HomeMy WebLinkAbout07080088 Application
City of Carmel/Clay Township Permit #: 07()'b001::/6.
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 lJTIUTY
PROVIDER:
\
Ii
NAM'1J
H).i.IT,
STy\g~O N
BUILDER'S EMAIL ADDRESS: r.'
"JOf'INNe. SHEPI-I82.D ~
NAME S 1\i'Y\C
STREET ADDRESS:
LOT#i gO l
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
GV-TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pe
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy i
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC I
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a st cture, or any change in the use 0 a d or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, an ~y"Zoning Ordinance of Carmel I diana - 1993" (Z-
289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the Stilte of Indiana, a . ther 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 iSSU, r the Dert:J 01 Community Semc"" C7:j'OA~~ N E-SHeP r\8J2.D xi, 107
"gnatu Print Date I
O~FICE~SEONLY:*************************************************************:1******************
~PECTlONS REQUIRED' Filing Fees: , ~ ' 0_ I ~
UF' L F t' U d SI b Base Inspections: :::> 7 ? 7, J # Charged Re-
~o ng ower 00 m9 n er a ReViews
Cert, of Occupancy: ,55". )"0
P,R,LF,: / c2 G /. dO Additional Fees
TOTAL: . :tI ;:2 d ~ -Y 3 (}
. J~~ 17. 1.)/:;;;;;; ?:JI/'/P?
FeeR~bY: I e
Lot Split:
~
_Y"'-;
_Y~-
50~l5 - J ~5 0 X ,:;J-O(;t:
I~l 0 i A tJ ~T: CA-?2..N\f::LSTAT,: ~
P BEST METHOD OF CONTACT;.....
lLLrE, C,Q)IY) cmA I G
s
ltGo3J-.
PHONE:
FAX:
CITY:
STATE:
ZIP:
SUBfl)L0";l~ AT GW L~fl
SECTION:
3/0
ZONING: 5 - ,::1-
i1t)
x
".
NTRACTOR:
- ~IV\ d, ~OrJ'S
ROOM ADDITION(S) ~ Plumber's Indiana State License #:
PORCH ADOmON' M - ~ f'tp 0
OECKADOmON(' I~ \ p.. L I DOO \ \
REMODEL 0p,~ Which plumbing codes will be applied to the construction:
Basement Fin. IJ
o ACCESSORY BUILDI...~ ca/Intemational Residential Code w/Indiana Amendments
o OETACHEO GARAGE
o ATTACH EO GARAGE 0 Uniform Plumbing Code wI Indiana Amendments
o OEMOLITION
TYPE OF IMPROVEM
~EW STRUCTURE
o
o
o
o
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
"""""-Y_N
~Y_N
POST &
BEAM PIER
Y ...-;;1)
s1tel..
Reviewed/Approved: Dept. of Community Services
(Oate)
S:Permits/FormsjllP RESIDENTIAL