HomeMy WebLinkAbout07050233 Application
City of Carmel/Clay Township Permit #: 070f:{O/i'?;>3.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, S. Two Family: New Structures, Additions, Remodels, S. Accessory StrJctures
,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
s. PROJECT
INFO:
SEWER UTILm
PROVIDER: CI A
NAME:
/:)~
STREET ADDRESS:
SuO
cm:
STATE:
I
ZIP:
tJ J7~
C
BEST METHOD OF CONTACT:
TYPE OF IMPROVEMENT:
o filEW STRUCTURE
iY ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
/y N
V<=N
WATER UTILITY
PROVIDER: C "
FAX:
-73Nl'
CITY:
STATE:
I
:nf?
ZIP:
I
s
SECTION:
3
ZONING:
.5-
SQUARE 0~
FOOTAGE: "7
?
ESTIMATED COST OF CONST/tenON:
(EXCLUDING LAND VALUE) 9:10 ,0
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPLICABLE): Jl
FLOOD ZONE AREA DESIGNATlON{S) TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
[JI( RESIDENTIAL (For
Additions. Remodels. Etc.)
o Uniform Plumbing Code wI Indiana A~endments
,,(-,
FOUNDATION TYPE: (Check iI.U~l/l;:rapPIY for the new
construction area) \:r;<-.\ ,. '0";
o CRAWL5P6~~~e~~~ . BEAM ~~R
~ ~~~~t~1f'~.~yLN)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory s~~\~fS\ i~~j,~\~~.eh'~onsm:iic'tibb commences within 180
days of the date of issuance of the building permit, and must be completed (Certifi~'6~~peal~Wi\l1.~ ~th\ ";;f the issuance date. qlass I
structure permits are subject to the General Administrative Rules of the State of Indi~~~ 675JA'Cl(313''gfr'din~ ~~tion time frames for beginning and
completing consrruMion. ()'( ~~\; ~~ I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alt:!e.~~f'a"'s~ ' o~ ~~ge in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State\iJlrtCii"fl'l'l(an'd' he "2o~gO;d;~ance of Cannel Indiana - 1993":(2-
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the St~~dt:!na, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and flo~r drains are connected to the sanitary se~er. I f~rther certify tha~ the ~'struction will not be used or occupied u.nt~~.-a,C'ertificate 01.1
o cupancyhas been Issued by the Department o~ Commumty SeIVlces, Cannel. IndIana. ....:).;0;-;:;;-
, , J.O~; A. p,;ItbSr.>t-lcT-Hnll;tJE ", S/d9J07
Print
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
_y~
_Y_N
Sump Pump:
OFFICE USE ONLY: ******************* * * *********~~****** ,************* ** */9.*****?******** *********
INSPECTIONS REQUIRED: FIling Fees. .u/O . p2 9-
. . Base Inspections: / r;;<, J 0
pper Footing Lower Footing Under Slab ' - (J
Cert. of Occupancy: .s s . S
Meter Base ~ ~
PLUMBING CONTRACTOR:
iMll:. SM;-Ol
Plumber's Indiana State License #:
ID/177
WhJslh plumbing codes will be applied to the construction:
C!?f International Residential Code w!Indiana Amendments
Oa..
# Charged Re-
ReViews
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~v:~* tel
{;-I
Dept. of Community Services
S:Permlts/FOm1s/ILP RESIDENTIAL