HomeMy WebLinkAbout07040219 Application
City of Carmel/Clay Township Permit #: cY7 DIfO;<,/?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
NAME'.5/){ItJY J:.,ut.
STREET ADDRESS: 'l/. \ ' r"t ~..d
'1 t S-.J-f / / )', (,J" .:> 'I / ~
BUILDER'cl/rADD1sj< 46 @ AoL,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
FPC/::C l~ <f(fifJ
PHONE: 57"3 -fd'cJd
CITYC!w~
ZIYbl
OCATE'..7'/C/
BEOC METHOD OF CONTACT: 0 /!" 1/
Ifr1 $ --3 7'-7) 0 I...-C'/j
.5 &-t71 E-
PHONE:
FPC/::
CITY:
STATE:
ZIP:
LOCATION
8< PROJECT
INFO:
rte[;4- ve
-.L-. SQUARE ,. Jrp
~ qe , r 0-( Cl.. FOOTAG~ :3
/t 'r .. - J ESTIMATED COST OF CONOCRumON: Z..l
LJl. I""€./\ (EXCLUDING LAND VALUE) U
LOT; ~
SEWER lITlLITY . . I
PROVIDER: Tf- f/I.../
SECTION:
d'L
ZONIN'f l{ b !
WATER UTILITY
PROVIDER:
NAME OF UTIUTY EXCAVATION CONTRACfOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
..Ii
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,I l-." II~ \'
~I \,/. -:;-:-! \ ", :
~. t '.,
III ill
IlhVl
I
TYPE OF IMPROVEMENT:
^ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL Which plumbing codes will be applied to the construction:
_ Basement Finish only rvc
o ACCESSORY BUILDING r International Residential Code w '~diana Amendments
o DETACHED GARAGE 0 Uniform Plumbing Code w'IAdl~ -endments
o ATTACHED GARAGE 0..'\)'J' ?>~o'~'
o DEMOUTION FOUNDATION TYP~qp~e~1 that~'!!lIY for the new
Manufactured construction areat,o ,'" -&\ Ce'" N,\V ~'?
_Y -X-N Trusses: X-Y _N 0 ~-"""~':",,:f~ ~''''<:'~'''N~' BEAM _PIER
Y oJ Q~rov ~O~
Lot Split: _Y L.\.N Sump Pump: _Y -A-N ~ '~f!> (Wl\LKOUT:_Y~N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory s~ ~dtis~~foi~ . n1\r!," ~ruction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate If:lcupanc~~ ~~~~ths of the issuance da~e. ~lass I
structure permits are subject to the General Administrative Rules of the State of Indiana See 675Jt\.M1e ~lratlOn time frames for begmmng and
comPletingCOnstruction.~y, 1(
I, the undersigned, agree that any construction, reconstruction, enlargernent, relocation, or alterat Q'tcture, 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 a, and the ~Zoning Ordinance of Cannel Indiana - 1993~ (Z~
289) and amendments, ado ted under authority 0 .c. 36~7 et seq, General Assembly of the State 0 ndiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat floor ns are connected sanita er I further certify that the construction wdl nofe used or occupIed untd a Certificate of
Occup yh uedby nto!Co "f/;'Z;;+ fJ.7SC4b~ r-2~-<J}
Pnnt Date
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
A TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
" ,
TAX MAP PARCEl'#:
I iii
'I! II!
PLUMBING CONTRACTOR:
5/,a~<t.;j) l_~__
Plumber's Indiana State.License._#:
~J> 7010 </0
I
OFFICE USE ONLY: ***************** *************~~******.************ *6-'* ***i:**********************
ECTIONS REQUIRED: , FIling Fees. 'J ' ,':5 0 I
, . Base Inspections: 7 87, l <)(J # Charged Re-
Upper Footrn Lower Footrng Under Slab - """.r: """0 Re~'ews
Cert. of Occupancy: -.) 'J
)o! {,/ CIa
,
Meter Base
~
Final
Date
Additional Fees
P'R.I~'F':
OTAL:
~ ~
o
Fee Received by: