HomeMy WebLinkAbout07030135 Application
City of Carmel/Clay Township Permit#: f)702fJPXJ
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:
SEWER IJTIUTYf;l fi{
PROVIDER: C c;;..Jh.
BUILDER'S EMAIl ADDRESS:
.
NAME: J \
'/Vl/VI Y
Ye.e.
FAX:
".:),
17!:
BEST METHOD OF CONTACT:
---
{Ol\ C.~7-~
FAX:
>rATEt to
ZIP:
4- (PD?> 3
ZONING:
~-1..
SQUARE 25' 2 Til
FOOTAGE: f
SECTlON:
'2
U (d)33
ESTIMATEO COST OF CONSTRUCTJ'?j; '"7 /7( o.l/'lA
(EXCLUDING LAND VALUE) ~?- ,c.. UJ
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY: .."..--
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
K RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences wit.hin 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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) amendments, adopted under authority of r.c. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kite en, bath, oar drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Oc up .. :rhas e:tued by the Dep"'tment of Conununity se~;d, In~ e ('\t:., ;) . -Z O~ 01
ne or Authorized Agent ......~rint_, Y Date
/' \
OFFICE USE ONLY. ********************* *-:tj~******************************l***?*..!)****'****~*********
. I ,t;b ..1. .I_/l~6/33 :'/"
INSPECTIONS REQUIRED: ' 3~ng Fees. I . / /' d .
~ M.;~ . :~() Base Inspections: 1(, b- ) V # Charged Re-
~per F~ Lower Footing Und ab? .:,/ . 5'3 S--o Reviews
/ Cert. of Occupancy: .-
....-Rml~ Meter Base ~ ~
~ P.R.I.F.:
Lot Split:
~
.:5 -u -t>7
Dept. of Community Services (Dale)
S:Permits/FormS/IlP RESIDENTIAL
_Y l'LN
_Y~N
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
:g[ ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses: _Y x: N
Sump Pump: _Y)( N
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TAX MAP PARCEL.#.: _____________
I B '()o.\g~: f:yX)o3b
//
I:, ! I --' '.. ~ ..,-_.-..~---
PLUMBING CONTRACTOR:
-Ii.." l
tJoh.~\l ! L'~\i t e on(17
Plumber's Indiana state Licen!: L'Jvi .. i!'
't I l \! I. '..d i l
I~ LJ L\ i, 1 '--------/ i
_________ I
Which plumbing COdeJ will be applied to the construction: 1
o International R~sideritial-COCle-w/tndiana Amendme~ts
o Uniform Plumbing Code wI Indiana Amendments
i
I"
,J;
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
~ SLAB 0 BASEMENT (WALKOUT:_Y_N )