HomeMy WebLinkAbout07040082 Application
City ofCarme/lClay Township Permit #: 070+~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
NAME:
D",;v-
PROPERTY
OWNER:
:;)00
LOCATION
8< PROJECT
INFO:
CITY:
STATE:
I
BEST METHOD OF CONTACT:
- 3/8'
CITY:
I
ZIP:
'-1~~%'
STATE:
T
SECTION:
3
ZONING:
MEAboWS
SQUARE
FOOTAGE:
JJ%'
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
ESTIMATED COST OF CON5JjUcnON:
(EXCLUDING LANDVALUE)~ 30
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE)::Ib C
TAX MAP PARCEL #:
Whi5JYPlumbing codes will be applied to the construction:
g" International ReSiden~Ode wI Indiana Amendments
o Uniform PIUmbing@~~ndiana Amendments
~ ~,'Il'
FOUNDA (Chel$5A1 J;bat apply for the new
constru ~~ 00'" N\V"c...~'( .
r.A-,~ -i:::.cE ~ ~
~O~(",tiW~ O-$'\1>OST/lo._BEAM _!:JER
...~{;.'O f;0<fn~Y':~~ ~~EMENT(WALKOUT:_y-.LN)
~ 0 :"'"W-" ~~,-
For Single Family and Two Family dwenings, additions, remodels, and/or a~c~'S,~~\\ 't 4 {~y if construction conunences within 180
days of the date of issuance of the building pennit, and must be completed' ate FJ. ~thin 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the St.ate ndianil((~ l~ding expiration time frames for beginning and
completmg cons~cliJ.. ~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocatio()1~al eQ'lon 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 th of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 1993" (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of tate 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
Oc upancy has been issued by the Department of Conununity Services, Carmel, Indiana.
. a. . . LOR; A. B;RbSDI\lG- J{W.!:tJf
....-;~::\
~">l ,"'''\\
~.<~ '[",::>, \ \ \ \ \
TYPE OF CONSTRUCTION:~~[)'aYP~ O~\IMPROVEMENT:
/"O?\~V \\'~\\\
o SINGLE.. FA~. ItV;=o V-"/ 0 \. \STRUCTURE
o TOWN. HOM~~ \.~// <\,0 ~ P ,DDITION(S)
o TWO.f~~IL~~/ ,\-\)"0 P H ADDITION(S)
# o,f:~nit;\ being <'l. \ \ 0 CK AD~ITION(S)
constru~~ at t~" REM",BPfl
time':.\v_,,- \, ~Ba_sement Finish only
~ RESIDENffllL '\fZor /~ACCESSORY BUILDING
AdditiOns)-.~rt.!ld$Js{Etc.) 0 DETACHED GARAGE
\ 0 ATTACHED GARAGE
PROJECT INFORMAUm(' 0 DEMOLITION
vy 4
_y~N
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTf:
Early Release
Permit:
Manufactured
Trusses:
4-N
~y_N
Lot Split:
Sump Pump:
Print
PLUMBING CONTRACTOR:
J?aill E. SI'1 ;rH
Plumber's Indiana State License #:
101'177
L.J/IIJtJ7
Date
* ****(j******************
.6'
OFFICE USE ONLY: ******************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
~ MeterBase ~
# Charged Re-
Reviews
Addibonal Fees
c..
P.R.I.F.: '
~~ ,~oo
,~
Fee Received by: "
l
Reviewed/Appro ed: Dept. of Community Services
S:Permits/FormS/llP RESIDENTIAL
Date