HomeMy WebLinkAbout07050131 Sq. Ft.
City of Carmel/Clay Township Permit #: fY7050 /.:31
RESIDENTIAL IMPROVEMENT LOCATION PERWT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
S'!'J(
STREET ADDRESS:
f;r, 6
~
e -;s i1
BUILDER'S EMAIL ADDRESS:
'iD
NAME:
)fI~r--I-It 0 Y
d
ADDRESS OF CONSTRumON: I /
/:? :< 7 13 J Y'1e- 0'13 -rz> <-Ie;
SEWER lfTILTTY
PROVIDER: C -r t2 /AI J)
WATER UTILITY
PROVIDER: ~V'h-e-/
FAX:
8
87S
/'"
STATE:
CITY:
Is
BEST METHOD OF CONTACT:
Drn-cS.~ 6>1",', /
PHONE:
f t~U'iS"
FAX:
F'Y? - f 2J.cY
ZIP:
SECTION:
ZONING:
s-/
oB
SQUARE
FOOTAGE: 7 g 7 ~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 31>; eo" '"
vJ~/Son ,'}1!~~;;lt ~-cf;
TAX MAP /P.AII~<~Li": 1'/' "
i I i I A r r. : 1,1
PLUMBING CONTRACTOR:" J t.UUI Ii i! I.l!
.JiB G-ci,,+r-~c~-S-_ 1:::://
Plumber's Indiana-State License #: I
'l(, } 0 b 'fS-~ 0---- i
NAME OF lfTILTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~
o
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y 'l( N
Y 'y N
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o OECK ADDITION(S)
o REMOOEL
_ Basement Finish only
o ACCESSORY BUILOING
o OETACHED GARAGE
o ATTACH EO GARAGE
o DEMOUTION ~
\P~
Manufactured ~ 'it', i!}
Trusses: "k.O 0 /~
-r"-,:;:)
Sump Pump: ,... ~:\, C, N/
'0 9' ,<,""'qt- 'r.._
Which plumbing codes will be applied to the construction:
~temational Residential Code w/lndiana Amend~ents
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ASEMENT (WALKOUT:_Y ~)
For Single Family and Two Family dwellings. additions, relm5~~els;~419r~ei~!y~1ructures, this permit is valid only if construction corrunences within 180
days of the date of issuance of the building permit, and must lt~)oin3ile,~d.~(~etiifica~ of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Ru~. e ~~ 1~~See 675 IAC 12) regarding expiration time frames for beginning and
e BleijJ\gIC~-
I, the undersigned, agree that any construction, reconstruction, enlargqpe~p1\~,=a '-<' , ~lteration of a structure, or any change in the use of land or structures
requested by thiS application will comply with, and conform to, all appli le~w~ ~ of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted underauthority of r.c. 36.7 et seg, Gene~~_~o t e~~ of Indiana, a~d all Acts amendatory thereto. I further .certify that only
kitchen, bath, and floor drains are connected to the samtary sewer. I furth!I.M:~nar~;~Mnstructlon will not be used or occupied until a Certilicate of
Occupancyhas been issued by the Department of Community Snvices, ~ j; !
~~ iM(}~VL C ".., ~lDA'- //15' 01
Signature of Owner Aullf6rized Agent Print.:%' \.o?: Date
OFFICEUSEONLY:******************************** ~*************~'****~*********************
INSPECTIONS REQUIRED: Filing Fees: /1'1
p~ CJ;wer F~~ nder Slab Base Inspections; c? ~ 7 X'tJ
~ Cert, of Occupancy: SS: ,50
Meter B e /
P.R,LF.: ~ G! nO Additional Fees
~li'rs:,
(Date)
Reviewed/Approved: Dept. of Community Services
S:Per-mlts/FormS/IlP RESIDENTIAL
# Charged Re-
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