HomeMy WebLinkAbout07050171 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmell Clay Township Permit #: 070 L:) 0 11/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME: C K D&SJ
E
PHONE:
3/7 - f99- 5'Uz
FAX:
3/7 - g') 1- Yc91
BUILDER'S EMAIL ADDRESS:
CAUJe f-e,
NAME:
cm:
STATE:
J.-<:
ZIP:
kf-hCI-
C,yk- N:v+h SECTION:
_ZG,NING:~gJ
", ",' '.
.... .
3[
ADDRESS OF CONSTRU
32/
Ca}" 111 e.--l
ON:
!-t, c-
WATER UTILITY
PROVIDER:
--
K-
y.
Cl'~
SQUARE
k?f1~,- FOOTAGE: 5S 7
ESTIMATED COsT OF CONSTRUCTIONd
(EXCLUDING LAND VALUE) ~ 3 7 00 0
NAME 0 LID EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT ,'S (IF APPLICABLE):
TYPE OF CONSTRUCTI
I!1""SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels, Etc.)
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
~ REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE/
PROJECT INFORMATION~ 0 DEMOLITION
Early Release / Manufactured
Permit: Y ! N Trusses: Y vY ~ CRAWLSPACE 0 POST & ~M PIER
Lot Split: Y I~ / Sump Pump: Y =N 0 SLAB 0 BASEME ~ ~'\>1JY:; N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this penni.. y , . non commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of occupan~ ,', t s of the issuance date. Class I
structure permits are subject to the General Administnltive Rules of the State of Indiana (See 6751' 1 . g 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 wirh, and confonn 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 l.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 oar drains are connect d t sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan, s uel th~ Community Services, C~'=~~ f. p f (" fff/I!.- S ~ 2A _ 0 7
Print
. " ,~'
TAX MAP PARCEl,._ #: ~
j: 1\\ [
rvVi7
I._V VI
, ,
III II!
PLUMBING CONTRACTOR:
J.lOOS(~1!. 'Vd.~'1JCS. ~__.__il~,
Plumber's lndiana State license #:
. C-P/91oooLl ,,---;-
Which plumbing codes will be applied to the construction:
o International Residential Code w!Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
OFFICEUSEONLY:************************************************************~******************
INSPECTIONS REQUIRED: Filing Fees: ,( 1 g, ) tJ
Base Inspections: / /::: ()t)
. S"5'. 5()
Upper Footing
Date
Lower Footing
Under Slab
# Charged Re-
Reviews
Cert. of Occupancy:
<Ei~-
~., Meter Base
Additional Fees
P,R.I.F.:
~Z->-(;J7
Dept. of Community Services (Date)
S;Permits/FormsfIlP RESIDENTIAL