HomeMy WebLinkAbout06100175 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit ## (J,6 JOO) 75.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME:
1)0
PHONE:
.317-573-
5TTIEI])
FAX:
BEST METHOD OF CONTACT:
IF'
LE
N MEG-ERR
STREET~O~ ,EC')/O eRe
PHONE:
FAX:
b-
CJil
ZIP:
CITY:
E:
STATE:
LOT #: SUBDIVISION NAME:
Y B
cRefiT
SQUARE Q60',
FOOTAGE: I
~tdD. 00
ADDRESS OF CONSTRUcnON:
NAME OF UTILITY EXCAVATION CONT ITOR; PLAN COMMISSION / BZA I B DOCKET .___-- ::.";~ ~;: ,; ~<\
NUMBERS; TAC DATE(S); ANDjORCQUNTYWELLANDjOR SEPTIC PERMIT #'5 (IFA PPllCABLE): ~ ----= -::l n~' ,/ \ --" \' \ \
FLOOD ZONE AREA DESIGNATIDN(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S) Plumber's In State License '#: \
o TWO FAMILY 0 PORCH ADDITION(S) \ \ \ __
# of units being 0 DECK ADDITION(S) \' \ __.
constructed at this 0 REMODEL \ \.---
~ time'. Which plumbing codes will be applied to the construction:
_ Basement Finish only
RESIDENTIAL (For 0/ ACCESSORY BUILDING 0 International Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) e1 DETACHED GARAGE
o ATTACHED GARAGE 0 Uniform Plumbing Code w/Indiana Amendments
o DEMOLITION
PROJECT INFORMATION:
\
~arly Release
'ermit:
\
\ Split:
\
\~ingle Familx. and _~ofampy li!.~ijn~ dliNtSif~blQl'li.O!\lJor accessory structures, this permit is valid only if construction commences within ISO
> of the datt~ti1&u~re:Jf-tlie bJ.Q'dihg:Pe;':'~h mdrnffil~t'temsleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
11re permiSeRSjt99jeCtJtotlfe1G~nenu tAci.illiiustfi~ve'Rt.'1ks of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
\ of Stal~ E~(H~~ LOCB\ Coaes. ......c~~letingconstrUction.
iersign~fi2: tha.k1p.y cqnstructi(m'lreconsttliCtiorF.Wl~t, relocation, or alteration of a structure, or any change in the use of land or structures
\by this . ilin\WrlI c~n\pWV;ith~aAd ~6nform..to: fN~Mdaws of the State of Indiana, and the "'Zoning Ordinance of Carmel Indiana -1993" (Z~
\llend ~~ un~~~r@tity o.ttd36:7.~~q~~rlIA~sembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
h, an dMds R,nneT~d t,q t:b.~~itary sewer I further certify that the construction will not be used or occupied until a Certificate of
'us., en ssued y, heDepari'\'llii'bfCommurutyse~ es. Carmel. Indian MLE: IV ~s-/ th
; Date I
Y~
yLN
Manufactured
Trusses:
~_N
_y -.LN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Sump Pump:
o CRAWLSPACE 0 POST & BEAM _PIER
0' SLAB 0 BASEMENT (WALKOUT:_Y_N)
/
*************~*
~PECTIONS REQUIRED: /1', I )
\g::> Lower Footing Under Slab
\Meter Base ~~
\ -~
,
*************************.***~***********************
Filing Fees: / /) ;), .5tJ
'Jr;r;,~O
I
\ <:;3 51)
Base Inspections:
Cert. Df Occupancy:
# Charged Re-
Reviews
Additional Fees
P.R.I.F.:
~ U-?-cb
't. of Community Services (Date)
\
()V7
Date