HomeMy WebLinkAbout07060090 Application
City of Carmel/Clay Township Permit #:~O
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8. Two Family: New Structures, Additions, Remodels, 8. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8. PROJECT
INFO:
SEWER tJT1LITY
PROVIDER:
NAME:~e
BUILDER'S EMAIL ADDRESS:
NAME: J l/VI.
lcber
PH'7toL-- ~t.,L'5
cThJ L5 ,
FAX:
,09 -01 36"
ZIP:
BEST METHOD OF CONTACT:
PHONE:
eo ~-Z39D
FAX:
STATE:
ZIP:
033
ZONING: ~ _ I
SQUARE ILl LO d
FOOTAGE: I. r
15, aGO
STREET ADDRESS:
\'&z.
LQT#:
206
CnY:
CAv.I'I'C-\
r-Ctt-~
Dr.
'D.
SECTlON:
7-
ESTIMATED COST OF CONSTRU010N:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDfOR COUN1Y WELL ANDfOR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CO
litE;
='~
~
r.o ROVEMENT:
III 1\
NEW SliRUCTURE
ROOMIAbDITION(S)
PORCH !ADDITION(S)
D~ 'DITION(S)
RODE
_ Bas ment Finish only
RY BUILDING
~ DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
o SINGLE i" "
o TOWN HONJ~
o TWO FAl'iiL)I]' \ JUN
# of units eing
constrLIt E: this
time:
~ RESIDEN IAL (For
Additions c.
o
8 zri'
o
o
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y 'f. N
_Y -XN
Manufactured
Trusses:
Sump Pump:
_yXN
_YXN
TAX MAP PARCEL #: '7 S
Ie, i \) "2.9 0:> 0'1 07
PLUMBING CONTRACTOR:
tVDhf'
Plumber's Indiana State License #:
000
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & _ BEAM _PIER
~ SLAB 0 BASEMENT (WALKOUT:_ Y _N )
For Single Family and Two Family dwellings. additions. remodels, andlor accessory structures. this pennit is valid only if construction commences within ISO
days of the date of issuance of the buildmg permIt, and must be completed (CertifIcate of Occupancy Issued) Within 18 months of the Issuance date Class I
structure pemuts are subject to the General AdmmistratlVe Rules of the State of Indiana (See 675 lAC 12) rel"'d'mMames for begmmng and
comPletmgCOnstru~etm !
I, the underSigned, agree that any constructIOn, reconstruc~I}, enlargement;relocanon, 10 tag land or structures
req ted by thiS apphcatlon Will comply with, and conform to, all applIcable laws of the , 0 mg Ordmance of Carmel Indiana - 1993" (2-
28 a amendments, adopted under authonty~oH C 36-7 et seq, 0eneraJ Assembly of th~. ate of Indiana, and all Acts amendatory thereto I further certIfy that only
kI chen, ath, or drams are connec (0 the samtary ).ewer I fur?fh certIfy that)he constructlon wIll not be used or occupied until a Certificate of
o cup yhas e ,,,u~dby'he ""men,ofSommum,ySe'lj ,C ~an"IJ'
~ l ~// . 1 /0 ~y -'D. e I"k to - 8 -I) 7
~rint Date
OFFICE USE ONLY: *************7 ************~~*******************,*J]*t'***5!J*******************
INSPECTIONS REQUIRED: FIling Fees: / ') lL'
~. Base Inspections: /1;2, ::jd
pper Footm Lower Footmg Under Slab ' //1
E '~ Cert, of Occupancy: C::S' ~u
CRou9ii)p) Meter Base Final Site -
. _ P.RJ,F.:
# Charged Re-
ReViews
Additional Fees
-01
(Date)
,
J 0--<"
ReviewedjA roved: Dept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL