HomeMy WebLinkAbout07020165 Application
Please call 695-7630 for
permn pick up D 70 '7']) I b.E;;
City of Carmel/Clay Township Permit #: /,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
a.,i.;
~
PHONE
FAX
NAM
PHONE
5lPlr J 3-3
PROPERTY
OWNER:
STREET ADDRESS
cm
STATE
ZIP
LOCATION
& PROJECT
INFO:
SQUAR
FOOTA
TY~ IMPROVEMENT:
NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOLITION
'33 5~
#- O?O
~LUMBING ONTRAC:OR: FEB 2 2007
th Jj ~ tF. -6Milll 7
Plumber's Indiana State License #:
/?/ O'f'1-t::f I
SECTION
'L
-4&0'3'1-
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 40 (p
ZONING:
F-I
IIV
SEWER UTILITY WATER UTILITY
PROVIDER; PROVIDER: ~ Wo::iz,.LJ
NAME OF UTILITY E VATIQN CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
CB"'SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI -FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Whk~)tJumbing codes will be applied to the construction: .
I13"International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
.':~ ~ .
./ Manufactured FOUNDATION TYPE:
_Y ~N Trusses: _Y v-r; construction area)
~RAWLSPACE 0 PO
Lot Split: _ Y ViJ. Sump Pump: vY _N 0 SLAB 0
Does any part of the property lie within a special Flood designation area: Y L/'N:: <(:q~- .)I'Il
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structun~..~~ itG~i~~i.if~ri!' t . mlT1ences
within 180 daysofthc date of issuance of the building permit, and must be completed (Cer~!i c~~~~~. i, momhsofthe
issuance date. Class I structure permits are subject to the General Administrative Rules of the ~ f In~~.~~}Pj.'~'\=, r~arding expiration
time frames for beginning and completing constru~tion. '9'(~1~~~~<.,~~~Y'
It the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ~,~y'c~rn, the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the Sta 9.hlPGJ'a,and.~~e ;~~ing Ordinance of Carmel
Indiana ~ 1993~ (Z~ 289) and amendments, adopted under authority of LC 36-7 et seq, General Assembl~")o~ State of h:,!<;lian~';i';md all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. dii'rther certify::thjluhe construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmt::l, Indiana.
~ tl't.m.r 01~1 2/z-1 /0'=1-
p-:ri 7 Date f I
,.!,.:.
Early Release
Permit:
E ONLY: ** *** *** ************* *****.~**** ***** ********~*M*}::*A'~*~!..~*************
FIling Fees: ~' ("C{. .
INSPECTIONS REQUIRED:, :"l ...... 00.' -.J
Base Inspections: ":>L ~
n er Slab -r-"
Cert. of Occupancy: ....;> 3. ,)(;J
P.R.I.F.: 6 . 00
(~~.~ ~ ~O A:AL:, /2p"/c?7~.?o
~~ . /r~L...-
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# Charged Re-
Reviews
Additional Fees
(Date)
Fee Received by: