HomeMy WebLinkAbout07020119 Application
City of Carmel/Clay Township Permit #:07D2 D I J ~
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:
STREET ADDRESS:
LOT #:
SEWER UTILITY I{ - "0 I , 1D
PROVIDER: V t t-uv
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/ORCOU'NTY W~LL AND/OR SEPTIC PERMIT #'S (IF APPLICAB
. " '-.'~
FLOOD ZONE AREA DESIGNATIO.' N:CS):Y:::' ,.:':-:~ ,: -"'~"~> "" 1 _ 1
FOR THIS PROPERTY: /S.~\ ~/ 'J':' '~etL
i .-_) /, 'l:... \. "
~ ',"- / - '-, "'--') "
TYPE OF CONST N: ~ TY E OF IMPROVEMENT:
SINGLE FAMI~;/ ~ NEW/STRUCTURE
TOWN.~o.MEV " '/ ROOM ADDITION(S)
o TWO.FA~~_LY v O/PORCH ADDmON(S)
#,of,u,~!ts beipQ,~ ,0 DECK ADDITION(S)
construtted al<tl'iis / 0 REMODEL
tim~-:)~ " / / _ Basement Finish only
o RESIDEN1;I!I~t,!r / 0 ACCESSORY BUILDING
Addition~Remotlels, Etc.-} 0 DETACHED GARAGE
"~ / 0 ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLITION
Early Release
Permit:
Lot'Split:
Y~
Y~
Manufactured
Trusses:
Sump Pump:
~N
~=N
cm:
STATE:
ZIP:
ZONING:
SQUARE
FOOTAGE:
TAX MAP PARCEL #:
PLUMBING CONTRAK'
Ibr f<vt ,
P um e sI~~JO(3;
~Ch plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) ON
o c~~61RY~~\\L- BEAM
eLg..Se'0r~\&!\C it'e~~~ (WALKOUT:_Y
PIER
N)
For Single Family and Two Family dwellings, additions, remodels, and/or access~~tur.eft, St;ia\Q&Ift l~;Vm.~ ~c c . ~ences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of crcC\lf'~fi~~ ~ i suance date. Class I
structure pemtits are subject to the General Administrative Rules of the St.ate of Inr4ef<fe01:i b('t')~~1~ ~pir on time frames for beginning and
completmg consl&3.'~op.,t: Ct>-?\\IIt::. Nil
I, the undersigned, agree that any construction, reconstruction, enlargement, relocati~\lt atte'MHon of a-stru,\~AhsrHlange 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 die "Zoning Ordinance of Carmel Indiana -1993" (Z'
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 aI"e{Connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certifica e of
Occupancy been i~ued by Department of Conunuroty SeIVlces, Cannel, Indiana
~~r{)r.e
OFFICE USE 0 Y: ******************************~*********************F*~)j'****~*****************
INSPECTIONS REQUIRED' Filing Fees: _ ---' 6 ()
, Base Inspections: ^ 7 ~ 50
ootin Under Slab 53,50
~ Cert. of Occupancy:
L/ /, P? 6/, 00 Additional Fees
T00~ ~~f3abO
'7/u-07
ReviewedjAppr ved: ept of Community Services (Date)
S:PermitsjFonns/ILP RESIDENTIAL
0.",
# Charged Re-
Reviews
Date
Fee Received by: