HomeMy WebLinkAbout07110178 Application00
w Carmel/Clay Township Permit#: D 7L0l7$
ENTIAL IlVIPROVEMENT LOCATION PERMIT APPLICATION
??woua0.? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF E' PHONE:
D Jer 4& r vvn?, ?aa'lb'7S FAX:
(? `3aloS3
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
UWAP L . "l5 'Si . is • ?? . LI ,
BUILDER'S EMAIL ADDRESS:. BEST METHOD OF CONTACT: CCai ASNy x-C
.c? ? ?t\ Or az??v+l. •C ^y-r E's^?cr riX .'N- t1
PROPERTY
OWNER: NAME:- PHONE:
?J 11v c ??ot Y.a k?el? LLC -?<)1375 FAX:
L) .SG 11?
STREET ADDRESS: CITY: STATE: ZIP:
uck (o F, .75? -<..A L is . Sa3 - ti0a
LOCATION LOT SUBDIVISION NAME: SECTION: ZONIW.?
'
& PROJECT <-6-p e Y, )
INFO: ADDRESS OF CONSTRUCTION: SQUARE
•'?p
FOOTAGE: J / a
RE
.sl P t\ , l_0..-"s e- l 1
SEWER UTILITY
PROVIDER WATER UTILITY ,^^? 1
PROVIDER: ESTIMATED COST OF CONSTRUC
(EXCLUDING LAND VALUE) TIO '
:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET O7 Q? X79'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): 1 SZ ?, r} t?er?
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
FOR THIS PROPERTY: ?.
TYPE O CONSTRUCTION:
SINGLE FAMILY
? TOWN HOME
a TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y / N
Lot Split: Y %/ N
TYPE OFIMPROVEMENT:
0" NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
o DECK ADDITION(S)
C ) REMODEL
Basement Finish only
ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
PLUMBING CONTRACTOR:
Plumb° ens n lana State License #:
R1010L(Si4p
Which plumbing codes will be applied to the construction:
Q?Intemational Residential Code w/Indiana Amendments
? Uniform
Manufactured
Trusses: ?Y N prr .?r.
Sump Pump: ZY ?Dt^1!?ncn
Code w/Indiana Amendments
(Check all that apply for the new
0 POST & _ BEAM -PIER
MENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, addirions, rem v ?ces•'s[ruCtllitis, this?ennit is valid only if construction commences within 180
days Of the date of issuance of the building permit, and must eted?? ¢y issued) within 1S no, date. Class I
structure permits are subject to the General Administrative Rul of the S 4E e?¢ C c 12) regarding exima [i?qT fi^imel 'o
XV ?V ? tiU' of fC (
e of land or s
tme[ure
][e a[ion of a structure, or any Chang a us o
I, the undersigned, agree chat any construrion, reconstruction, erlatg n n, or an
requested by this application, will comply v. ith, and conform to, all app! I's of the State o: Indiana, and the -Zoning Ordin f C}npet Indiana -1993' (7
289) and amendments, adopted under authority of I C.36-7 e[seq. Gen'* Assembly of the Stale of Indiana, and all Actsamendat enet?6ShYucDh?}cpp' ha
kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or copied u td a Certr6cate oI
Occupancvhas been issued by the Department of Community Senices, Carmel, Indiana. A By
Sioveluoe Own or ttarizeBAn nt Print Date
******z*******************************.****s***s*********************************
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: I / ?) •d
Base Inspections: j? 7.? * Charged Re-
Uper Footi ower Footi Under Slab ??•, Reviews
Cert. of Occupancy: 60
oug !ter Base Final Site r,? Q
P. R.I.F.: I ?? I • ? Additional Fees
Cro-?g Mls?r 12-6-fy TOTAL:
Reviewed/ Approved: Dept. of Community services (Date)
S:P .Itsfrorns/ILP RESIDENTIAL
Fee Rec&ted by: