HomeMy WebLinkAbout07040086 Application
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City of Carmel/Clay Township Permit #: D'1oL/ 00 g{p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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FAX:
BUILDER
OF
RECORD:
NAME:
BEST METHOD OF CONTACT:
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STREET ADWSS:
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BUILDER'S EMAIL ADDRESS:
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PHONE:
FAX:
PROPERTY
OWNER:
NAME:
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STREET ADDRESS:
C~/l//lI1"-~ STA})
car':nc:r
ZIP:
y, "32-
Gd.-
SQUARE t" /
FO~TAGE: ~ 7 ~
LOCATION
& PROJECT
INFO:
LOT #': .::L
ADDRESS OF CONSTRUcr1oN:
ZONING:
SEWER lJTIUTY
PROVIDER: C Ci.r me
wATEIi'imlfTY
-1/rroZ.PRClVIDER: Ca.rmel
ESTIMATED COST OF CONSTRUCTION: /' / /
(EXCLUDING LAND VALUE) / '" 00 0
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S}; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD~ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
RELEASED FOR CONSTRUCTI
, ;c'fA5<1.,!PP~~~~'#co w;!h ail mgulations
cd -it~~tn ani"! : (l,--.tl: ,.......,.'j.~.t'
...... ,... r_ ,., ' . ~. - .-.,.,. .....I.J'~'t'I"l.
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TYPE OF CONSTRUCTION:,'-;:" '! \,TYPE OF.IMPROVEMENT:
,........-:.::-......-? ~\\ '~~j /./ \ \ \ \ \\
o SINGLE FAMILY~, ,'.s, ,;",/ O\\NEW,STRUCTURE
o TOWN !lO~~~ (C-"!J)-=;;:--' 0 \~9~~\ADDITION(S)
o TWO FA~MIL:b;.,;:/ 'l\l\'iP I(QR<JIMDDITION(S)
#/~f'~n.l~being \ '1. ~ 0 DEcK A~DITION(S)
/con~t~~cted at t:tm OREMODE1;.
,/ time:', ~\ \\\" ,..' ~ ~~asement Finish only
cla RESIDENT[A~ (For ~ 0 ,ACCESSORY BUILDING
Additions~Re'ri>odels.,EtC:') ........ilt""DETACHED GARAGE
\\:, '-'\/ ........ 0 AlTACHEDGARAGE
PROJECT INF6RMATION< 0 DEMOUTION /
,-.....- ...//
Early Release / Manufactured /
Permit: Y ~ Trusses: ~y _N
Lot Split: Y ~sump Pump: _Y ~
, .,,' 't' "v,,!, ',\.' I v,..... ,"P' ES
~CON .R!\s:J:OR: '. , ',"- . >II .
vHr-,,';IC_ i Clj,Y TOVvNSHIP
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Plumber's Indiana State Ice e #:
Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana 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
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[];j'-SLAB 0 BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 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 witb, 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 furtber certify that only
kitchen, batb, and floor drams are connected to the samtary sewer I further certIfy that the constructIOn will not be used or occupied until a Certificate of
Occupancy een Issued b the Department of Community Semee" Cannel, Indiana ,/ /
, L) 4~ fM'U4~ 71;J!!2 7
Print i " Da" tI
OFFICEUSEONLY:*************************************************************~******************
SPECTIONS REQUIRED: Filing Fees: / ?1P. J ~
/'12 SO
, /
Sf .') 0
er Footing wer Footing Under Slab
~~eterBase~nal ~
;2:107
(Date)
Base Inspections:
# Charged Re-
Reviews
Cert of Occupancy:
P,R,LF,:
Additional Fees