HomeMy WebLinkAbout06080175 Application
I
--t'"
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTI
PROVIDER:
City of Carmel/Clay Township Permit #: O(oO~OI7S
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
,
PHONE:
FAX:
670- ;;)':::9(./
ZIP: !
0-5c9
CITY:
BEST METHOD OF CONTACT:
SQUARE
FOOTAGE: 5 DC( /
00
o RACTOR; PLAN COMMISSION / BZA I BPW DOCKET
OUNlY WELL AND/OR SEPTIC PERMIT #'$ (IF APPUCABLE):
TYPE OF IMPROVEMENT:
'(X),-e ~o 8 73
TAX MAfffP CELf/#' A
I - vD - 0 '-0 3 00.11
, (/
PLUMBING CONTRACTOR:
+/a yy/ J-YI rl- ~f'1 "'5 Lr, ~
Plumber's Indiana State icense #:
FLOOD ZONE AREA OESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~NGlE FAMILY
[] TOWN HOME
o TWO FAMILY
# of units bein'g
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
o
o
o
PROJECT INFORMATION: 0 FOUNDATION TYPE: (Chee all that app for the new
Early Release /"=\ Manufactured ~ construction area>bii.ll ~
Permit: _Y --btY" Trusses: ~ N 0 CRAWLSPACE POST & BEAM PIER
lot Split: _Y ~N~~CT\~N 0 SLAB ~ BASEMENT (WALKOUT:_Y ~
For Single F. , )f(~;" i~iJBn~.tThg.1 :~E~' remodels, and/or accessory structures, this permit is valid ~Y- ~stnJenon'conun~e$"wi~ iso .
~ of the~\i)~G;\ ~~ 0 . ~' '<~~gJl~~?li\a'mus.t..~@'lmpleted (Certifi~ate of Occupancy issued) ~thf?~: ~~~!:.-til{{~anc~~te;~~las,S I
s~e penruts are sG6J~t~, e e ~~i:ftl.\k\R.tt~f the State of IndIana (See 675 lAC 12) regardm~ ~~P.i on'rune~frnmedorNgll1hmg ~d
~ n!'<O"T' nF COM ".,.("'\\~/N<:::.~pIetingco"'truction, ~ilJ SEP I .200G:. [
I; the1.!-,i!dersi~ "agfeethJLt" ~~IEffi~cti~~~sth)e1:ibb, enlargement, relocation, or alteration of a structure, or an t in the use of land or structures I :,
requesFed by~\~(9E'oIubtiR x....wi~~~W conform to, all applicable laws of the State of Indiana, and the "Zonin it11t ce -1M.@.~2U,.{b.umoo.~ (Z~
289) and amMdni.ents, adopted undet ItJi&ft\fbfl.C. 36'7 et seq, General Assembly of the State of Indiana, and all Acts at? ~ ry thereto. I turther certify that':~n]y
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be us r cupied until a Certificate of -
c ancyhas been issued by the Department of Community $e , Cannel, Indiana. e=1C::CJt.. V 'S
<'
~ STRUCTURE
tJ ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finl
ACCESSORY BUll
DETACHED GARAI
ATTACHED GARAG.
DEMOUTION
Which plumbing codes will be applied to the construction:
~ntemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(' P / t')~"(') J c7' /
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OFFICEUSEONLY:****************************************************~**************************
INSPECTIONS REQUIRED: Filing Fees: -/- -0/. /~O
. _ Base Inspections: :;2'?? ~ 0
pper Footing wer Footing Under Slab ~ <<
~ Cert. of Occupancy: .) 3. j -0
~~ ~ ~~~
'1/.::2"> 3 3/0
q~J--~ ~
:..e
Date
# Charged Re-
ReVIews
Addibonal Fees
(,
S:PermitsjFormsjILP RESIDENTIAL
Date