HomeMy WebLinkAbout07030064 Application
fJlan- &JILJ kL
City of Carmel/Clay Township / 84D ~ A Permit #: [) 7 03D~(gY
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
NAME:
STREET ADDRESS:
STREET ADDRESS:
PHONE:
FAX:
STATE:
ZIP:
FAX:
CITY:
STATE:
ZIP:
ZONING:
SEWER UTIlTIY 1111 I rv, n A WATER UTIlTIY IJ)
PROVIDER: Lil/Ll1 ~ PROVIDER: C
NAME OF UTIlTIY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
Nj07 q&'J-
f!}d!{UJaJr(1;V
FLOOD ZONE AREA DESIGNATION(S)
FOR. THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~WN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_yXN
_yXN
TAX MAP PARCEL #:
07030070
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
~STRUCTURE ~T~
~ ~~~Jft9,~~Jy FOR C/ju ber's Indi na State License #:
o DECK~~5)omp"ance' ,~ll'llJO'r)q~
o REMODEL IS " ~fua'!,on..
"B to~' oshti1te anc; LoWhicnpllfro6'ing COCJes..,.,m be applied to the construction:
-B' "'.'fU PI1!~ 0'''', ~J", S.
o AC Y'BgI(i>iN\i1iViMU~~W)lIl.&:sidentiaJ Code wI Indiana Amendments
o DE (GA~E"~'-L!' VIlA:~
o ATTACHED GARAGE' \iJIt: OD;l;Ihi'~filCode wI Indiana Amendments
o DEMOLmON INDIANiL .. .
'l'OUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
XY_N
- Y -;;8J
o CRAWLSPACE 0 POST & BEAM _PIER
~B 0 BASEMENT (WALKOUT:_Y_N )
Sump Pump:
For Single Family and Two Family dwellings. additions. remodels, and/or accessory structures, this permit is valid only iIconstruction commences within 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 pennirs 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 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 amendments, adopted under authority of I.C 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dc upancy has been issued b the Dep tment of Community Services, Cannel, Indiana.
, '. ;/ ....f!-/4AJwJJ f/IJJJJ-JfJlI:.) ,g-)-:.()')
ign re 0 er or uthorized Ag nt Print Date
OFFICEUSEONLY:*********************************************************************************
.!NSPECTIONS REQUIRE . Filing Fees: U, / t1}, ~()
Base Inspections: 1- 77;, ')"0
Lower Footin Under Slab
Cert. of Occupancy: , ')'3 . 6"0
P.R.I.F.: :)' ;:t7 , V () Additional Fees
'---7hTAL' JlJ/: 73. 110
FeeR~ Date
Upper Footin
# Charged Re-
Reviews
(Date)
Reviewed/Approved: Dept. of Community Services
s:PermIts/FormsfILP RESIDENTIAL