HomeMy WebLinkAbout07030006 Application
City of Carmel/Clay Township ~ELEASED FOR'tt!:.~~#~j'ffi!Jt~18W> (p
RESIDENTIAL IMPROVEMENT LOC~WI&N PERMfEp'i.M!P.b1@A!(fJK)N
For Single Family, Town Home, l!r. Two Family: New Structures, Additioh~IR:'hiIld~lkFS;'A~ Structures
PT F r.n, ~ I'-i T
PHONEC'~ ~ EL / CB1\ Y TOWNSHIP
cCMMEL STA1J L
BEST METHOD ~CONTACT:
(;01 N. bSeJ T12.ll\ll-lCt\1~. C-O tvl
F~~H~~~~~~~;~:O~j~~" ~. .~' k-
'" 1["- \"-. i/ <'_,;; '"i '.J .-.. ,; "
OF. ONSTRUcnON::::-----TYPEIOF IMPROVEMENT:
'\ IiI Iii III
SINGLE FAMILY 0 NEW STRUCTURE
TOWNi~!l~E liAR - 1 LOOP ~O<:jriliADDITION(S)
TWO FAMI~Y I'/l 0 PORCH ADDITION(S)
# of,u\'itSibeing ~D' DDNtON(~
const'FuCted,at-this-~ - EMODEL AI ~ ~A' . . .
ti I I \I~~ I'~f<\( umbmg codes will be applied to the construction:
me: Basement FInis on y
o RESIDENTIAL,(For,----O-ACCesSORY BUILDING 0 International Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) 0 DETACHED GARAGE " '
o ATIACHED GARAGE 0 Umfonn Plumbing Code w/Ind,ana Amendments
PROJECT INFORMATI:(N: 0 DEMOLITION /: FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release / N ./ Manufactured
Pennit: _Y -X Trusses: _Y ~ 0 CRAWLSPACE ~ POST& BEAM_PI~
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB ~SEMENT(WALKOUT:_Y~)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
l!r. PROJECT
INFO:
8L
NAME OF UTILITY EXCAVATION COrmlAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPLICABLE):
PHONE:
FAX:
4(1)32--.
-:nAL
SQUARE '-' n
FOOTAGE: ttC-V
(:)
ESTIMATED COST OF CQNSTRUcrrON:
(EXCLUDING LAND VALUE) '25
TAX MAP PARCEL #:
PLUMBING CONTRACTOR: ^
~~
Plumber's Indiana State License #:
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only ifconstruction commences within ISO
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 fot 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 Carmel Indiana -1993" (Z'
289) and ndments, 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, th, nd floor drains are connected to the sanitary sewer. I further certify that the c nstruction will not be used or occupied until a Certificate of
Dc 'P yh bee issuedby..!!'eDepartmento!CommunityService, CarmeUndiana, (;dMD */07
o Owner or Authorized Agent Print Date '
OFFICE USE ONt Y: ****************************************************'!~***************************
F'I" F 1./ 3 <::' r)
INSPECTIONS REQUIRED: ling ees: ' v
" " Base Inspections: I / I f f/ # CIlarged Re-
Upper Footing Lower Footing Under Slab /1 Reviews
Celt, of Occupancy; .:57 51/
r-ROU9h In ~eter Base Final Site
"--_ ~/ P.R.LF.: Additional Fees
Review
p ed: Dept of Co
~
S:Permits/FormS/IlP RESIDENTIAL
Fee Received by.
/'