, Cannel, Indiana.
S'rrr-"'..J
OFFICE USE ONLY: ************* *** **************~~************ ****** ***~!?*50****************** *
I PECTIONS REQUIRED' Filing Fees: ! - .
. Base Inspections: / /7;<. S ()
Lower Footing Under Slab
Cert. of Occupancy: .::;- J. 5""0
~I ~
P.R.I.F.:
/~~h(;_5rJ
S:Permits/FormS/IlP RESIDENTIAL
~
Print
ommunity Services
6~Z8-o7
(Oate)
Fe
(4-20-01
Date
# Charged Re-
Reviews
Additional Fees
ecelved by:
Date