HomeMy WebLinkAbout07050080 Application
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City of Carmel/Clay Township Permit #:01D50!)~O
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
Ii,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
s. PROJECT
INFO:
NAME: V' ',4 f
ore- Gll\d\ ~50(,'C1 d
BUILDER'S EMAIl ADDRESS:
NAME:
,A1.-k-e- <v keH; ko /oJ k,,,,
STREET ADDRESS:
37'2-5 S...,,,Jer- lA)<\,y
LOT #: 32. SUBOIVISION NAME: W~>~.....
ADDRESS OF CONSTRUCTjON: , .
3725 5'",,,,1-/>I'" vv..y
PHONE: 3/7- 77'(-8 )57
FAX: 5/7-77'1-8557
BEST METHOD OF CONTACf: pi
,^o.L
PHONE:
317-873-'I8J<I
FAX:
CITY:
La rwo e/
I~
ZIP:
'-f6032-
ZONING: 5 J-
~r'J~
SECllON:
SQUARE
FOOTAGE:
2'1'(
ESTIMATED COST OF CONSTRUCTION: H" If
(EXCLUDING LAND VALUE) J:l ,O{ 000
r_
II'~') rc: 0 r= -
! I LS '-'=7 !e" D \l1?/"'=' /_c,--)
II ---~ \'; ~ I-~\ \ ,I
TAXMAPPA', -I l ill
NAME OF UTILITY EXCAV ON CONTRACT ; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON:
il". SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures,'this permit is valid only if constructiOn;'i;mJ,~rices within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 mont~. ". ~~~c~ date, Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding eXPi~. .~s for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure 0 ~ . e use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and th ~Vnce of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of LC. 36,7 et se~"General Assembly of the State of Indiana,pa~ endatory thereto_ I further certify that only
kitchen, bath, and floor drains are connected to the sanitary"sev:e.r. I furth'~h;ertify that the construction V e used or occupied until a Certificate of
Occupancy has been issued by the Department of Community Services, C~e1, Indiana. .
si.na~n.'O'AU"'ori':..nt / G (Pdnt \ k ',.",,,
Early Release
Permit:
Lot Split:
_YAN
_YAN
*********************************
7
d- }0 0 ()
,.;-5, 5'0
X-
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
IlQ 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:
_y-.LN
_YL...N
Sump Pump:
OFFICE USE ONLY: *************
PLUMBING CONT
~
"
R:
Plumber's Indiana
Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
(1Q SLAB D. BASEMENT (WALKOUT:_Y_N )
!;-(o-07
Date
****************
Filing Fees:
Base Inspections:
INSPECTIONS REQUIRED:
~per FOoting"') Lower Footing
~ Meter Base Final
C 5-{4- 01
ept. of Community Services (Date)
# Charged Re-
Reviews
Cert. of Occu pa ncy:
'R~'I.F': ~ TO -#"7"')f;;tlonaIFees
~.I f-;
Fee ecelved by: Date