HomeMy WebLinkAbout07070229 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit #:07()7(}a~ f:J
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX:
PHONE:
'75
STATE: ZIP:
".4:-AJ, '-I &>;;) SO
STREET ADDRESS:
/..ol9Gt,
CITY:
~" ~40a ::en
Is. '
i'.h
BEST METHOD OF CONTACT: t
, "'" e VVtOcI \
BUILDER'S EMAIL ADDRESS:f'\ \
a\(V\cQ.G.. c.J ,\v.:: \""""'....
NAME;
S'\VU1Y,1J.rV\ oV"'\~s.
PHONE:
Lj'd" \ 'G'1'S
STATE:
J:..tJ '
ZIP:
'-/u,'dSO
STREET ADDRESS: .
GlolDU 1;:.. 'tsU:> ~-t,.#. '-/00
CITY:
::C'"
s'
ZONING:
s-\
~g~~~E ~ crd~
SEWER UTILITY
PROVIDER: c.~ w'0
WATER UTILITY
PROVIDER:
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TAX MAP PARCEL #:
0'''6 ,(~.
712 ."'1.
E P 00 ok PLUMBING CONTRACTOR:
-d' NEW STR ti)~ <5I4>",,'?J,c-?<?O-9 Q ~\\::> tCN-;\:v-C^C--t tl-< S
o ROOM ADD sCo 4>", "'l!lu:.Q;;;;:,s Indiana State License #:
o PORCH ADDrn '-% 0'( ~7V~, -,
o DECKADDrnON(S ~ ~l/. O"v''''",,?>~~LP'-\';)L\O
o REMOBDEL "~(I/ ^ IJ;;~/ ~.fu.-Q!bl~e5 will be applied to the const,uction:
_ asement FiniS Y Li' A 0'$ iY,,~:r~_
o ACCESSORY BUIlDIN Ik "'( ~'i!P.natRW&....,.idential Code w {Indiana Amendments
o DETACHED GARAGE '-1 ~:.?"'" '?.~, '
o ATTACHED GARAGE ~:U Plurrmlng Code wi IndIana Amendments
o DEMOLITION ~~
FO ~'A:'ON TYPE: (Check all that apply for the new
constru area)
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
r
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~BASEMENT (WALKOUT:_ V -.LN ).
LV_N
LV_N
_VVN
_VLN
Sump Pump:
Fm Single Family ",d Two Family dwelling', addition', <<model" ",dim .ece>oory structure>, thi, permit is valid only il cons~stignco~en8e~"1,iIi0j80\~; ~'\
days of the date of Issuance of the buildmg penrut, and must be completed (CernfIcate of Occupancy Issued) WIthm l~trriO~t~s ~f ~he~s';lance'4a~:lCl~s I \ \
structure pernuts are subject to the General Adnurustratlve Rules of the State of Indiana (See 675 IAC 12) regardmg exp~cat;Jon_tune ~s.s~foI: begmnmg ali~ \ \
complenng constructIOn \ \ \ \ [" - I \ \ .
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 apphcatlOn w1l1 comply With, and conform to, all apphcable laws of the State of Indlana, and the "Zonmg Ordmance bfCarntfl.lndi4pa11~'Ylz~ \ \ \ J'
289) and amendments, adopted under authOrity of I C 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatorY. theretouM"JrthM certily'th~t o~ \.: )
kitchen, bath, and floor drams are connected to the samtary sewer I further certify that the cOllstructlon will not be used or\:~~cJpl'ed until a Certificate of
Occupancy been issu the e artment of Commumty Setvlces, Cannel, Indlana 1\1J 0l-----
,jO(1ea~ 7e\\u-S\ f\j!"'-'\.. ,-~:;fSJ-
of Ow for uthori Print . \.,.._Date
OFFICEUSEONLY:*******************************************************~*************************
INSPECTIONS REQUIRED: Filing Fees: / {} 7/7 / ,3 O'
(Upper F~9 ~~g Under Slab Base Inspections: d:.} 1; # c~::~ee:;sRe-
Cert, of Occupancy: <, .)
eter B Final /) 1'1. ,,/1
P,R.I.F.: t-cA -b UU Additional Fees
TAL: ~;;
Reviewed/Approved: Dept. of Community Services
S;PermitsfFormS/ILP RESIDENTIAL
(Date)
Date