HomeMy WebLinkAbout07010188 Application
City of Carmel/Clay Township PerlTlit #:'[[20 Iv \88
RESIDENTIAL IMPROVEMENT LOCATION PERMI~
..........T r'\ l\J
PleaSe CilJ/695-
permd Pick:~ for
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodel:
BUILDER
OF
RECORD:
NAME:
FAX:
CITY:
STATE:
I
ZIP:
I
BEST METHOD OF CONTACT:
PROPERTY FAX:
OWNER:
LOCATION
&. PROJECT
INFO:
STATE: ZIP:
I 33
SEmON:
ZONING:
s-
53
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSWUCTlON:
(EXCLUDING LAND VALUE) 11 J 5
SEWER UTIUTY WATER UTILITY
PROVIDERC PROVIDER: C
NAME OF UTILITY EXCAVATION CONTRACTOR; P\-b.N COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S): AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYP~OF CONSTRUcnON: PROVEMENT:
IE' SINGLE FAMILY # NEW,STRUCTURE
o TOWN HOME C>, /0 RqOM ADDITION(S)
o TWO fAMILY '\, 0 j10RCH ADDITION(S)
# of units being ~ ,O/DECK ADDITION(S)
constructed at t/iis / 0 REMODEL
time: ...., / / _ Basement Finish only
o RESIDENTIAL (For / 0 ACCESSORY BUILDING
Additions. Remodels. Et~>' g ~~:~~~g g::g~
PROJECT INFORMATION: 0 DEMOLITION
Early Release
Permit:
Lot Split:
-y --0r
_Y~N
Manufactured
Trusses:
Sump Pump:
--0 _N
~Y_N
q/:-07%(81
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
J?aJA! E. SMiTH
Plumber's Indiana State License #:
10i777
Wh~lumbing codes will be applied to the construction: . .
~ International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPA<7 0 POST & BEAM _~R
o SLAB ~ BASEMENT (WALKOUT:_Y~N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid amy j(~fl!lici~OAJ(' within 180
days of the date of issuance of the building permit, and must be completed (Certificate of o~c . cO ..ff4ilft~\,b~1i~9h~j~ft!!t0lllie. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (Se r~affi~~~~hniiri~ v~es for beginning and
completing construction. Sub\ect t yV . rI LCCf.:.LCG(It;,:S. _r:c.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ora strl..\9fuSta~(8.n9rJl'fan~~i\1the.use'qr\iQQ'bt.15~ures
requested by this application will comply with, and conform to, all applicable laws of the State of Indian;w:wd~e4O'r(fiW.~kaRte.cg t~tfiieun~~\Ut~p (Z'
289) and amendments, adopted under authority of I-c. 36,7 et seq, General Assembly of the State of 95\fa,lan\t"<!Q ~;T~dal/O(!<\!iFi;.eto- \J\wrtHJr'\:'eri:ify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the con~~ ~yta-drdccu8ied until a Certificate of
o cupancyhas beep issued by the Department of Community Services, Carmel, Indiana. ""1' , \ND\At'lf\
. fr. . I..O!l..;A.(>,;RbSDlJ(.,-HEN!:I.\( IIJWD7
Print Date
OFFICE USE ONLY: ******************************~~******* ****************";J***(5***** * * ***********
INSPECTIONS REQUIRED: Filing Fees: j0"1't--3
.=---- Base Inspections: ;;L 11 ~
.,...-l:J},..c, Fuutrng} ower Footln) Under Slab 0
~_ ~ ~_- :=: Cert. of Occupancy: ,t) 3.y
,l{ou~In~ eter Base Final Site) 6 aD
~.1 P,R.LF.:
# Charged Re.
ReViews
Additional Fees
~, ,__."."_C
(Date)