HomeMy WebLinkAbout07080089 Application
I
-. City of Carmel/Clay Township Permit #:J27(tQQaS1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
PHONE:
FAX:
575 J :>50 X :J00
STATE: ZIP:
~-T CI-\t2MEL 4-100
E:/YlAIG
PROPERTY
OWNER:
GlL-TS H-OlV\CS
STREET ADDRESS: CITY:
I ( 5 q 0 I\J {Y'\:I<.- 0 A
BUILDER'S EMAIL ADDRESS:
,JO AN N E:, - -S f-- PHE:R-O
~_P\1'Y\C
NAME:
PHONE:
FAX:
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
.... SECTlON:
6UJ LFORJJ 3(0
ZONINGS -1
SQUARE '115'73
FOOTAGE:~
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR S C PERMIT #'S (IF APPUCABLE):
A -1 ~LLPf;f2l OR-
SEWER lJTILITY
PROVIDER: Q
WATER UllUTY
PROVIDER: CL/\
ESTIMATED COST OF CONSTRUCTION"
(EXCLUDING LAND VALUE)
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
,r
\/" SUbject to eo FOR CONSTR
^ rnplia Q' C
TYPE OF 'T:"nd Loea ~ :rRA OR: ('
y/~lfiIqtl~~ MMUNITY ~;s. , r ' VVl 4--- ~D N S
o ROOM ADi>rito-m~PE:L / CUfI/"",~f!.I~ State License #:
o PORCH ADDmON(~~,"" ^ I , 'NQ""fiV\ /- 0 \
o DECKADDmON(sl' ";r;{VI\ ./r-'vwvO I
o REMOBDEL t F- ii'V, ~ Which plumbing codes will be applied to the construction:
asemen I lfjL
o ACCESSORY BUll ~t0" G"iiitemational Residential Code w IIndiana Amendments
o DETACHED GARAL 0 U -f I b' C d II d' A d ts
o ATTACHED GARAGE m arm P urn Ing 0 e w n lana men men
o DEMOLmON
TYPE OF CONSTRUCTION:
g....SINGLE FAMILY
'1:J TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
V'/N
vt::1;'
Manufactured
Trusses:
Sump Pump:
~V_N
L/Y _N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
o CRAWLSPACE
o POST &
BEAM _PIER
V_N)
Lot Split:
d only if construction co
'iliA 1M'''''''' '\WI..'''"
ing exp\tadOlVt~ame
ces within 180
date. Class I
beginning and
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit i
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issue
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) r
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a srructu any change in the use of land 0 structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ndia 1993" (Z'
289) and amendments, adopted under authority of IL 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory t ereto. 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 issue by he Department of mmunity Services, Carmel, Indiana.
/' \.J'. . ' f', \..LOf\~NE ~I-IEPt+C12D
ignatu Owner or Authorized Agen Print
8i7 /07
00"
SEONLY:******************************~~********************~***************************
INSPECTIONS REQUIRED: Filing Fees: h,{/,? 0
UP~ting Lower Footing ~r sIa0 Base Inspections: .~ a 7_____s0
~ Cert, of Occupancy: Ss - ) 0
inal Site.: P.R,I.F.: ) 02 C I 00,
J_ TOTA~: ;$/ ;:2db~ 30
FeeRec'tl:Jl~~4\ fl. " : J!tJ-1/L ~?/~
# Charged Re-
ReViews
Additional Fees
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL
(Date)