HomeMy WebLinkAbout07050122 Sq. Ft.
_i,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIUTY
PROVIDER:
City afCarmel/Clay Township Permit #:C/1 (150 /J.:J..-
RESIDENTIAL IMPROVEMENT LOCM'mN:iF~~lJ&#e~TION
For Single Family, Town Home, &. Two Family: New StructutesiJi\dlf~!Dlt~~it",~~~~uctures
,
NAME:
FAX:
Ii
I ~
I L.
,
SEmON:
L
SL-,
SQUARE tr1 "l
FOOTAGE: . ,I t7)
2ro aD
STATE!'
~
, : ONIN.G~
ESTIMATED cosr OF CONSTRUCTION:
(EXCLUDING LAND VALUE) . _', "::--__
NAME OF UTIUTY VAll0N CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TACDATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMII #'S (IF APPLICABLE):
rcoon.\7r\l\.I~rA.R~EgGNAnON{S)
FOR THIS PROPERTY:
~))/j; CQ; lfE 0 ~:?
TAX MAP PARCEL i: ,I -~ );'
" /r MAY
! - ~i
R: '--....
;;=;~- :~
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
;gr(SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM AOOITION(S)
o TWO FAMIL Y ~ 0 PORCH AOOITION(S)
# of units being "'-'\$ 0 DeCK ADDmON(S)
constructed at this , \J 0 REMODEL
time: \)Y M _ Basement Finish only
o RESIDENTIAL (For /::" ACCESSORY BUILDING
Additions. Remodels, Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
PROJECT INFORMATION:
yXN
Y4N
Manufactured
Trusses:
Sump Pump:
_yLN
_Y'S.:-N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
9(-SLAB 0 BASEMENT (WALKOUT:_Y_N)
Early Release
Permit:
Lot Split:
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 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regardi.ng 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 of Carmel Indiana ~ 1993" (Z.
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 fuITher 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
Occupanc has beeh issue the Department of Community Services, Carmel, Indiana.
5'
OFFICEUSEONLY:******************************~~*******************7*j~**~*********************
INSPECTIONS REQUIRED: Filing Fees: . t ,L.v~
...........U F t'-_.2 F t' Under Slab Base Inspections: /'7 ;Z I::? # CRharged Re-
,--=!'per 00 '~ower 00 IRQ . eVlews
~ Cert. of Occupancy: 5')' Fe/'
..-1Fough I.J Meter Base ~ Sit
1......-..:=:::7 C-=-_ _ P.R.I.F.: Additional Fees
Date
5-/7..0
(Date)