HomeMy WebLinkAbout07040085 Application
City of Carmel! Clay Township Permit #:~086
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BEST METHOD OF ;?JNTACT:
rll,
NAME: PHONE: FAX:
11', RELEASED FOR CONSTRUCTION
A Jec 0 comp lanCEL\'~.l r .
STREETADDRES1i~l:~ ~ /' __ I STA . :..1/0','" 3
/II';J r-JrfAl ~A/ ~, <0 "Ie and Loca~?8S. 7/.1 '"
LOT #: 1'0 SUBDIVISION NAME: - ~I!N: 1P.'l'tiG;...... .....
f> !itJ1/,f &;;1AfCITY OF Cl\RMEL / CLAY UW~I'tIt"
For Single Family and Two Family dwelhngs. additions, remodels, and/or accessory structures, this permit is valid only if construction commences witfun 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. dass 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 - 1993" (2-
289) and amendments, adop under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only
kitchen, bath, a d flo d are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cerrifica.te of
Oceupaneyh y the Department 01 Community Semees, Air';,:d~~"flF! 4- /I~ 07
Agent /' PMn~' Date
OFFICE USE ONLY: ******* * * ******7** *~/l*** * *~\********************* ** !.:!:** *1')***'*1** *************
INSPECTIONS REQUIRED: t;;c;?.0 ",Filing Fees: -- ~ 'fr- , ./
C::Uppe;--~ LowerFooting (underSlabVJ~~selnSPections: /"'/3: S 0 #c::.:~~e::sRe-
- -- Cert, of Occupancy: _ <..:::,.6 (J
(ROu~ Meter Base ma Site
P.R.I.F.: Additional Fees
BUILDER
OF
RECORD:
NAME: ' A-/1Jt.-. ff~aL
STREET ADDREss1:l '14 ~o.u..Jl.- J:. u;:.
BUILDER'S EMAIl ADDRESS:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUcrI.,gt:f.
JAm~
/,., ""^- _I W TER UTIlllY
L.tv . ~ ef. DER:
SEWER UlllllY
PROVIDER:
NAME OF UlllllY EXCAVATION CONTRACTOR: LAN COMMISSION / B / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
flOOD ZONE AREA DESIGN .
FOR THIS PROPERTY: I _X-:~IJ.Ji;50,'cuIied
TYPE OF CONSTRU€TlON:-; ~\il1YPE,lOF.'iMPROVEMENT:
.__- ~ (f ,,~cc..--- \" I II
o SINGlE:FA~ItY"""_~ 0 NEW,STRUCTURE
o TOWN'.\HO~~::::---- ".{J 'R!?OH',ADDITION(S)
o TWD FA~HY. ,~ 'L~\lb I\QR~,ADDmON(S)
# of, ~pi~'!,e'"!t?? 0 DfCK AI?DmON(S)
constructed at fi\\s g-REMODEl
time:\\1 11\ n_ ___ Basement Finish only
~ RESIDENTlAI!'(For:"'---- O_ACCEsSORY BUILDING
Additions. Remodels. Etc.l...___b DETACHED GARAGE
~ ~ ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOlITION
Early Release
Permit:
lot Split:
Manufactured
Trusses:
Sump Pump:
_Y -.:iN
_Y~N
_Y )(N
_Y~N
PHONE'11o_<lQ{(
CITY: ~
.'J.eJ b b$.
FAX:
STATE:
It!
ZlV6'JL!o
II LJII-I
SQUARE OJ'/ 'F:l
FOOTAGE:l>t:>"t '
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 4' P, 00 (J. l> ()
;V,JE
TAX MAP PARCEL #:
Plumber's Indiana
PLUMBING CONT
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
~ SLAB 0 BASEMENT (WALKOUT:_Y_N )
j