HomeMy WebLinkAbout06110026 Application
City of Carmel/Clay Township Permit #:()(;/IO O;(j:>
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
NAME:
dt S heel - l-IoA-Ie
+-Ie rr,'
BUILDER'S EMAIL ADDRESS:
Ivd
LOT#:
71
FLOOD ZONE AREA DESIGN!-~N(S)
FOR THIS PROPERlY: ""TI'\W.
l.(VlSh.<<&eJ.
TYPE OF IMPROVEMENT:
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
~ # of units being
constructed at this
r J time:
rJt RESIDENTIAL (For
Additions. Remodels. Etc.)
6c..r/:r;.ro--
rlJU
e.rK'<!.Y'
i)
~
at
PHONE:
77 Y - 2<) J' )
FAX:
OTY: STATE: ZIP:
<cTrilr j I-l I
Subj~~~9ih_Q.~t;:Q~q-~~'0 a~J Rg-gU!atlntl~
of St:'~~:J e;-~d LOCl\! Gw:h:.~
- . "....n '~l-""V "'''''1'1''11'''''''' .
PHor@:EPT Oi: C()l;h~~'!t.h,:;l ~ 1 FAX~::'i _.~. .~,....i:"_;...J
.i: . C; ltilfM;f!i.Si GLI'\.Y3rC;rf;Sfa-,h:031~
CITY: lNDS:f.ATE;~, ZIP:
A.1e) '-I~033
RJ
1~
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
~ ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION: ....,..,l
.;/
Ear1y Release / Manufactured
Permit: _Y ~ Trusses:
Lot Split: _Y _N Sump Pump:
ADDRESS OF CONSTRUCTION:
)L'f3 S l.-e. '7:J M.e!
SEWERUTILITYC.:+-1 of~""""" WATERUTILITY <!.,:+; .~~/
PROVlDER:l.Ja. ...,a>k,c. PROVIDER: . +
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
Y /N
Y~
SECTION:
ZONING:
.~
110
IN
y.G. 0 3J
SQUARE
FOOTAGE:
ESTIMATED COST OF CON5!RU~O~
(EXCLUDING ~\DiVALUE) ::lI 3 (" '70 c=
; \ \ t .:.-:
:iUI\
I: (
TAX MAPt ~AACEL "IOV - 8 2006: I
'1 \\' "l"l ,i,l
I, .: i,'~'1
PLUMBING CdNTRACTOR:--'/1ii1-~__J
I ~
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o
o POST &
BEAM _PIER
SLAB
o BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit 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. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 "Zoning Ordinance of Cannel Indiana - 1993~ (Z;
289) and amendments, adopted under authority of l.c. 36;7 et seq, 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 the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occ}5ancYh~ heen i""u;!yby t~ Department of Conununity servi~~::_
Iv~ r~ __ , /I-c;JI-O(.
Signature of OWner or Authorized Agent ______ Print Date
OFFICE USE ONLY: *********** ******?**~lJ***** .~*******
INSPECTIONS RE IRED: (J I 'It Illes:
Base Inspections:
Cert. of Occupancy:
*************j#~**********************
8tr ,2-0
,lJ';'. ;;;()
53, ,50
Upper Footing
Rough In
lJ
Lower Footing
P.R.I.F.:
( ale)
# Charged Re-
Reviews
Additional Fees