HomeMy WebLinkAbout06100202 Application
City of Carmel/Clay Township Permit #: 0 (j I frO cl..d~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME OF UTIU1Y EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): ;V f\
FLOOD ZONE AREA DESIGNATIO~)
FOR THIS PROPERTY: 15DD"O\ - 00\3 G
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units being 0 DECK ADDITION(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For dD~CCESSORY BUILDING
Additions, Remodels. Etc.) .~ACHED GARAGE
-'ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLITION
Early Release ~ Manufactured V
Permit: Y N __ Trusses: ..13- Y N
Lot Split: PFi rV,,.tMFo:sum,,'ipuni/i:lUCTIONX N
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BUILDER
OF
RECORD:
NAME:
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME: _
-..le..:
P,"'V\ <-
LOCATION
&. PROJECT
INFO:
LOT #:
SUBDIVISION NAME:
ollAt\
H :\l5
ADDRESS OF CONSTRUCTION: .
S.
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
/iJA "7~.
N-
PHONE:
FAX:
CITY: C--v
ST1- .AJ
h63d-
ZIP:
BEST METHOD OF CONTACT:
PHONE: FAX:
~''g
XN
ZIP:
4'-03 'oJ-
SECTION:
ZONING:
I1J
...--
. ..
,.
/1
SQUARE
FOOTAGE:
feD
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)......_.J5 000.
" '
. \ \ L~
iir-
d
TAX MAP PARCELi#: "006
\ Ii ' \ \ OCT 2 7 L
1,1 \,'
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PLUMBING CONTRACTOR: _,,____
\ ,..-'-'.-"
! I\J 1\
Plumber's Indiana State.License'#:'--~"
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Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE e POST & BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two-fariYly d~llin'gs.la<Witiphs;hmtpdels, and/or accessory structures, this pennit is valid only if construction corrunences within 180
days of the datelofUisuanceofthebuild4tg;p.emllti and.m~~e~i:rleted (Certificate of Occupancy issued) within 18 months of the issuance date. class I
structure permits-are 1ubject:t~ the'Gtll1tr'ili.H'irhhiltr':rtiVrRult~dHt{e State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
CiTY Or: CARMEL / CLAY TOWNmW'tingconmuction.
I, the undersigned, agree that any constf~ct;i'?n~f~,cpDstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply',*lt-l1\t.l'n~:t.je'anfonn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z'
289) and amendments, adopted under authority_of.U3-3iS7eneq:General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected1:o the sanitary sewer. I furthe ertify that the construction will not be used or occupied until a Certificate of
Q cupancy has been issued by the art ent of Community Services. C el. Indiana.
--=: i. ~::r-c.: re.: JD-;J.7-0~
Si Print Oate
INSPECTIO
REQU
Lower Footing
5' 3, 50
# Charged Re.
ReVIews
Cert. of Occupancy:
. Meter Base
ept. of Community Services
S:PermitsfFormsfILP RESIDENTIAL
1-06
(Date)
P,R.I.F.: Additional Fees
j TOTAL: .$ 35' 3. S/)
Fe;Qi!A-A1tf7. L i tt ~A<, Date