HomeMy WebLinkAbout07070008 Application
City afCarmel/Clay Township Permit #: 07D70(f!Jg
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAIfION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures
BUILDER
OF
RECORD:
C4:'t-l Co
<(t)5-72 I I
FAX:
CITY:
JATE:
BEST METHOD OF~NTAcr:
L't>E"/"lESeJiQ.IU/.!-tMSS. cerv--.-
,
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME:
-S I^M.e.l~fL
ryFJ'l AD~ESS: ,I
j"t ";>0 v IOL€f W
FAX:
LOT #:
CITY:
CA-UVlfL
A'br\ OS
STATE:
{N
SEcnON~L -
ZIP-
t..f 0 "2-
LOCATION
& PROJECT
INFO:
ZONING:
SQUARE
FOOTAGE: 2571
ESTIMATED COSTcOF.CONSTRUeTION" '-:::--:-:-..7 - '~-~-G''- ..
(EXCLUDING LAND,VAlUEYS \.;--" '::L.<:::::,?v-":'- .
i.l\\IL--.,I..-V,-..:V~:1
ili'll \1\ '
'II ), :' I]
I.. 'I I' I
Ir,\ \ (\ r,TI ,: I!!
8'" cD '" "I ~V, ") 'II
, Ubjfn.> . Pat> TAX MAP PARCEL #\: ,~' I '
, C to COin _ rr Co i U ~! '-' I
TYPE OF IMPA'J A'tt3i::' "lIe af)ll~o '~r;., ~R: I
o NEW ST1i({~ot ^ COMIvi cal COde 9U1ali'OflS
o ROOM ADDITION(sP'1I1M~P, ~bbt.~"S - f1j! State License
o PORCH ADDmON(S) 'A. 1 "L..A Y Ii VICts
o ~iW~t:I(S) IV, P OWNS
~ REM~DELKJ:::.r}1.F_ !:'S:th kll Which plumbing codes tI.IRe applied to the construction:
Basement InIS on)y ,
o ACCESSORY BUILDING 0 International Residential Code w {Indiana Amendments
o DETACHED GARAGE _ _ _ '
o ATTACHED GARAGE 0 UnIform PlumbIng Code w{Indlana Amendments
o DEMOLITION
N~
WATERLITILITY/lA J?^'^-L
PROVIDER: ~V\.\:::.
NAME OF LITIlITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PER #'S (IF APPUCABlE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
STRUCTION:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATIOl!: ./
Early Release /' Manufactured
Permit: _ Y _N _____ Trusses:
Lot Split: _Y ~ Sump Pump:
/'
_Y~
_Y_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & _ BEAM _PIER
o SLAB 0 BASEMENT (WAlKOUT:_Y_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 pennit, 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 a .cation 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 amend ents adopted under authority of r.c. 36~7 et seq, General Assernqly of the State of Indiana, and all Acts amendatory thereto. I further cer~ify that only
kitch ath, d fIo r drains are connected to the sanitary sewer. J further certify'that the construction will not be used or occupied until a Certificate of
Oc i ue b heDfPartlnentofCOmmUnityserviee"~7al i"<:- b€/NE::S 7;2. tl)7
51g Print Date
OFFICEUSEONLY:******************************~~*******************************~Ci~**************
INSPECTIONS REQUIRED: Filing Fees: ,I ,)J?, 0
Base Inspections: 1/:)- cO
Cert. of Occupancy: ' ,.~',!J:(J)
Upper Footing
Lower Footing
Under Slab
# Charged Re-
Reviews
Site
(Date)
Additional Fees
~30f()O~
tr~
S:Permits/Forms/ILP RESIDEffTlAL
Date