HomeMy WebLinkAbout07050108 Application
PROPERTY
OWNER:
City of Carmel! Clay Township Permit #: f) 70S 0 I {flf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAirION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures
I
IL _ PHON:
rID1Y\6l-'b17?Jco
ili 2Cb CITY: II\duL
re6nE'<'UIS:. (.
SA- fN>-
BUILDER
OF
RECORD:
NAME:
PHONE:
FAX:
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
LOT #;
4L-\'
Get81
or4i1
SECTION: l
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TAX MAP PARCEL #:
ZONING: vlAD
SQUARE /) fl "1
FOOTAGE: .:J D J--
$ 'LtF1 ttD
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(s); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPLICABLE):
JDW-
TYPE OF CONSTRUCTION:
LV SINGLE FAMILY NEW STRUCTURE
Ii1'I TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units being 0 DECK ADDITIPJl\&)
constructed at this prlil~~.~Gl\U
time: ~SED fOR ~ u~ !!1'AAm\W~J~nlSh only
o RESIDENT . ",p\l~n(1l YAl!t~SSOliY BUILDING
Additions. ~del'sI'E&~)' ol'dCDocDlE~ GA~
0\ State ~, .., Q!le>'GlARA6E'
PROJECT INFq\A~~COM~~;~NSH\P
Early Release CITY Of ~ARM~lIfIllWred /:
Permit: _Y ~N. II'1I.Id~s:' . ":"""Y :-N/'
Lot Split: _Y --.!...N Sump Pump: _Y ~
PLUMBI~Ft<i.~NTRACTOR:. Ii..
~ ~ <6h111-H-:~'\\\
Plumber's Indiana State License #.:. ~/;;~,' ,'".. \ II'.
1"171J ,,- '. /., ")"
U '_ ". \',.' ~/ I'<r\C\\ .,:J
Zi plumbing codes will be applied '~,~e constru~.o''l.: \ l-'"' -"",S
,. 1\ '. \\o..~ _~
International Residential Cod~,~/India~" mendl!!ents //
\\ \ \\ \ ./'
o Uniform Plumbing Code w/lndiariaAmendmerits ,......"'
II\, \-'.\ ./ /
\ \\ ~ ~
FOUNDATION TYPE: (Check aJrthat apply for the new
construction area) \ ///
_/ I
o YAWLSPACE 0 POST & BEAM _PIER
d SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within IS months of the issuance date. Class I
structure pennits 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 \v:ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993~ (2-
289) and amendments, adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drai are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dccu ancYhGh6l: ,y;eD~mtofCOmmUnitysern:ft:vrSSi~ ~n 4u. 5 \q )1n
Signature of Owner or Authorized Ag t Print Date
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED:- ~~~Filing Fees: 7 () (;" " 7' 0
6 Base Inspections: 7- ~ 7', -50
,-Ch~- ,SO
) 2/ ~ I , DO
-4 ~-8 / () .
# Charged Re.
Reviews
Cert of Occupancy:
P,R.LF.:
Additional Fees
ReviewedjA proved: Dept. of Community Services
S:Permits/Forms/IlP RESIDENTIAL
07
TOTAL:
70
Da~e
Fee Received by: