HomeMy WebLinkAbout07050092 Application
City of Carmel/Clay Township Permit #:O"?ofOO,9 ,.(.
RESIDENTIAL IMPROVEl\1ENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
PHONE:
~17-allr-2..2:~\
crT 1<;.
FAX:
STATE:
ZIP:
II Jn1
BUILDER'S EMAIl ADDRESS:
.-
PHONE: 8 rL.L
STATE:
IN
ZlP:
4(,;z 80
?
CITY:
(NCl'AN/'IPouS
STREET ADDRESS:
2'S 7'1 E. c']tl-r.L
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
lOT #:
ZONING:
~
SUBDIVISION NAME:
SECT10N:
1-7
ADDRESS OF CONSTRUCTION:
2Y1CJ. C,Q0'fb-
'1tf~ttJN
SQUARE
FOOTAGE:
180
WATER UTILITY
PROVIDER: /"1\" fl' "v
vnf'-'rnt::,o.- rll-.7,e
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC peRMIT #'5 (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:j
(EXCLUDING,,:-^ND VALUE) 10, ODD
SEWER UTIliTY
PROVIDERally /iMJ,u-!I/f WftS1t:'
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
For Single Family and Two Family dwellings, additions, remodds, and/or accessory structures, this perirut 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 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 of Cannel Indiana - 199r (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 further certify that only
kitchen, bath, a floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu chis ".ed:.~7 Department of conunUnitYService'~Carmel;ln:an~
. _?: {, (A__ s= /"s -() /
ner or uthorized Agent /
OFFICE USE ONLY: *********f****q\1*7*" ****"**
INSPECTIONS REQUIRW ()
Lower Footing Unl;! Slab
~
Early Release
Permit:
Lot Split:
_V_N
_VLN
Meter Base
Revie
S:PermitsjFormsjlLP RESIDENTIAL
':1.
.ill
. ,_, I .
I' "\ I
TAX MA~ PAffEL 'MAY
II, I"
,fl I.'.:
PLUMBING CONTRACTOR:
I
I
-I i."
.' III
1-.....--/
-~-~~j
1 l~ 2007
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
i'}? PORCH AOOmON(S)
o DECK ADDITION(S)
o REMOOEL
_ Basement Finish only
o ACCESSORY BUILOING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Plumber's Indiana State license #:
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)
Manufactured
Trusses:
I
Sump Pump:
VLN
- ,
_VLN
o CRAWLSPACE
j);I SLAB
o POST &
BEAM _PIER
o BASEMENT (WALKOUT:_V_N )
Dale
*********~~;?:*~*******************
/ ~,;2, ,5' t?
S5=,)O
# Charged Re-
Reviews
Base Inspections:
Cert. of Occupancy:
Additional Fees
(Date)
P.R.LF.:
~ TOil t fMld
. -) (1 / d-,')
Fe Received bv ~ ~ ~ate