HomeMy WebLinkAbout06100065 Application
City of Carmel/Clay Township ~ bU\lct~:1o~DU Permit#: tJ~ {fJ(x)(P6'
I
RESIDENTIAL IMPROVEMENT LOCATI PERMIT APPLICA1!ION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTIlITY
PROVIDER:
NAME:
S:a.UO
STREET ADDRESS:
Ho....-..t. TvtCo
PHONE:
57 -
oil
CITY:
tII e...; die..\\. (0' MN 81vj C/.ir>1\t I
STATE:
:.XIV
ZIP:
~ b03<-
SUBDIVIiI NAME:
61.'-"/, vrd I!.<:-se,,-v(
ADD;?:lls-STRUS:;~t' tV q
NAME:
STREET ADDRESS:
LOT #:
f(l <<J
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
./ . "
''i/~'"
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA rB~w'Db.cKEr '~':;'" '\' >",
NUMBERS; TAC DATE(S); AND/OR (QUNn WELL AND/OR SEPTIC PERf1ITj#;S'(7IF: APPUCABLE): '<<V/
//,/,_" <': ,"v
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
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. Qass I
structure permits 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 "Zoni!}g Orrj.ipance of Carmel Indiana -1993" (Z-
289) and amen ts, opted under authority of l.c. 36-7 et seq, General Assembly of the State of Il!~~~~f\.\1@lll\Wl\litory thereto. I further certify that only
kitchen, ba , a fl drains are connee to the s ary sewer. I further cer . If: ~t~M.l' not atl &ccupied until a Certificate of
Occup y. issued ment orrunu" a.. wit ra
colTlP. L ca es
a .0
Early Release
Permit:
Lot Split:
_v Y' N
_V:K:N
BEST METHOD OF CONTACT:
(j;
a.oL (0"",
PHONE:
FAX:
'I.--
k~
cm:
STATE:
ZIP:
SECTION:
,
ZONlp /..< b
SQUARE '7 J"
FOOTAGE: f.-lR 75
(}7Jo
/(F/}/ 'tl / ;r~ MAP PARCEL #:
/;: "-'l!" <:l:l /
,/:'/,).... .; /
TYPE Of{MPROVEME~t-~PLUMllING CONTRACTOR:
~N~"~'9~~E // /Cf7 0009't-
o ROOM AI?I?~,ONJS) /Plumber,s Indiana State License #:
o PORCH AD~roN~ ,J, I..
o DECK ADDmO.N(S) tU /1, h N/M y-
O REMODEL "F" I Which plumbing cM.es will be applied to the construction:
_ Basement In.!.Sjl on y
o ACCESSORY BUILDING %:i... International Residential Code w/Indiana Amendments
o DETACHED GARAGE .' .
o ATTACHED GARAGE 0 UnIform Plumbmg Code w/Indlana Amendments
o DEMOLITION
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
.p(V_N
_VLN
o CRAWLSPACE
o POST &
BEAM _PIER
SLAB
o BASEMENT (WALKOUT:_ V _N )
Sump Pump:
/6-9-o~
Date
!\II P
OFFICE USE ONLY: *************************** *~""'}1'A.fft~Ji:t *******~********************~****
CI-nL. )1"' . NOlANA z' r (; . SO'
PECTIONS REQUIRE . ,I FI gees. I r>Q I
Base Inspections: d -? '7. S() # Charged Re.
Under Slab Reviews
Cert.ofOccupancy: S3 SO I
P.RJ.F.:
~
pI. of Community Services (Dale)
S:Permits/FormsfIlP RESIDENTIAL
/
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