HomeMy WebLinkAbout07030075 Application
City of Carmel/Clay Township Permit #: 07 0300rb
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
(
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
(...
BUILDER'S EMAIL ADDRESS:
''-1
NAME:
Gz A 12.
\lMe-
5~\~i~d
.0\-3S"
ZIP:q.l.o203
STREET ADDRESS:
13 i\
LOT#:
Z(O
tAU
lAh( rlz is
CITY:
STATE:
BEST METHOD OF CONTACT:
5"
FAX:
STATE: Z~ &D:S:5
SECTlON~ ZONING: p. _ I
SQUARE -') rv:J. rf.,
FOOTAGE: -,,"Vl:? T
ESTIMATED COST OF CONSTRUCT1f'I!: ()_
(EXCLUDING LAND VALUE) <!!!l> '0 I WO
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZAI BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'5 (IF APPLICABLE): ____
FLOOD ZONE ARfA_'DESIGNAtjON(S)-~_i;;:';;' i,r :~, \
FOR THIS PROPERr:: ". " ~.:; '.'.:::~ Ii <Ji~'2'~~. C; \ X
_ _'_ .._...... .,..~- - , 1, \, I
TYPE OFiiMPROVEMENT:
"1 ill
9 20070 \N,~I~RUCTURE
o iROOM ADDITION(S)
._ ___._Cl.__!PoRCr. ADDITION(S)
o DECK I'DDITION(S)
'N" REMODEL
---"=-sasement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TYPE OF CONSTRUCTION:
-,1
o SINGLEFA~ILYMAR
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
Ji( RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y 'l( N
_Y XN
Manufactured
Trusses: _Y X N
Sump Pump: _y.2s.N
TAX MAP PARCEL #:
lit> I01.Cj02..0 032. (X)o
PLUMBING CONTRACTOR:
f'\Oh<
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST&_BEAM_PIER
Jii{ SLAB BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory sl:n1ctures, this permit is truction commences within 180
days of the clate of issuance of the building permit, and must be completed (Certificate of Occupancy issued) wi ~he issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding ex" 1Zs for beginning and
completing construction. m
C, the undersigned, agree chac any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the u d r'es
requested by this application will comply with, an<!.conform-to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel . g ~-
~d amendments, adopted under authorjty6f LC 36,7 et seq;-Ge~ral Assembly of the State of Indiana, and all Acts amendatory thereto. I further c '.. nly
che ,bat ,an or drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certifica.te
'Ccu cy h be n issued by the De / tment of Community Services~G:armel, Ind' a,\
. viL; 3, ) .--r h c. <- ;;?-- 9 -0 7
Signatu f ner or Authorized Agen
.;\~
- j).
OFFICE USE ONLY: ******** ****~*****~~******.**************',.{-j**Jr****************~**?'('O^ ~ 0
INSPECTIONS REQUIRED: FIling Fees. I:;' u \t{1 Ify~,:> ')l~
. ---:- . Base Inspections: I J..4, 'if 0 # Charged t --!
pper Footing) ower Footmg Under Slab 't<:f) ReView >N.f:-I
- = ite '-j Cert. of Occupancy: (~J. .:zI1 V ,
~~ter Base C:al. S/ ~.: t .35'3. ~ Additiona~nR
, TOTAL: ~~;Z4, 50 .~
3 S?.,()
~ c~ D..1e w/o
~=:lJt~;7/J,.~!bJ
~ ~. viewed/ A~ ov : Dept. of Community serv:es
~ "ZPenn1ts/Fonn"ILP .ESlOENnAL
Fee Received by:
o.te