HomeMy WebLinkAbout06120013 Application
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City of Carmel/Clay Township CONDITIONAL Permit#: Dbl~{)13
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
I
(
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
C\~
NAME:
\l.
STREET ADDRESS:
'OB1~
LOT#: ,,<g
bS /l.c.. -
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTlON:
5873
Osa
PHONE:
'!>n a'5b ~~
01Y:
FAX:
STATE:
Lv..o
ZIP:
BEST METHOD OF CONTACT:
PHONE:
0\.- \...',' vr, . \.J
Subject to compLarrc6 IMfh all regulations
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cm:
DEPT 0,.. ,(STATE:. 'I ':;-rv
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SECTlON: IN r'l ~. I ZONING:
I w,-\' F\
e. Dr',
SQUARE I' 1'\0
FOOTAGE: . 1<:''''' 1'1\
ESTIMATED COST OF.C()NSTRUCTIOij:
(EXCLUDING LAND VALUE)
, I: \ I ~ C
SEWER UTILITY C WATER UTILlTY /'
PROVIDER: a.r Me.\ PROVIDER: L-aY m
NAME OF UTlLITY EXCAVATION CONTRACTO ; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
C>i' RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_V~
_V -.LN
Lot Split:
x (\.(..Y)shttc\ ed)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
ri'" RE!)IODEL
L Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
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LV_N
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TAX MAP PARCEL #:
L
i
I
------~----_.!
PLUMBING CONTRACTOR:
'),"'... Q,-""..-f~,...."", ~\..l ~IEL.'W:>~
Plumber's Indiana State License #:
Pc.. 0SBtx:>ril..-3
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" 0 POST & BEAM P.IER
o SLAB rrI' BASEMENT (WALKOUT:_V /N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences witrub.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. CI~s I
structure pennits 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 "Zoning Ordinance of Carmel Indiana - 1993" (2-
289) nd amendments, adopted under authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that' only
kitch . bath, and floor drains are connected to the sanitary sewer, I further certify that the construction will not be used or occupied until a Certific:lte of
Decu, cy has be n issu b e artment of Community Services, Cannel, Indiana.
Signature of
\E........-I ~- ~G'.bS~.,,<.
Print
\\- d-& -06
Date
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Upper Footing
INSPECTIONS REQUIRED:
Filing Fees:
Base Inspections:
# Charged Re-
Reviews
Lower Footing
Under Slab
Cert. of Occupancy:
Additional Fees
~~g~~n ~' Meter BaseCFinal..':) Site
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P.RJ.F.:
h/~J?J;AL;44 =-,1i ;Z;7!? ()()
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Fee Rece1ved by;
$:Pefmlts/F
.Services
(Date)
Date