HomeMy WebLinkAbout07030154 Application
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City of Carmel/Clay Township permit#:07030J5f
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA'ifION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory StrJctures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
JtJfo
FAX:
575 .' cfq S7J
ZIP:
l/-1003Z-
llN
(\ {) BEST METHOD OF CONTACT:
j,..-InLLTE, C-om E A..-I4-tL
ZONING: 0 _,~
SQUARE t=:. 0113
FOOTAGE: ~ '-t
;}(1J &
. A -:1.. .suPel2.LD/~.E 'It. ,
.w- (J1D'3() I 53 ~26-- / _
SEWER lITILITY .
PROVIDER: ~8--
WATER lfTllITY
PROVIDER:
PHONE:
FAX:
CITY:
STATE:
ZIP:
ESTIMATED COST OF CONSTRUCT10N:
(EXCLUDING LAND VALUE)
NAME OF umLlTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S) it \/" I~
FOR THIS PROPERTY: ^_ _ \
____--- f,"'l/i'..... \, '.'.:
TYPE OF CONSTRUCTION:", IS:; \ ifYPE OHMPROVEMENT:
./ ,,- \,-_,I,"--/!t.:_J::-~__/ 1\\ \i\
C!f SINGLE FAMILY, 'Co~. '..:. " - Cid"NEW STRUCTURE
o TOWN HOME, i~\-- 0 J~OO~,Ip.D~~ION(S)
o TWO FAMILy,j \ 'l i C')(\\)/ORCH\AOOITION(S)
# of uni~\~ei, 9 . "'t>.R I- cf DECK\,1WI\:ION(S)
construct:'ed at thIs 0 ~MODEL \
time: \ \ \ \ \ \ ___ _ Basement Finish only
o RESIDENTIAL"(For'---- 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) ...____..B"DETACHED GARAGE
1..---- 0 ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLITION
./
_Y_N
_Y~
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
v;, _N
-lL't'_N
PLUMBING CONTRACTOR:
~~ <l-sDtJ8
Plumb s India~ License #:
<S..ft =' DID I i
WhiCh'P~b~ cod~~e applied to the construction: I
e:]';nterQl:.rJlillcReSiill.ial Code w/Indiana Amendments
'i\ V_ ~ oa~
, Unifo~iIlin~~Oil!l w/Indiana Amendments
"Y- (') ~ '0 0
)UNDA~~!Si: (S:heck all that apply for the new
onstru~ .) ~ liflLL PI;J WI !JAm
~~~~ t~ POST &_ BEAM _PIER
o ~ ~~~~ (WALKOUT:_c,dl
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit iS~~ if~m~ction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued ~t~ m~tI~f the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) reg ~pira~ ~e frames for beginning and
completing construction. "h 0 ~ ~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or ~ ~ge inijbe 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 "Zoni~~ap.ce of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts afiGndatory 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
Occupancyhas been lasued by the Department f Conununity service~J:~jj [; -St.1 E-P H-fd2L) -3 J:lJ) I 0
f Owner or Authorized ent Print Date
Sump Pump:
USEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: cy;"~. '3 6
c::!1Ppe~fiDg <!ower FOO!;ng Under Slab Base Inspections: ~ '/7. ':::"(JO
~_ ~ .., Cert. of Occupancy: , z;- 3. J
('ROugh In-=:, ~~ '-f!.~ :'Ite ~ /J !., I ()
- P.R.I.F.: ~ I?'- (; () Additional Fees
1#it-.4J;- Z-;1.(,'-o7 - -:7/!OTAL: /l )I c26A0..30
Reviewed/Approved: Dept of Community Services (Date) ~ttliA//~
S:Permlts/FormS/ILP RESIDENTIAL Fee Recelv V. I L/' Date
# Charged Re.
ReVIews