HomeMy WebLinkAbout07050098 Application
City of Carmel/Clay Township Permit #: 07ctXxf11-6
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:
FAX:
':)g-- - T1 '1 d-
CITY:
Co.r~
STATE:
IN
ZIP:
Lf&J3a--
BEST METHOD OF CONTACT;
~
PHONE:
FAX:
NAME:
~ CL-a eclo~
STREET ADDRESS:
LOT #:
-34-
CITY:
STATE:
ZIP:
L
SECTlON:
, I
ZONI~:
.:)'- I
A9DR'75S OF CONSTRU
I3(oSo ~
C~ ~/Dw<..~
SEWER UTILITY
PROVIDER:
N:
" I
i/ I~
WATER UTIlITY & 1y iJ+-
PROVIDER: t.,t r ~
SQUARE ~
FOOTAGE: J 0 U 5
ESTIMATED COST OF CONSTR~ON: 'JO
(EXCLUDING LAND VALUE) -::Jl> /87. z 9 8-'~
A- / Su...pa.OY' (;~cavcz-6
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN 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~
~y XN
TAX MAP P~CEL. ;#:\ i,. .: I,
'3<JJi/;).Q!!(- ....
TYPE OF IMPROVEMENT: ING CONTRAcTOJ ~ I'IU.!'/
):8:JNEWSTRUCTURE YhvVl .L~./; ~Nd 4 2007 Ii
o ROOM ADDITION(f Plumber's Indiana Sta~e'Lii:e:nse #: I C::V I
o PORCH ADDmON I .
o DECKADDmON(! cPt DeaO IVI
o REMODEL ,--.J
Which plumbing codes will be applied to the constructlon:-
Basement Finish ~. ~_
o ACCESSORY BUILDING ~nternational Residential Code w {Indiana Amendments
g ~~:~~~~=ED 0 Uniform Plumbing Code w{Indiana Amendments
o DEMOL~et FOA Cn~ll:'"",~
to camp/lane 'FOUl'/tmlI~I~!;: (Check all that apply for the new
olS e~IMstlj,l"'" .~v
Manufacture<OERr, tate and Local '''f/i!Ji1J7Ions
Trusses: CJTy.,,&.GEovMMUNrr~or:!IJs,CRAWLSPA~E 0 POST & ~ BEAM ~PIER
Sump Pump: ~'rCAflMEL / C ~SlI.aE"g;(j BASEMENT (WALKOUT:~Y.)(N )
"
1- ~ !j '...
'- ; ,
ili 1-
For Single Family and Two Family dwellings, additions, remodels, and/or acce /NAures. this pernu ,Ii! only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 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 oE Carmel Indiana - 1993''' (2-
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify t~at only
kitchen, bath, and floor drains are connected to the sanitary sewer, 1 further certify that the construction will not be used or occupied until a Certi11cate of
OC~l:O;zoIcommUnitysemce,.cL~~d: 1<!cIt2Jw Sill (07
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: **********************************************************
Filing Fees:
Base Inspections;
Cert of Occupancy:
NSPECTIONS REQUIRED:
Upper Footin Low~r Footfn~ Under Slab
~~eter~
~
*********************
30
d;?? :;'0
SS_60
# Charged Re-
Reviews
(Date)
P'R'LF~~ .
.. AL:
.-: /
~ Additional Fees
;269;. 3 <l
Reviewed/Approved: Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL
Fee Received by:
Date