HomeMy WebLinkAbout07050040 Application
PROPERTY NAME:
OWNER: S e-c....
STREET ADDRESS:
LOCATION LOT #: SUBDIVISION NAME:
& PROJECT G" V' ll~
INFO:
I
SEWER UTILITY
PROVIDER:
BUILDER
OF
RECORD:
.....
City of Carmel/Clay Township Permit #: 07D5ooYD
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME:
D.I~.I
CITY:
STATE:
CJI~s rN'
BEST METHOD OF CONTACT:
ZIP:
'1u?
07Tk ~T
/N~~''V''\..
PHONE:
FAX:
CITY:
STATE:
ZIP:
SEmON:
ZONING:
vI
SQUARE
FOOTAGE: 5,703
i t;; (go, oc) 0
uT,I;,
ESTIMATED COST OF CONSTRUcnON;
(EXCLUOING LAND VALUE)
NAME Of UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC pERMIT #'S (IF APPUCABLE):
I-! icli
. j""",
OD31
'I! '.
ill II:
;il iii
qL)/l
I ----< ~
I
i
-- j
flOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
".
TAX MAP PARCEL: #: .
',;,:/!
i i _ <. I
TYPE OF CONSTRUCTION:
ts: SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.1
TYPE OF IMPROVEMENT:
bl:. NEW STRUCTURE
b RODM 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 DEMOLITIDN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Which plumbing codes will be applied to the const("uction~
~Intemational Residential Code wI Indiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
_Y ~ Trusses: _y _<:D 0 CRAWLSPACE 0 POST&~EAM~PIER
-y ----0 Sump Pump: -0---N 0 SlAB 9( BASEMENT ~ll~iF'-Y~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid n~t9. &'i cd~e, s wit~in 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issue~e~ 8~i~ ~'i.ss ~i2.~~ass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IA~~~\~i~ lfu('h-~~s, ~tiu.~g and
completing construction, . Go ~~~""'O{0? c\ \..0 -<'l ~"'I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alte~~~~~rf").'tq:t~CJ:ft..~~~i~~ nd or structures
requested by this application will comply with, and conform to, all applicable laws of the State of ~'a'nd&;if;'!"'.I'.ll~!Vr'ID.n:p-e,~.lnnel Indiana - 1993" (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State 0 ndiana, an~Act ~trYt~ea.to- I further certify that only
kitchen, bath, and floor drains are connected to the sanitary Sewer. I further certify that the construct~~I'Htb..t..~ ~~\~pP."M until a Certificate of
Occupancy has been issued b the Department.of 'ty Services, Cannel, Indiana, 'O~\ 0<( \) \~
S;gna.....-.rOwne, 0' '.",on,ed gent Prin?- C( V CJ,..J C- ~~r.,o
Lot Split:
bh/07
Date
# Charged Re-
Reviews
~per Footi~';-r Footi~ Under ~Iab
~ter~ 0~
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
S:PermltsjFormsjILP RESIDENTIAL