HomeMy WebLinkAbout07030174 Application
City of Carmel! Clay Township Permit #: () 70:3 0 /7/(
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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PHONE: ..5Y/-!:3SS FAX: ~U-S3'JC;
CITY: STATE: ZIP:
1/11lJ?L5. ::t:/U c..:<l/o
BEST METHOD OF CONTACT:
PHONE: s;-e/-5'3Sr FAX: ~/-!:3'77
CITY: STATE: ZIP:
:I;vJ)"P LS IN ~d D
SECT10N: ZONING:
B/. m;::'
BUILDER
OF
RECORD:
NAME:
6u.1 LFp
STREET ADDRESS:
Z Zt}(" 6.
BUILDER'S EMAIL ADDRESS:
.5
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
';<;).0& E..
LOCATION
& PROJECT
INFO:
LOT #:
SUBOMSION NAME:
SQUARE
FOOTAGE:
19, 33'<;'
SEWER lITIUTY
PROVIDER: CAR..
eL..
WATER UTIlITY
PROVIDER:
I .
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) ~" ODD
-5-r. Tf: ~ 3:L10/Q
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSI\JIAI BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL A ~~'p~rr #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATI~ C e\\ leg\l
FOR THIS PROPERTY: '0 rU' . c.
. CO'
TYPE OF C ia 'il\\O 0 M ENT:
o SINGLi>~AMILyO\" (,0\'11\'110 ~ STRUCTURE
o TOWN HO~h\ Or d\-;\E,\..I f>.ROOM ADDITION(S)
o TWO FA~ .....c cP-I> "'I'\)\ ' 'PORCH ADDITION(S)
# of ,IIRit:!I/b\lil\g \I~ 0 DECK ADDITION(S)
cons~d:ed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
~ Additions, Rem7Eels, Et."Zl 0 DETACHED GARAGE
j-{rJJ-f' ( ~O ATTACHED GARAGE
OJE(:TI~Fb; ATION: I. DEMOLITION
Early Release V anufactured
Permit: _Y ~N Trusses: ~y N
Lot Split: _Y -X-N Sump Pump: _Y X,N
TAX MAP PARCEL #:
O(J 0
PLUMBING CONTRACTOR:
/(cT PLir.YI113I,vG
Plumber's Indiana State License #:
C--f 1(') t)() (2tJV4-
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~niform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o POST &
BEAM _PIER
J::iit SLAB
o BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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 -1993n (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
Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
Sl!:'::;:wn~t p:f.Lotr AAc~?JfOI
3-2/-07
Date
OFFICEUSEONLY:*********************************************************************************
ECll0NS REQUIRED: Filing Fees: .I hf 5 ~. rSJn
. . Base Inspections: ~ et) . tJ 0
per Footing Lower Footing Under Slab 1-- /1
Cert. of Occupancy: ,
rr8tl; t)l<${
TOTAL:
# Charged Re-
ReVIews
P.R.LF.:
Additional Fees
Reviewed Approved: Dept. of Community Services
S:Permits/forms{IlP RESIDENTIAL
Fee Received by: