HomeMy WebLinkAbout07040051 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit #:07(j.fIJtJ5/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICArION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE:
FAX:
STATE:
ZIP:
4< 17'l
BEST METHOD OF CONTACT:
PHONE:
-73DD
STATE:
I
ZIP:
~
LOT #:
g
SECTION:
3
$-
SUBDIVISION NAME:
ZONING:
ADDRESS OF CONSTRUCTION:
13i?D5
SQUARE
FOOTAGE:
~O~
SEWER umLITY WATER umLITY
PROVIDER'C. PROVIDER: C
NAME OF UTIllTY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ESTIMATED COST OF CONSYWcnON:
(EXCLUDING LAND VALUE) R ~O{)
T .'~-/:;j- ()1oifNfjt)
FLOOD ZONE AREA DESIGNA
FOR THIS PROPERTY:
TYPE F IMPROVEME :~.. - ~ UMRING CONT~:#~~:
NEW STRUCTURE o:!f m- i U Li i
o ROOM ADDITION($) 0 0 Q. umber's Indiana State License #:
g ~~~~~~~'i~~(~)"TJ W ~ m L._____________ ------ .
1.1 ODj 0
o REMODEL ...;;c.~ 0 jj.[ 3 hich plumbing codes will be applied to the construction:
Baseme.K.!' 1~~nW "0
o ACCESSORY BDI(-tII~::> iii a::J International Residential Code w/Indiana Amendments
o DETACHED G}lRAGEC ;: f5 :0
o AlTACHED GARAGE2 0 Q) 00 Uniform Plumbing Code wI Indiana Amendments
o DEMOUTION> 1: ::< ~ f fiE FOUNDATION TYPE: (Check all that apply for the new
-< 0 =r C/) construction area)
Manufactured ~ en g ~ --;
Trusses: ~ m ~ iil ::u
. --:O-~) (Q C
Sump Pump: ~.$.N S. 0
!'i.-i
For Single Family and Two Family dwellings, additions, remodel~ r accgsoOstructures, this permit is valid only if construction conunenceS within 180
days of the date of issuance of the building pennit, and must b~ CBnpleted (arlificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits 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 - 1993" (Z'
289) and amendments, adopted under authority of I.c. 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, Carmel, Indiana.
. .
TY.f!j,oF CONSTRU
00 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
LUUI
'':};:.~~--
i i '.~'<
I'
I,
i:
_Jl~-,
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
-y-4
_YXN
o CRAWL5PA~ 0 POST & BEAM _-'ER
o SLAB ~ BASEMENT (WALKOUT:_YLN )
lOR; A. l\;ll.bSoI\lG-I-lf&I~tJf.
Print
,,/9)D1
D.le
OFFICE USE ONLY: ******* ** *************** ******~~******~*************fj*J*?***:;;*****************
~PECTIO UIRED: Filing Fees. 0- ~~
~U ' F . F t' Base Inspections: d (f 7. ) 0 # Charged Re-
c~per Q 9 ower 00 I ../ () ReVIews
~~ Cert.ofOccupancy: S:j, 5'
Ro ghIn M erBa ~
. P.R.I.F.: /.)G/. dO Additional Fees
ReViewed/Approved: Depl.ofCommunityServices (Date) F~;;;:JJ~L J,,/ J"S, rX 0
S:Permlts/formS/llP RESIDENTIAL Fee Received by: f./ Date