HomeMy WebLinkAbout07030148 Application
City ofCarme/lClay Township Permit #:D1 bOO/Lf<6
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 UTIlITY
PROVIDER:
NAME:
Q,
STREET AD~t s. 5
BUILDER'S EMAIL ADDRESS: Ef2>RJ.,l ~
NAME:
STREET ADDRESS:
LOT #:
tf~D
1JlbtIm
P: a(jZJ
'I ::)
"1'
"
I I Ii,
i ! 'STATE: ZIP:, l / ! i
,." 'L::/ I
l"~_~___._~___~_-.J ,
ZONING:
SQUARE
FOOTAGE:
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPllCABLE):
k 67030ltf7
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON:
~INGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
~Y~
~yLN
lot Split:
TYPE OF IMPROVEMENT:
~EW STRUCTURE
IT ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECKADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOlITION
Manufactured
Trusses:
Sump Pump:
-6~N
LY_N
TAX MAP PARCEL #:
rtlAJ.
Plumber's Indi~.sr;~~e s #:
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
I
o Uniform Plumbing Code wI Indiana Amendments '
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB BASEMENT (WALKOUT:~Y~N )
I
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction conunences within 180
days of the date of issuance of the building pennit, and must he 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 IAC 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 LC. 36'7 et seq, General Assembly of the State of Indiana, and aU 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
Occupancy ~en,,,,uedb t eDep tmentofcommurntysemm.c~CDV1 r:.. ytO 3ft /~J
Signature 0 ner or pnnt ~ Date I 1;
OFFICE USE ONLY: *****************************************************fl** ************************
INSPECTIONS REQUIRED: Filing Fees: 0 0 7 h 0
c2 --? 7. s-[)
:s- .3 .S-d
I eX C /. {/O
? cb /9'. r:: 0
S:PermitsjFormsjIlP RESIDENTIAL
Base Inspections:
# Charged Re-
Reviews
P.R,I.F.:
Cert. of Occupancy:
Additional Fees
5- 2!6...fJ
(Date)
Fee Received by: