HomeMy WebLinkAbout07040113 Application
City of Carmel/Clay Township Permit#: 070YOl13
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
!
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME:
ou~y
will t/ltu
STREET ADDRESS:
'15
BUILDER'S EMAIl ADDRESS:
/Y'//V4l- (C. €? '&L. CoH
NAME:
STREET ADDRESS:
LOT #:
iO
SUBDIVISION NAME:
,e# C:S7.4Tf::--S
PHONE:
31\ - 3. ~'z.- SS '-f I
CITY:
~ ~6L
FAX.
311 -(JY6 n l! l,
STATE:
/-1../
ZIP:
~t 03 \..-
BEST METHOD OF CONTACT:
PHONE:
FAX:
CITY:
STATE:
ZIP:
SECTION:
ZONING:
C
:>
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
)$. SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_v /N
_v --,.LN
TYPE OF IMPROVEMENT:
)(
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S}
PORCH ADDmON(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
P!rA;)
/v_N
SQUARE
FOOTAGE: 6;
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) '-( 0 00(:) 0 :
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "S (IF APPLICABLE):
_N)
\
For Single Family and Two Family dwellings, additions, remodels, andJor accessory structures, this permit is Validi"nl . . ~t!, commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) wi' .~~ he issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) re~ ~~n time frames for beginning and
completi.ng construction, ~.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of . ' r -' ny 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' n oning 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,' d all Acts amendatory thereto, I further certify thilt 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 De artrnent of Community Services, Carmel, Indiana.
,
OFFICE USE ONLY: **************** * *************~~*******************,*A*** ************************
INSPE NS.REQUIRED: FIling Fees: /LLf: J 6, ~~
_ ~ Base Inspections: ) /l- -;z ~ '0
Upper Footm Lower Foot,n Under Slab ""
_______ Cert, of Occupancy: S:>. )'{/
Site P,R.LF,: / d. 6/ , 00
TOTAL.: . j/..;;c,yo./o
,
~
Lot Split:
Sump Pump:
H/ /1/4
Print
Is
Dept. of Community Services
ESIDENTIAL
~J ',P"mUslfoem>IILP
,!<-Jt:01d+O /I 2,-;
,,'
TAX MAP PARCEL.': APR 1 6 2007
'I i"
1)1,
",_./1
--__.J'-----
PLUMBING CONTRACTOR:
.Y/? 7lIoH/Pi
Plumbers Indiana State License #:
197t>(J/;21
.
Which plumbing codes will be applied to the construction: I
~ International Residential Code w!Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments !
i
FOUNDATION TYPE, (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST &
o SLAB J(' BASEMENT (W
_PIER
)Clf{} U,e. 7'
4-1/.07,
Date
# Charged Re-
ReVIews
Additional Fees
Fee Received by:
Date'