HomeMy WebLinkAbout07060116 Application
City of Carmel/Clay Township Permit #: D10bD II)P
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single FamUy, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME: ~ wN- ~"}
Co",",
FAX:
317 - b1D-S(,b<;;. ::'/7 -8/o-o78u
CITY:
iZ.:,/7-b
Ltt-r....J
FAX:
3,;7-810-0780
PROPERTY
OWNER:
PHONE:
Jue-
STREET ADDRESS:
11"\1 :"
LOCATION
& PROJECT
INFO:
"'-
lOT #: SUBDIVISION NA~E:
~~ LL<:,. cU0cV€--
ADDRESS OF CONSTRUCTION:
SEWER UTIlITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM App,rrION(S)
o TWO FAMILY 0 Pq~,~'BITION(S)
# of units being EI\\fifiCK\~\l9JiHON(S)
constructed atthis I?- CO~tJ,\ R~OOEL
time: ptD yO ~ 'N'I.\" ,\ '",,*,8ase!')elJ!: Finish only
o RESIQI;Il!~P; r ).r:l\af\G~ c,y::0~ACC~OiiYt!1lli DING
AdditIdM.;~~..ea~~",l\O \..0 ~W'i OEfACHE,I)' GE
SI.l'o\ o\sta C\^\\I,0\~l\~ ARAGE
PROJECT I~~f1~~ii~'2.\..1 ~ ""1\ EMOI mON
Early Releas -r.J Of \\'IQ'III'\lnUfactured
Permit: . C~\ \ _Y _N Trusses: _Y _N
Lot Split: . _Y _N Sump Pump: _Y _N
STATE:
T:I'\
ZIP:
Lf(,o 3, 2..
SECTlON:
ZONING:
SQUARE
FOOTAGE: / t;;oo
ESTIMATED CQ~ Q~_C9NSTRUcnON:
(EXCLUDING ff~~~v~~~y(P,~_~:~='- ; ~ ':.~ [ . :;~ ~_;\-.!
:1;[))r:::_':"'-~~~\lli \1'1
, " I II II
TAXMA~i>AR~kl#:JUN 1 4 2007 il'U"'
It! Iii I
PLUM8ING corHRA$7-R:--~- ~ I
LN-~ ~
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w!Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
~
CRAWLSPACE
o POST &
BEAM _PIER
SLAB
o BASEMENT (WALKOlJT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit 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 IAC 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 Carmel Indiana - 1993" (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, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc been' su the Department 01 Community Setvices. canneb,l:diana.) / /if' ""'./'>
!5.!. ~ tf!!tf1!2'=-L (jLI!o ?
Print Date I .
OFFICE USE ONLY: ********* *********************************** **** * ****** ************************* *
INSPECTIONS REQUIRED: Filing Fees: ! ':1 <6, <; '()
Base Inspections: 57. 51)
Upper Footing
Lower Footing Unde~
Meter Base Final ~
Cert. of Occupancy:
Rough In
# Charged Re-
Reviews
P.R.I.F.: Additional Fees
y~otJ;.\JC
Fee Received by: Date
001
5;Permlts/ rms/IlP RESIDENTIAL
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