HomeMy WebLinkAbout07030009 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit #:01 e3ooD9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
a~
ERVICES
€1s>Ce S-r~MM
STREET ADDRESS:
13S {I S PQ..t uP {:"Ml>>V\S M,
LE{'(
" PHONE:
STQ(a)3 2- ZIP
O~G(De0T(
SQUARE
FOOTAGE:
CITY:
~fL
to
SE
SU~~~(.j:(9 fNWl5
ADrr3~frSTR3m0 ~ r-A-rUYf:. D/2..
2--
t.{IQ03L-
ESTIMATED COST OF CONSTRumQlll<, .--- CC5U
(EXCLUDING LAND VALUE) ~.
,
WATER UTILITY f)A-n ,^,,<:I
PROVIDER: L/1Vl/Y , \ tL--
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "S (IF APPLICABLE):
"ll'_l .....::...... .~ ~ --,.___'\1 !l,
o ONSTRU . N:---"-'-TYPE OF IMPROVEMENT:
~~~~EH~A:i!Yn\j\~\\ MAR - ~ ~M~~~~~~(s)
TWO FAMILY Ii., I 0 PORCH I ,...BJ1ION(s)
#ofu"'tsb,elng~1 _~ DmON(~
constructed at thls- REMOOEL(Vli\\lA'\ ~
time: I .. _!!.Mement Ffuls only
o REsIDENTIAL'(for -O-ACCEssORY BUILOING
Additions. Remodels. Etc.) 0 DETACH EO GARAGE
o ATTACHED GARAGE
PROJECT INFORMATION: 0 OEMOLITION
Early Release ~/Manufactured /'
Permit: _Y ~ Trusses: _Y _~
Lot Split: _Y _N Sump Pump: _Y LN
TAX MAP PARCEL #:
LUMBING CONTRACTOR: "
J"
er's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the 'new
construction area) :
o CRAWLSPACE...-A POST & _ BEAM ~PIER /.
o SLAB ib--'ilASEMENT (WALKOUT:_Y~ .
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences witiun 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 permits 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 structu~s
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) a 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
kite he , th, and floor drains ate connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certifica.te of
Occu "" has e ,ue&.by the Department ofConununity ServiCe>, ~ ~ J-6 ~t07
Sj ture of Owner or Authorized Agent Print Date
OFFICE USE ONLY: **********************************************************~*******************
INSPECTIONS REQUIRED: Filing Fees: /03, oJ
, . Base Inspections: / II. (j 0
Upper Footing Lower Footing Under Slab ___
SJ.-,O
# Charged Re-
ReVIews
Cert, of Occupancy:
~g~
L.
Sit
Additional Fees
P,R.I.F.:
~/-<J7
(Date)