HomeMy WebLinkAbout07090066 ApplicationPermit #: n X709 oC)L
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME: P['RKI d5 LON STALVt-r0AJ PHONE: 2&S -6y Z-;L Pf3 FAX:
BUILDER
OF
RECORD: STREETADDRESS: /(po(p 0(11STltT- CITY:FI11/f)tsXf0--) STATE: -r-/? ZIP: L/(a01Z
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT: {) hoLC-
PROPERTY AS w. c pride-4a S. PHO_ 31..7-il S-7,YIVR AX:
NAME: Thk)rn
WNER _
L'?hJ-& 0r?
:
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STREET ADDRESS: r1777 W L-U rV I A? D k CITY. C /tk olC2 STATE: ZIP: 9(,037-1-
LOCATION LOT#:i),D SUBDMSIONNAME: ,S pCCiO2NE G2lt=NL- SECTION: 3
55 ZONING: ? aye
PROJECT
&
INFO: ADDRESS OF CONSTRUCTION: yr]Z11) co,-O.v'A? C)2 RELEASED FOR C . C-RC,
C'6rke ci, , yvv 6037- cod?tinnq
SEWER UTILITY WATER UTILITY C-4't01 C--L- ESTIMATED COQ( ?tSf1J?R7FC(Qlf d1
PROVIDER: T Ntw i-- WMI CIO PROVIDER:C mCL vift_. Ef (IX
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET ,I/?i7Y OF CARMEL/CLAY TOWNSHIP
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDICR SEPTIC PERMIT #S (IF APPLICABLE): INDIANA
ROOD ZONE AREA DESIGNATION(S) ?) TAX MAP PARCEL #:
FOR THIS PROPERTY: U lj-?3-'U$-U -0tt -646 0M
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
V/RESIDENTIAL(For
Additions, Remodels, Etc-11
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
Y _N
Y / N
? NEW STRUCTURE
? ROOM ADDITION(S)
Y PORCH ADDITION(S)
? DECK ADDITION(S)
? REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y N
Sump Pump: _Y ?/N
Plumbers Indiana State
Which plumbing codes will he pplied to the construction:
O International Residen ?)T od-/r^diana Amend
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Chedc all that apply for the new
construction area)
O CRAWLSPACE ? PCFST&- BEAM-PIER
Q/SLAB O BASEMENT (WALKOUT:Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures. this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class 1 .
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 cons-ruction, recon< ucuon, enlargement, relocation, or alteratior of a scacture, or any change in :he use of land or structures
-
requested by this application will comply with, and conform to, all applicable laws of the Stare of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (7-
2B9) and amendments, adopted under authority o` I.C. 36-7 e: seq, Genial Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further, certify that on!,v
kitchen, bath, aid floor drains are connected to the sanitary sewer. 1 furnccKcertify that the construction will not be used or occupied until a Cerrib"reof
Occupant has been is d b the D meat of Community Services, el, Indiana.
qA(j
1rIo W. L'--911
Stanaftre of Owner or Autbon Agent I Prtnt Date
OFFICE USE ONLY: ******** xx **s**?x**s*********x***x****x**x******?/*?`* ***********x*********
Filing Fees: c O
INSPECTIONS REQUIRED:/ /
Base Inspections: # Charged Re-
Upper Footing Lower Footing der Slab ?y Reviews
Cert. of Occupancy: SS` (J
Rough in Meter Base Final Site Additonal Fees
P.R.I.F.:
e /Approv ep . of Community Services (Date) ?-?
S: rruWForasrU 5 DENTIN. Fee Received hV: Date