HomeMy WebLinkAbout07030105 Application
\ City of Carmel/Clay Township permit#:~
-;?-' RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY NAME: c-
OWNER:
STREET ADDRESS:
LOCATION LOT#:
& PROJECT :.:z. tV
INFO: L./l-G
SEWER UTILITY /uma Carmel
PROVIDER:
STATE:
Z~J~ J J
r;. :J 7" 0
PHONE:
FAX:
01Y:
STATE:
ZIP:
SECTION:
.;s;G: S I
/
SQUARE
FOOTAGE: ,g.9 ()
ESTIMATED COST OF CONSTRUcnO I r -' <".. .....,..,,\
(EXCLUDING LAND VALUE) t:J, tJ~_o~,;~;; r;~'\.\
_~. . ~\\~\\\ \\1
//c-'" ~\~ \\\ \\
TAX MAP PARCEL #\\'\ ~ '\1 \ 1\
\1\ ) " lV\J
PLUMBING CONTRACTOR\~
Plumber's Indiana State Licen$" #:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION ( BZA / BPW DOCKET
NUMBERS; TAC OA1l'(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
X Litl'l WetL
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
S- PORCH ADDmON(S)
~ DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TYPE OF CONSTRU
)! SINGLE FAMILY
,0 TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
For Single Family and Two Family dwellings, additions, remodels. and/or accessory structures, this pennit is valid only if constrUction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) v.ritrun 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 -I993n (Z'
289) and amendments, adopted under authority of LC. 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
o u cy as been .",ued the De tment of Community :::~C~:~':d; ~ 0,1) ~
~ "D~ //~/;f1d</or/
/ ,,", \ ~
/ 1
OFFICE USE ONLY: *********************************************************************************
INSPECTIONS REQUIRED: ( r2> b () Filingl Fees: J
~ "nj) . /11\ '~J Inspections: / / /, 0 0 # Charged Re-
~pper Footln Lower Footing Und,er Slab _ ","/1 /3 ~) ReViews
. \ _ rt. of Occupancy: 0 J {
Rough In Meter Base Final Site / ~
jP.R.I.F.: . Additional Fees
Re' pprove' ep ~ofcommunity service!~~fJ ~ ~/! ~{I
S:Permlts/FormsjIlP RESIDENTIAL
Early Release
Permit:
Lot Split:
/ .",l.)anufactured
Y ..JL.} i'Y' . russes:
_y LN Sump Pump:
~~
Fee Received by:
,
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE jl!{ POST & ~ BEAM PIER
o SLAB 0 BASEMENT (WALfo~:_Y_N)
Date'