HomeMy WebLinkAbout07010173 Application
City of Carmel/Clay Township Permit #:01010/7]
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8. Two Family: New Structures, Additions, Remodels, 8. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8. PROJECT
INFO:
NAMp
STREET ADDRESS:
LOT #;
.?-O1
:5N15.;L350 X JJb FAX: 57s-1595d
CITY: ZIP:
~ 53 L IN </60
BEST METHOD OF CONTACf:
. c..o -€mA l L.-
PHONE:
FAX: .
CITY:
STATE:
ZIP:
cs,/A=
SECTION:
L\-
ZONING: S _
SQUARE t:::::. C1'1J.
FOOTAGE: ::..J (j l.)...)
ESTIMATED COST OF CONSTRUCTION:
f:1- (EXCLUDING LAND VALUE) ( q q
A I ..s.u..PE;Q,LOe. b-X G
TAX MAP PARCEL #:
1-/0-: -00-;L5"'-035.000
SEWER UTILITY
PROVIDER:t-! 0 F c.Prf!1..A
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); ANOIOR COUN1Y WELL ANOIOR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYP F CONSTRUCTI N:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y J:J
-y --€>
NEW STRUCTURE
o ROOM ADDITION(S'
o PORCH ADDITIOII'
o DECK ADDITION(
o REMODEL
Basement Finl.
o ACCESSORY BUIlDI,."
o DETACHED GARAGE ., .
o ATTACHED GARAGE 0 Uniform Plumbmg Code w/Ind.ana Amendments
o DEMOUTlON AEU~A8~g ftlQilN0Nl'i~~~~~~kallthatapPIYfOrthenew 'I
/,!3utljec\ \5~5Ffi~~a>\\~~~, LA.N FI N l~e D F[)'l.-l--'
~~N . ~i.:>\a\il! an.. a ~~~f:61ICES poST &_ BEA~PI?,
-Y~_Of CO~~M~s T~tP(WALKOUT:~_~)
C-
TYPE
F IMPROVEMENT:
, ..
PLUMBING CONTRACTOR: r' .
~ff\11'l rY1 ~;.sbtJ.s
Plumbers Indiana State License ~AN 2 4 2007
(1 Pi 00010 1/0 I
! ~.. - - -- --.--_....____ __ .J
Which plumbing codes will!'be applied to the construction:
~temational Resid~ntial.code-w/Indiana Amendments
For Single Family and Two Family dwellings, additions, remodels, I r accessory strUct'lOOW\W:p\Ut is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of'O'lcup';ucy 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 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 MZaning Ordinance of Carmel Indiana - 1991''' (2-
289) and amendments, adopted under authority of LC 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 funher certify that the construction will not be used or occupied until a Certificate of
Occupancy has been issued y the Department of Community Services, Carmel, Indiana. I
~NN s 'sH&Pr-t82.0 11.>>+ 01
Manufactured
Trusses:
Sump Pump:
Print
"'te
# Charged Re-
Reviews
ab
Site
Cert. of Occupancy:
P.R.I.F.:
Additional Fees
roved: Dept. of Community Services (Date)
,
ms/llP RESIDENTIAL Date