HomeMy WebLinkAbout07040218 Application
City of Carmel/Clay Township Permit #: CJ 7oLfolJe
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
NAME:
STREET ADDRE
<;(
~(.
FLOOD ZDNE AREA DESIGNATION(S)
FOR THIS PROPERTY:
;'B:;.;rVjN 'Elp~e O/-€
mON:
O(jfN >1c:J~ 7;
SEWER UTIUTY ~, WATER UTILITY /")"" F.' _ d
PROVIDER: L f f- C>'\-I PROVIDER: L-OJ ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABlE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
'~WN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y~N
_y~
TYPE OF IMPROVEMENT:
CIY1IEw STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
_~N
_YXN
PHONE: )7 f -to 0 C>
CITJ1 ~ ~:
LtV Y-A/
FAA:~ 7 J - i DItf
ZIPfC() J2.
C6'V
BEST METHOD OF CONTACT:
>o-rJl- 300
C' e (/
Sump Pump:
PHONE:
FAA:
CITY:
STATE:
ZIP:
SECTION:
o~
u1
ZONING:
SQUARE o. 7 Q-
FOOTAG~b /J
ESTIMATED COST OF CONSTRUCTION;
(EXCLUDING LAND VALUE) '2 a tfTzJ. hJ
."
TAX MAP PARCEL #:
" '/ i
II i\i!
PLUMBING C~HT.RACT.&
,S h 'dJtJ,ktt-J
Plumber's Indiana State License #:
PI 70'1-0-C/&
j i.UUI
1'1
I ~ i
J'!' II,
.....-;' ,
~I
Which plumbing codes will be applied to the construction:
9i International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana AmeJ:\~ents
:\\V
FOUNDATION TYPE: (Check ill~~\for the new
construction area) ~\c:,' a<:(.'" "-
Q\~ ,\\ <:.';:>
o CRAWl5P~ G~\'lIo~6~M#PIER
% s~~Q;5 ~'{fA 't~~l ~ N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structure~ " . ~f ~% stftk::~ commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Gee . .jssure~~~~ApY<L~~ issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 6 IAC 12).J~i\.~~\AA ~~ frames for beginning and
completingconsrruction. (;.;<?' C~ \~V\
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterarion of G:~~Xor 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,.a~ ~e"ll'2:oning Ordinance of Carmel Indiana -1993~ (z-
289) and ame ents opted under aut ority of l.c. 36 er seq, General Assembly of the State of IndiahJ, and all Acts amendatory thereto. I further certify that only
kitchen, ba , '!l fl r rains are conn ed to the sa sewer. I further certify that the construction will not be used or occupied until a Certifica.te of
Occup yh be ,uedb artmentof uni e "C/~C p,~ cu'~c:Jz=, 0-2 {-o 7
Print Date
OFFI E USE ONLY: ******************************~~**********************?*J~****.9U**************
INSPECTIONS REQUIRED: FIling Fees: 6 L2, 0
~'- L F t~ U d SI Base Inspections: r2. 8i;7,S'o
er 00 ower 00 mg n er a S ()
(M. Cert. of Occupancy: 5, 0i
ugh I ~ter B~ inal 'Site P.R.I.F.: / r;) hi Go
~~,;27?750
Fee Received by: Date
:Y-<-
5-1..--01
Dept. of Community Services (Date)
S:Permits/FormsfILP RESIDENTIAL
# Charged Re~
Reviews
Add;bonal Fees