HomeMy WebLinkAbout07060153 Application
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City of Carmel/Clay Township Permit #: o7olt::OI53
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAlIION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
rv'l-"
PHONE: FAX:
3/1- FJ:'\IdtA$jll1c~OR CO UCTION I
u Jeer 0 camp ~ with all re~-p!ations
of State a}cjJ.ocal Cocle
o ii1'" 1\1,
8M
cm:
STREET ADDRESS:
z..'3.'l) .; //J C7
c
BUILDER'S EMAIl ADDRESS:
NAME:
STREET ADDRESS:
LOT #:
Y<"~5
JJ 4 tlL
PHONE:
3/7 - '+0 -/7'1- (,
.tV/A
H 3L
ZONING:;J 1
I\-~
II "\ I :!! i l! {SQUARE -L'tzt
li\1 JUN 192007 :,i Iii @(l)'AGE:_~~
SEWER UTILITY : 1\ U I[ ESTIMATED COST OF CONsTRuCTION:
PROVIDER: C-/lf-trI. t. L C 4.-,(""( L i" '.. _.(EXCLUDINGLANo-VALUE)J - I :1? K
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET L ~
NUMBERS; TAC oATE(S); ANoIOR COUNTY WELL ANoIOR SEPTIC PERMIT ,'5 (IF APPUCABLE): 'f 0 0 0 sf
(...:~o
em:
C.,filttl\tL
STATE:
ZIP'
S71J
.-r N
,N
i r-- r"
i I ;-\\ . r
, ' 'I'
Itl! "
'- i:fI.'kt/z
;SECnON:
-- '-f.A-t&~ c"; i:
r(~' --
\, 7
ADDRESS OF CONSTRUcnON:
-i..?O J7.J$'/
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIOENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
<-c
(l ~4c-r
TYPE OF IMPROVEMENT:
o NEW STRUCTURE 0 W IV
$,. ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL Which plumbing codes will be applied to the construction:
_ Basement Finish only J
o ACCESSORY BUILDING 0 International Residential Code wlIndiana Amendments
o DETACHED GARAG~' ' i U'f PI b' C d II d' A d ts
\;l... ATTACHED GARAGE . '_,:'. :.;; arm urn '"9 0 e w n lana men men
o DEMOLITION ~ ',' ,J
',.;,.. .' FOUNDATION TYPE: (Check all that apply for the new
Manutactured_::2("" SJ~onstruction area)
Trusses: ;:" ",/r/;"'y;rr N 1~ 0 CRAWLSPACE 0 POST & BEAM _PIER
Sump Pump: _Y _N Gilt 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 with!n ISO
days of the date of issuance of the building pennit, and must be completed (Certi(jcate of Occupancy issued) within 18 months of the issuance date. Class I
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 structure~
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. 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
Occupancy has been issued by the Department of Community Services, Carmel. Indiana.
~ MH.~~ IJ41,,'c.1. '~/9-71
_____---- Print ~ Date :
~ ' I
ICE USE ONLY: ***********Y******'*""*******~~***'*******************~**:r**:rw.....' - '..j<*~*******
INSPECTIONS REQu.mEO:C //11 FIling F es: ~ ,-;,- --'$~ m !
(I (1'1 CBase spections' - ,,/~.;2 J harged Re.
Upper Footin Lower Footing Under Slab 'd-' '~ 5,5:,);0 Reviews
ert. of Occupancy:
o
P.RJ.F,:
Additional Fees
2/ S:.3~.1'~8'i
/ -
TOTAL:
Fee Received by:
Date I