HomeMy WebLinkAbout07040127 Application
LOCATION lOT#:
& PROJECT
INFO:
BUILDER
OF
RECORD:
PROPERTY
OWNER:
SEWER UTILITY
PROVIDER:
City of Carmel/Clay Township Permit #: D7 d-f010 7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures
NAME:
PHONE:
lJ- - j..lJ 6
STATE:
BEST METHOD OF C NTACf:
NAME:
PHONE:
FAX:
STATE: ~
ZIP: 46 /,L
CITY:
SUBDIVISION NAME:
SECTION:
ZONING:
SQUARE
FOOTAGE:
I
ESTlMATED COST OF CONSTRumON: /~ I
(EXCLUDING ';AND VALUE) .:7/)' L!:!-::",
I
I
'-
;lIO
ref'1"i
"32
aJA,
~~I1~%~i;~WP
NAME OF UTIUTY EXCAVATION CO 0 ;
NUMBERS; TAC DATE(S); ANDIOR 0~W fi)
flOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
rJ! SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions, Remodels. Etc, J
-.
--~lc-
I I
TAX MAP PARCEL #:
, : LOOZ 9 l Hdlf
,
TYPE OF IMPROVEMENT: PLUMBING CON~CTOR: .. '. '
o NEW STRUCTURE ~ -5,....-:--,---- Pi_Jt4::txJU52
0" ;g~, H A,!~OD D ~ I O~JS) N' . 'At ,m, ber's Indiana State License #: - - -
~c~ 'OEC:j(:"A, DDfu,.ON(~~ft ' ,
. ''''-'~l\Ijl!Jl~V, ,
R_EMOBD 'er"t- :fF". . h I Whit::h plumbing codes will be applied to the construction:
_ asemen InlS on Y J '
o ACCESSORY BUILDING ~ International Residential Code wfIndiana Amendments
o DETACHfDGARAGE 0 U '< I b' Cd f d' A d ts I
o ATTACHED GARAGE m.orm P um In9 0 e w In .ana men men
o DEMOLITION
'./' Manufactured
Y V N Trusses:
y ~. Sump Pump:
~
~~
FOUNDATION TYPE: (Check all that apply for the1new
construction area)
PROJECT INFORMATION:
Earty Release
Permit:
Lot Split:
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB rI 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 wi~ ISO
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. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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" (Z~
289) and amendments, adopted under authority of LC 36-7 et'seq, Giil'eral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify rhat only
kitchen, bath, and floor drains are connected to the sa'}.itarY sewer. I furtiler certify that the construction will not be used or occupied until a Certificate of
Occup cyhas been issued by the Department of Community Services, G:armel, Indiana.
. V)
O. ~
Signa i re of Owner or A orized Agent / Prin
4- .In-o7
/
OFFI E USE ONLY: ***********( **** ************~******~****************;!'****~6*******************
INSPECTIONS REQU-!RED: / Filing Fees, / 3~' )
U d./SI b Base Inspections: J / u" 0 Q # Charged Re-
Upper Footing Lower Footing n er a '~(J Reviews
~ Cert. of Occupancy: ,)0. v
( RlJug~ Meter Base Site I
~ P.R.I.F.: Additional Fees
UP2(~ TOTAL: $,} (J 7' d()
RevieWed/Approved: Dept. of Community Services (Date)
S:PermltsjFormsjILP RESIDENTIAL
Date
Fee Received by:
Date