HomeMy WebLinkAbout07040126 Application
City of Carmel/Clay Township Permit #: o7040/~Lp
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA1:'ION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
PHONE:
FAX:
CITY:
BEST METHOD OF CONTACT:
ZIP:
~R
3~
SQUARE <' p
FOOTAGE: J'/
ESTIMATED COST Of CONSTRUcnON:
(EXCLUDING LAND VALUE)
~(XJ{/
NAME OF UTILITY EXCAV ON RACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT:
I)(jf"l
uw
I.
:1.
PLUMBING CONTRf\~JiR:L ;
-rt .\~~ '-.
Plumber's Indiana State License #:
.p ( --- 1ft CO t J-0'-
Which plumbing codes will be applied to the construction:
" .':'i
'--~.J._J I
,
,
.. - --__-..1
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
0/ DECK ADDITION(S)
rt!( REMPDEL
----Y'Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
o
o
International Residential Code w {Indiana Amendments
Uniform Plumbing Code wI Indiana Amendments
PROJECT INFORMATION: /"'"
Early Release \...../N/Ma.nutactured
Permit: _Y ~ Trusses:
Lot Split: _Y _N Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
_ construction area)
_Y ~ 0 CRAWLSPACE 0 POST&_BEAM_PIER
_Y r'-N 0 SLAB di BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit 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 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, enlarg~ment,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 t~.alh$plicable laws~ of the State of India~a, and the KZoning Ordinance of Carmel Indiana - 1.993~ (Z~
289) nd amendments, adopted under authority of l.c. 36-7 er'seq, General Assemblx..~f the State o! IndIana, and all Acts amendatory thereto. I further cernfy that only
kitc n, bath, and floor drains are connected to the sani9tY sewer. I further certify Ttat the construction will not be used or occupied until a Certificate of
Oc V bee~ issu d by the Department of r;;Unil i''dm.O- c I. ~d~ana 4- /(y() 7
Si n ture of Owner or Authorized Agent \ Print Date '
CEUSEONLY:************************--*************************************~****************
INSPECTIONS REQUIRED: ~ Filing Fees: ;. .3 if' . '" ()
/ /5 (ID
, sr.)d
OF
Base Inspections:
# Charged Re-
Reviews
Upper Footing
C Rou~h~
Lower Footing Under Slab
Meter Base ~ ~
Celt. of Occupancy:
P.R.I.F.:
Additional Fees
j/-zo..o7
(Date)
;//301(10
~
S:Permitr.jFormsjIlP RESIDENTIAL
TOTAL:
Fee Received bv:
Date