HomeMy WebLinkAbout07030002 Application
City of Carmel/Clay Township Permit #: 07 o3604}~
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:
SEWER UTILITY
PROVIDER:
.:z:;, .:-
PHONE:
7pl-/~~
~ '/5 s;;J
EST METHOD OF CONTACT:
; 7/<1- :5",14
~
,25'7 -t:t? 7.? C/
,is fli'
C
-r-
PHONE:
~~
SEmON:
NAME OF UTILITY EXCAVATION co CTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF IMPROVEMENT:
TYPE OF CONSTRUCTION:
M.
o
o
/d
o
o
o
o
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDmON(S)
DECK ADDmON(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses:
Y~
/Y=N
Lot Split:
Y N
Y...-r:;
Sump Pump:
Q,ough-!i);
Final
Site
P.R.I.F.:
I;: I':
TAX MAP PARGE~ #:
'L' 'I"
l I I
! I L';
FAX:
8.2C - tf"~3
ZIP:
'tH"
FAX:
ZIP:
~;Z~ 0-
ZONING:
SQUARE , /
FOOTAGE: /j'f/7
!~~i I
,
PLUMBING CONT~CTOR:
8wh"J; "vl:~z~---
Plumber's Indiana State License #:
Pc '9'tq~t:?//c..
./
# Charged Re-
ReViews
Additional Fees
C
Reviewed/App Dept. of Community Services
S:Permits/formS/ILP RESIDENTIAL
-61
(Date)
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indi~~endments
o Uniform Plumbing Code wI Indian ,A~~" ents
<(.~~W'c'
FOUNDATION TYPE: (Ch~(t\!a'i\~PIY ~t\.~w
construction area) ,i0. C;~':i\~'\~<.~~- f:)'<J.' .
C8l' CRAWl.S~~, ,:"'~'~a?5J;~~_PIER
O b r.tJ~""-r...';:l~~'" '\ ' ..-
s '~"'l"$l"f",:"",~ : Y"" N )
.,.0. t,,"\\' --
, ~..
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, t~ ' ., __',-cl:l.i 0 . c c . onunences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occup~ ued) ~in e issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) r~~~ ati e frames for beginning and
completing construction. <.'\<;,.Y .('\1( ._,
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struu~oMny- 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 Zoning Ordinance of Carmel Indiana - 199r (Z'
289) and amen ,ad pte under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, an all Acts amendatory thereto. I further certify that only
kitchen, bat ,and fl in e connected to the sanitary sewer. I further cer!#y that the construction will not be used or occupied until a Certificate of
Gccu yhas e y the Depart t of ColtUUunity serVk~ndi"'a~ _ I
-"" 40. /-;-...........-c ;?;- 07
Signature of OWrie or Authorized AGent Print
OFFICE USE ONLY: ************************************** .****************)}m*'ff}****************
INSPECTIONS REQUIRED: FIling Fees. -
G F ~ F-- t' U d Sl b Base Inspections: c7'7~ SO
pper 0 er 00 mg n er a ~-7 ,<"/1
Cert. of Occupancy: J / - -:> V
./:2 r; /.- O()
/1
Fee Received by:
Date