HomeMy WebLinkAbout07010045 Application
BUILDER
OF
RECORD:
City of Carmel! Clay Township Permit #:0'7 D I (J7J1+(~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME: Roy, rl LtO .J, r-,e.Iii Z-L'CC
j)lf3" ['" tl b"-O<: Q- (3J( uJ L.....
PHONE:
FAX:
02
~ / 'fCF3
CITY:
STATE:
ZIP:
-Y'd.;;>,
I!)
/J/J/'L S vI
BEST METHOD OF CONTACT:
BUILDER'S EMAIL ADDRESS:
:-, Q 419
PROPERTY
OWNER:
) u' e-'
PHONE:
g'/S .3
FAX:
" CD /<A
LOCATION
&. PROJECT
INFO:
f'j-~
STREET ADDRESS:
c;S"',;I ()
LOT #:
,{;
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
Iri RESIOENTIAL (For
~ Additions. Remodels. Etc.)
CITY:
C. /~L
). / SECTION:
VI77'~'
STATE:
ZIP:
&D 3;;
ZONING:
SQUARE 'I 0
FOOTAGE: c7--
00.:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA /
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (I
I
I,:
0 v "
!
1//4
/
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDITION(S)
POR ADDmON(S)
K ADDmON(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Which plumbing codes will be applied to the construction:
o
o
International Residential Code w/lndiana Amendments
Uniform Plumbing Code wI Indiana Amendments
PROJECT INFORMATION:
Early Release cL Manufactu~ '
Permit: Y ~russes: ~
- - 11 .'
Lot Split: _Y umpPump:_Y
-t' [Ii', '-,~
For Single Family and Two Family dwellings, a iQi~Verriod;~ and{or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit. anCfnUii:..be completed (<;:ertificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative It"Ulka':.ofthe"State- of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
c~plenllg construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relo~ation, or alteration of a structure, or any change in the use oEland or structures
requested by this application will comply wi con onn to, licable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana -199r (Z~
289) and amendments, adopted under a ority of LC 36'7 et seq, Gene sembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are c ected to the sanitary sewer. I further c tify that the construction will not be used or occupied until a Certificate of
Oc cyhas been issued t Deparunent of Community Services, Carm I, Indiana.
(Check all that apply for the new
o POST &
BEAM _PIER
t&
J,
,---,
'4- 2{T~
1- o,V-,;;oo 7
Da"
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
************************~********o*******************
Filing Fees: /2;,3, 5
.
/ / I. (;0
, S':J. ,:)'6
Base Inspections:
# Charged Re-
Reviews
Cert, of Occupancy:
Site
(Dale)
P,R,LF,:
J TOTrf $I;;??
. aJl~lt ,L~:~r~
Fee Rived by: .
Additional Fees
ReViewed/Approved: Dept. of Community Services
S:Permits/FomtS/ILP RESIDENTIAL
00
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ate