HomeMy WebLinkAbout06080131 Application
City of Carmel/Clay Township Permit#:~DgoI31
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAfrION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
ADDRESS OF CONSTR.J!910N:
Q?23O i
WATER UTIllTY '~~-\ r _' .i'-. .,-
PROVIDER: '" [ ;;;\\ J , 'C,Q
,. U(j.l..lGfY\ c..
. ,,; IliI
NAME OF lIT1 VATlQN CONTRACTOR; PLAN COMMISSION I BZAj'BFlW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMvf\~ (IF ^F ~ B,~):~ B~
FLOOD ZONE AREA DESIGNATION(S) 11.1 U i T^1.:~iy'PARCEL #:
FOR THIS PROPERTY: I '-.. ~.~~~C~ o_~ .c...=".J I
I
TYPE OF IMPROVEMENT: PL GC N RA
l7"NEW STRUCTURE -~. ,
o ROOM ADDITION(S) Plumber's Indiana State License #:
o PORCH ADDmON(S) 1^1 7 !'7 17
o DECK ADDmON(S) .Ld I _
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NA .
STREET A D ESS:
I/':J:;);;l
LOT #:
,
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y~
_V -lLN"
Ho
7-73cD
CITY: $fATE:
..;b) ~U
BEST METHOD OF CONTACT:
FAX:
SECTION:
ZIP:
033
SI
ZONING:
SQUARE
FOOTAGE: ~~3
ESTIMATED COST OF CONSTfiJCTION:
(EXCL~~ING ~ND VALUE) fl' ~
H; dbtJ-rruC-h
,
b&:>. 3D
Whi~lumbing codes will be applied to the construction:
l]a""Intemational Residential Code wI Indiana Amend~ents
o Uniform Plumbing Code wI Indiana Amendments
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for. the new
construction area)
4_N
JL.V_N
o CRAWLSPACE '0 POST & _ BEAM _PIER
o SLAB ~SEMENT (WALKOUT:_V-0)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within ISO
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within IS months of the issuance date. Class 1
structure pennits 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 construction, reconstruction, enlargement, relocation, or alteration of a structure, or 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" (Z~
289) and amendments, adopted under authority of J.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further 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 Certjficate of
Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
a.B' . L"R" A ~:U~SM..Jt-,-J-iV~J;NE
Print
f/~J/D4
Date
UIRED:
***************
OFFICE USE ONLY: *****************************************************
Filing Fees:
Base Inspections:
er Footi I.!>wer FootinsV Under Slab
-..e-Rou9h In3 <:M;ter B~se_~~~~9{t'60NST~tJt~F6ur6ancy:
. .. ..... . ~,th 1l1l~.di~latlons
. of State and Local Codes.
PEPT OF COMMUNITY SERVICES TOJAL'
n '@ARM~~)JCLAY TOWNSHIP / ~
.INDIANA Fee Received by: L--
INSPECTIONS
# Charged Re-
Reviews
Date