HomeMy WebLinkAbout07100002 Application
City of Carmel/Clay Township Permit #:Q ? / f? .1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE:
I?AC
704.7-Li6`I
T???rv? CcS?S"t FAX:
7 33,9C>4f6
OF .
.
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
9'i2.; S- 1/Vl1i.2IL?ii,4 ZS'-1 2Lz> 1LAbaL,'5,to
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
/ _2-IoO
L 1tC?
W
T?I,,?-Z--) fa v\ c /<C>` .coven ,
PROPERTY NAME' PHONE:
TOM 5 I?-I V\ IL 8 FAX:
E>c S - -72'7
OWNER
:
STREET ADDRESS: CITY: STATE:
I ctl>i c) 1 3??I >_ v1 Clz(M Iii I o ZIP:
`-16c 2
LOCATION LOT #: 1W SUBDMSION NAME: RELEASED FOri CON5SECTII6N`MrN
S
i ZONING:
S° -L
u )
oct to comrimnce u.'i(fi all fogulBfiJrlS -
-
PROJECT
&
INFO: ADDRESS OF CONSTRUCTION: 0-1 SQUARE
j O \O K a? E21 W COI,?h?u?liT'i' :E;RVICES FOOTAGE: 3?
SEWER UTILITY WATER UTILITY I.J17Y OF ACAh,71
ESTIMAII"ED'COST?AFCb !! 0(Ql.
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'
PROVIDER: :SG J? k ?, PROVIDER: e ?-2Wt (2 I i?-. fflG LAND VALUE) 1
??t` •?
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / SZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATIO I(S)
TAX MAP PAR u
FOR THIS PROPERTY: -1* X IN
TYPESIOF CONSTRUCTION:
NGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
D DECKADDITION(S)
D REMODEL
_ Basement Finish only
ACCESSORY BUILDING
.? DETACHED GARAGE
D ATTACHED GARAGE
O DEMOLITION
Manufactured
Y N Trusses:
Y N Sump Pump:
?
_YY YN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & BEAM -PIER
(?/ SIAB 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 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a stricture, o, 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 aurhotiry of LC. 367 et seq, General Assembly of the State of Indiana, and all Acts amesdatoy thereto. f furthercerdfy that only
kite bath, and or drains are connected to the sanu-y sewer. I further certify that the construction will not be used or occupied until a Cerrifico re of
Occ yr•has b en ued by the Department of Community Senices, Cannel, Indiana
I t?tz.lzg lpt:; vl1 l-I??21'z Ut tLlz wf -) C)yt h 47?. k ?(ZAZ'? f °I t ? ??
signs of owner Au oriaed Agent Print T(-zl'(7j fZ l/L 0-0lA67 . t o L' . Date
********sss*s*x******x******************ss*****s********??s*.**********ssss**s****
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: ??yy
Base Inspections: # charged Re-
peer Footing Lower Footing Under Slab Reviews
Cert. of Occupancy: 551 SO
Rough In Meter Ba Final Site
0
Reviewed/Approved: Dept. of mu ervices (Date)
S:Pe MIMFornS/ILP RESIDENTIAL
P.R.I.F.:
PLUMBING CONT OTOR.- I
I :?' . t-z-( 1 wA L>, f'A L'
Plumbesrfs,Indlana_Sta 1..?-
r
?_
Which plumbing codes will be applied to the constructtom I
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
Additional fees