HomeMy WebLinkAbout07010210 Application
City of Carmel/Clay Township Permit#:O'7 OJ ()2-IO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
FAX:
at 7-849-773 (p 3/7-f]r.f9-
STATE: ZIP:
:nJ lPJ-'SO
BEST METHOD OF CONTACf:
ELL 3t -590-7956
fp
FAX;
PHON!::
PIT-UI D .:rO'<;(:cPt-lso~
CITY:
14 tC I'll ~ L
Manufactured
Trusses:
y~
y~
DiC
LOT #:
SUBDIVISION NAME:
'E woooL;L};UD S.
85/
STATE:
JrJ
ZIP:
033-3<t
ADDRESS OF CONSTRUCTION:
SECTION:
IJ /3'"
ZONING: (l
~..;)
SQUARE
FOOTAGE:
Sump Pump:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 0 000 EE--
SEWER LJTILITY
PROVIDER: ~ 12 J1 E L PROVIDER: c: If rw E L-
NAME OF UTllffi' EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANO/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) _ __
FOR THIS PROPERTI: UjJ 5i -,/ _: -- - - .I
TYPE OF CONSTRUcTIoN:_ \~ 'SL_'TYPE\OF'IMPROVEMENT:
o SINGLEFA;;iL~::;:?-_':>/ 0 \~~~\srRUCTURE
o TOWNHOME/ ~t'\\l1~ROOMADDITION(S)
o TWO FAM~~r ,,' '0 \) ~\J 0 iioRCH, ADDITION(S)
# oN{n(t:5, bein1l\l,\' Q-oDECK AIlDITION(S)
constructed atthis ~--~REMODEL
time': \\ \\~ __.---- ~BaSement Finish only
IB" RESIDENT<IAL:(Fof /0- ACCESSORY BUILDING
Additions. Remodels. Etc.l~-- 0 DETACHED GARAGE
\ .__-./-- 0 ATTACHED GARAGE
- 0 DEMOLITION
PROJECT INFORMATION:
y~
yV;:;
TAX MAP PARCEL #:
Early Release
Permit:
Lot Split:
LUMBING CONTRACTO :
.5/7l~ rr( t/4t-.c..Ef (!p JCj~OOO~\
Plumber s Ind,ana State L.cense #: ifj"::' ~/, f~~ (}O<\
.J>U: ,9 '70109' . - j i 1)
Which plumbing codes will be applied to the construction: ~'.--fD
o International Residential Code w/lndiana Amendme"l:estr
0"'uniform Plumbing Code wfIndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
@""CRAWLSPACE 0 POST & BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is VM.~ . 0 ences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of OC~U .' " ~ ance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indian& . , ion time frames for beginning and
completing construct. n.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or al on 0 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" (Z,
289) and amendments, adopted under authority of r.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
Dee e has en iss d by the Depanment of Community Services, Cannel, Indiana.
/. ./ P. 1/. /v1c.TO,J /~/-D7
er or Authorized Agent Print Date
OFFICE USE ONLY: ******************************~~*********************J~~********************
INSPECTIONS REQUIRED: FIling Fees: ,-~ itf
~per FO~9"") Lower Footing Under Slab Base Inspections: {/ tf G. 5~O
~.. ~~ CertofOccupancy: ~3 -:;,
C Rough!!"- M ase inal Site -
__ P,R.LF.:
C
# Charged Re.
ReViews
Additional Fees
J '2/
Dept. of Community Services
S:PermltsjFormsjILP RESIDENTIAL