HomeMy WebLinkAbout06080188 Application
City of Carmel/Clay Township Permit#: CZRD~O Jg'Y
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
CITY:
~1J')s
S'79-<;3oo
STREET ADDRESS:
~'1ID' S.J.(e.""OOD I ({..
BUILDER'S EMAIL ADDRESS:
St"l/fJ.S"7 n.'::J s/"(. IOb4 J "1L+
NAME:
y,
EN(,.-
PHONE:
33 -9/1..'7
PROJECT INFORMATION:
STREET ADDRESS:
34~S-
LOT#:
~s~
S1'~:
7N"",-
SECTlON:
l.J
brnf-
GI'(,
~
ADDRESS OF CONSTRUCTION:
3,//,:> I rf.eLL
u.)<:...
WATER UTILITY
PROVIDER:
ESl1MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) I '1 00 ()
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: Z.OIVe.
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
>.".. RESIOENTIAL (For
)"( Additions. Remodels. Etc.)
Early Release
Permit:
Lot Split:
_yLN
_y KN
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM AODITION(S)
~. PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
Plumber's Indiana State Lice 5
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
Sump Pump:
_y1N
_y-.f,...N
o CRAWLSPACE 0 POST &
~ SLAB 0 BASEMENT (WALKOUT:
BEAM _PIER
y N)
<-
For Single Family and J:}X,? :un1!-f. we' ~tfgWOOI\JJ~q.e~em;>sory structures, this permit is valid only if construction conunences Ylithin 180
days of the date of issu~ @Hie n gtpez:nyt;. ~p.'~~tt3f~Rmpleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to thetataW~8v~;M the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
nl=PT OF COMMUNITY SERlIlJGlii&onstruction,
t, the undersigned, agree Mhhy' constru.rt,!QQ,.r~pnsPJ.lHiOA\.~""I1~\Qt:_,', "n, or alteration of a structure, or any change in the use of land or structures
requested by this applic:(94~letn~~~bcllf~lll j~i~:lYl~l~.fn~-the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authorityJi if}r~.:t'rAseq, 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 ~~sallltary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occup cy h be issu by the Department of Conununity Services, Cannel, Indiana.
JYl,c..),i\!l S'~,+h f'3~-O~
OFFICE USE ONLY: *********************************************************************************
SPECTIONS REQUIRED: (b Filing Fees: I e:> () . l.e lfl
Lower Footing Under Slab l\~Base Inspections: I f.r2 fi . .5' 0
Cert. of Occupancy: 5:5 ' 0 0
Print
Oa..
# Charged Re-
Reviews
Me~er Base ~al
..:Jite
Additional Fees
P.R.I.F.:
~ TOTAL: ~. ~'1~(p{o
~,11. Lf~ A
Fee Rece;ved by: - ., 1// r/ 0 G;
/
Revlewed/Appr eel: Dept. of Community Services
S:Permlts{FormslIlP RESIDENTIAL