HomeMy WebLinkAbout07020034 Application
City of Carmel/Clay Township Permit #1)'7 0 2-0031-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
STR IT ADDRESS:
LOCATION
& PROJECT
INFO:
ADDRESS OF CQN,5'1f;UCTlON:
. 101 wf{\\'Ier~
o
NAME OF UTILITY EX VAT! CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRU
r2J"" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
. ai
TYPE OF IMPROVEMENT:
E!"""NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release vi: rrIf.! Manufactured
Permit: _Y _N:,;.;-a Trusses:
Lot Split: _Y .~ N Sump Pump:
.....-
_Y_N
L-Y _N
ZIP:
SECTION:
I
ZONING:
SQUARE
FOOTAGE: lOC1o 7
121'~h8W
,I. ii'
ESTIMATED COST OF CONSTRUcrrON:
(EXCLUDING LAND VALUE) ; " '
"I J'
TAX MAP PARS~} #1.: -rAW ~
-
PLUMBING CONTRACTOR:
n ~-.
~1 fu:lPSi'
Plumber's Indiana State License #:
Pc:. ,Q50
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~iform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB [3-'" BASEMENT (WALKOUT:_V----.::::N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only:if construction commences within 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. 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 "Zoning Ordinance of Cannel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitc~en, 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
Otf7!ripi;yr by the Deportment of Community serviD~~di1YOuJ() d~1 01
Signature of OWner or Authorized Agent Print Date
OFFICE USE ONLY: ***************************** *~~******.**************O***************************
INSPECTIONS REQUIRED: FIling Fees. I,' 11: 1 ()
U F t. F t' U d Sl b Base Inspections: ;2 '77, .')0
pper 00 10 ower 00 I n er a 5"r-
Cert. of Occupancy: JJ.?, ~
) :l.6 IOTJ
c;(
. Site
P.R.I.F,:
Revi
Fee Received by:
# Charged Re.
ReViews
Additional Fees
7/.7D
d,-7'-rJ l
Date