HomeMy WebLinkAbout07030187 Application
City of Carmel! Clay Township Permit #:07030 I g7
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA'fION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Str~ctures
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
BUILDER
OF
RECORD:
~
~
,?,9,f-Of'/( FAX: ?Fr-Zosu
ST\Ty
rJ ...fA-
BUILDER'S EMAIl ADDRESS:
. d BEST METHOD OF NTACf:
:J"4'.vd/Jou 5 , ~cn-r
~ ~'Zf
7"3/-
PROPERTY
OWNER:
NAME:
~J
PHONE:
5"3/- Jpa
FAX:
ZI7"~Yc
LOCATION
& PROJECT
INFO:
ZONING: 5--f
SQUARE ~ --
FOOTAGE: ,) ') ..)
CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
lOR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPUCABLE):
ESTIMATED COST OF CONSTRUCTION: (!()
(EXCLUDIN~J""NDVALUE) '5)-
to=> (("> ir.= [ \ Ii ':~" II
'=> \~o:? IE:' \ \t, LS'o.;. ~ l..
-____ -~./ \J '_-. I; "\\\
'-~- . --;:: ! 1;1
SEWER
PROVIDE :
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
eEL #:
MAR 2 7 2
CTOR:
~
Early Release
Permit:
Lot Split:
~ Manufactured
~y ~sses:
_Y _N Sump Pump:
~-~
Which plumbing codes will be applied to the construction: I
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments ;
FOUNDATION TYPE: (Check~at applv for thelnew
construction area) -;:;0'\\1, ~o~"
o CRAWLS~cf.~\~v1oST &~ BEAM _PIER
o s~~~ ~ Y_N)
PROJECT INFORMATION:
o
o
o
o
For Single Family and Two Family dwellings, additions, remodels, and/or accessory s~ctur i~~. l~~1":'''QS ~ ~ .on commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate . <,.' I s13f'dJ . ~~~n s of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of I~. , ~ I ~iition time frames for begiIming and
completing consiRc~ 0' Ci ~~~ .
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, o'A)tteration ota.~ruc\iol1~ ge in the use of land or structu~s
requested by this application will comply with, and conform to, all applicable laws of the State oUcnt&nY al'ft'.lth\" ~ rdinanee of Carmel Indiana - 1993n (z-
289) an ts, adopted under autho~ty of r.c. 36-7 et seq, General Assembly of the St~~n~~,Ynd all Ac\~ amendatory thereto. I further certify that only
kite n, bath, and fI r drains are,. ne to the sanitary sewer. I further certify that the co~~n will not be used or occupied until a Certificate of
Ocupancyhas nissuedb ;/ en';-~~ces.C=:e1'i})y S-7<<~ 3/,,20/b'0
I Print I Date " r
I \
o ICE USE I:s~~;;;::*:::~~~::rr:*3i;i*f*;***i~~;;::;:**************/33~**50****************
. . t . Base Inspections: )' .6' h . 5 () # Charged Re.
Upper Footmg Lower Footmg Under Slab ' 5' /-cJ ReViews
~ ~ Cert. of Occupancy: .7r ~
Rough In Meter Base Final Site
P R I F Additional Fees
...'~u&'FJ
Fee Rece~
3-Z.'l-o
Reviewed/Ap roved: Depl. of Community Services (Date)
S;!>ermitsjFormsjIlP RESIDENTIAL
Date