HomeMy WebLinkAbout07080070 Application
City of Carmel/Clay Township Permit #: () 7n~Of)'10
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
FAX:
84S-909S
PHONE:
BUILDER
OF
RECORD:
8"'fs,-- 2- \(.0 \
(hvw\' ,
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CITY:
tvd\t\w.:t \\'S IN 4tOLSG
BEST METHODOF CONTAGT:~ rc:==;-~:------------ ~
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sJl~k FAX: -III )/i
IU U~ATE: ZIP: 1101
ZONINCjn D I
----'t:-~t _
ZIP:
STATE:
~ 1{\'2:':~\c. lot..<. \
, \s.coVV\
PHONE:
NAME:
Mu'Y\ ,y\
PROPERTY
OWNER:
'ee I\A.C~~
LL-G
CITY:
STREET ADDRESS:
S.qyv\(>..
SE
1).<\ V\!<Ji- I
ON:
SUBDIVISION NAME:
LOT#: I?D
LOCATION
& PROJECT
INFO:
ADDRES~ qF CQNSTRUCTlON:
'/.{p I /4\". qr ,.I vJ
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) $ \'20, CO C;
WATER UTILITY
PROVIDER: CG'( yV'\.Q!\...
SEWER UTILITY
PROVIDER: Co... '< YV\-e!L
f\J.P ,.e~yUI Ooc",",+ '*'
DAD..., 006'5. '2.
i,l.., E.y"-'-rt.h",,~
p\, I ALOS '" 64-D1et.%
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)
TAXMAPPARCEL#: \~-c<l'"",,'-1..C;_i:"2--6~.-6"2.C. ("-,<0
\lP-cq-1-S.v1..-63>-O"2-\. ICe,
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY;
9:::oV\Sl.. " X- I'
CJ 70~005
PLUMBING CONTRACTOR:
l2-- '''- '<2- P\ 'AWl \.0\ 'V\.~
Plumber's Indiana State License #: '-.J
C f' ~)~'D 00 \bS
TYPE OF IMPROVEMENT:
r;i- NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
J:!- TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Which plumbing codes will be applied to the construction:
Y3/ International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
R~~ FOR CONs:m~!DIltE 0 POST&_BEAM_PIER
S~1~mpliance With r'S9Al\atl615BASEMENT (WALKOUT:_Y_N )
PROJECT INFORMATION:
Manufactured
Trusses:
Sump Pump:
Early Release
Permit:
Lot Split:
Y XN
Y XN
..,
For Single Family and Two Family dwellings, additions, rem~~~~Ij.3cBts?D!lt9N'llNf~i~4-GiSSmIY if construction commences within 180
days of the date of issuance of the building pennit, and rou \IhpWf"d ~e:h"tffilc~~e""6t ~ct~p~~~SAJ~e 18 months of the issuance date. Class I
structure pennits are subject to the General AdministratiVCt1V ~ ~NW!w~ (@~~~~~nifexpiration time frames for beginning and
completmg cO~"RIl\.111
l, the undersigned, agree that any construction, reconstruction, enlargement, relocatidr\.~\fctla~Ioh 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" (2-
289) and amendments, adopted under authority of l.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 or drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy h en is ued by. the nepar":Jl'f Conununity Semces, Carmel. Indiana. / I'
i . tU. Ur. LjuTr t<{. tLloSff;IL O'i( D-:J- ;:ry
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ***************** *************~~****** ******* ***** * ~********~*****************
INSPECTIONS REQUIRED: FIling Fees: '{;L8.tJ . (0 CJ.
~p~ing Lower Footing C!lnder-;;~ Base Inspections: ~ 7 'yr!}
, ,- , Cert. of Occupancy: _0 J
~In ~ase ~I Jite " iJ . I
... ~ P.R.I.F.: rdl~reVIf'J/J-~ Additional Fees
~c/~ Wtl C-:;J.J>!_~~: /j 15 ~~~()
Reviewed/Approved: Dept. of Community Services (Date) ~ ~~
S:Permits/forms/ILP RESIDENTIAL
Fee Received by; / Date
# Charged Re-
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