HomeMy WebLinkAbout07030028 Application
City of Carmel/Clay Township Permit #: ()"/()3~c:t
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 lJTIlITY
PROVIDER:
NAME:
t
PHONE: 255.qCfLX)
~
BUILDER'S EMAIL ADDRESS:
l?:>DfrV is @ m.+ ~ METHOD OF CONTACT:
NAME:
STREET ADDRESS:
SUBDIVISION NAM :
LOT#: 1'2:>
ADDRESS OF CONSTRumON: I ~ '3
C-rMD
PHONE:
FAX:
CnY:
STATE:
ZIP:
ZONING:
SQUARE /} '7' ') 'I
FOOTAGE: U 00{
ESTIMATED COST F CONSTRumON: /} ""'5 rn<\
(EXCLUDING LAND VALUE) d'ol (}JL-l
NAME OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
1}n- SINGLE FAMILY
-cs TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.l
Early Release
Permit:
PROJECT INFORMATION:
-y~
_Y~N
Lot Split:
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
~N
V""(~~'N.
8::'~,h
{(T
o7~CO'J,'7
TAX MAP PARCEL #:
PLUMBII';I(-d:jRACTOR:
tS'm cH?
Plumber's Indiana State License #:
Jf) 1117
Which plumbing codes will be applied to the construction:
.J5?1ntemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB BASEMENT (WALKOUT:_y--0)
For Single Family and Two Family dwellings, additions, remodel~, ana?~-1u:l;l~iso'ry-ttru rl1/~,~s permit is valid only if construction corrunences within 180
days of the date of issuance of the building permit, and mustf?bfi9,mp,leted,',/(S~_~!Jib~m;O,'c cC<!j, ~fY issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative J\~!~~ 4t:~a"kBf ~~!R<l:Ys&' :<C 12) regarding expiration time frames for beginning and
VI <~preti,!!\cOi\strutti';;ni', ~ '
I, the undersigned, agree that any constructio, n, reconstruction, enlarge~~i..J;~}~a.tioP~br:alte, faf,i6:p- a-t~ure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicabl~~~R1.-~1l'e ~J;{(o!ill}4t n~~ning Ordinance of Carmel Indiana - 199r (Z~
289) and amendments, adopted under authOrity of LC 36-7 et seq, General Asseri1BIY6fi._~e '5~" E, ~> cit fiY!~,~ nt\l~ alM~ J'}l!ndatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify iii'Mk~e;_.x.alfs"~pbiycrTII~~Iiy:::&'(jor occupied until a Certificateo!
Dee cyhas been ias d hy the Department 01 Conununity Services. Carmel. Indian'ii,l;!', "0 ;:;;{Q , ?J4
Cl W,,'9. 01
Date
\
"fiewed/Approved: Dept. of Communi
'lits/FormsfIlP RESIDENTIAL
OFFICE USE ONLY: ******************************~~****** ****************6;?*~*******************
INSPEC1l0NS REQUIRED' FIling Fees: rJ - CJ
Opper ~ U;-wer F~ U~der Slab Base Inspections: ~ ?7. )~()
Cert. of Occupancy: ' '-i). S- 0
P.R.I.F.: ,/ d 61 ;f Additional Fees
~ r;235/t?o
Fee Received by: Date
(Date)
# Charged Re-
ReVIews