HomeMy WebLinkAbout07060136 Application
City of Carmel/Clay Township Permit #: D 7 0 (p 0 13 (p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
SEWER UTIliTY WATER UTILITY
PROVIDER: C i I PROVIDER: C
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW OOCKET \0
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ft\If~~} .
FLOOD ZONE AREA DESIGNATlON(S) RELI:='.o- liance 'Iilll':- r TAX MAP PARCEL #1.//1 I
FOR THIS PROPERTY: b'8cttOCornp" local Godes, I, I"
TYPE OF CONSTRUCTION: TYPE OF . ~t!\ 1~~ CONTRACTOR: "'L.-.
o SINGLE FAMILY QF~ ~prli.E.1 CL{\'{ ....fa.uLF, SM'I nl ~.
o TOWN HOME O\f'{~ ITJP",(~pSMiafl,OOM Plumber's Indiana State License #:
o TWO FAMILY 0 PORCH ADDrtiOlli(S)
# of units being 0 DECKADDITION(S) 10/777
constructed at this 0 REMODEL
/ time. _ Basement Finish only
~ RE~ID~NnAL (For 0 ACCESSORY BUILDING
Additions, Remodels, Etc,) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
5
STREET ADDRESS:
ADDRESS OF CONSTRucrrON:
/3i?
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
-y-4
_Y~N
Manufactured
Trusses:
Sump Pump:
~-~
_Y.-LN
PHONE:
FAX:
(3/7 3 -73J'fl
CITY:
STATE:
IN
ZIP:
n&'
BEST MITHOD OF CONTACT:
7-?3j'fl
ZIP:
STATE:
I
)7'fl
ZONING:
SECTION:
3
$-
SQUARE
FOOTAGE: 33t,
~ J ~
L \:;'
:;! ,:
'I' '
I,; IIi
'" '/
j[0/
Ii
JIlN J 8 2007
Wh!9'"plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ry( BASEMENT (WALKOUT:_Y ~)
For Single Family and Two Family dwelhngs, additions, remodels, and/or accessory structures, this permit 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 permits 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 Carmel Indiana -1993~ (Z'
289) and amendments, adopted under authority of r.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cerrify 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
o cupancyhas been issued by the Department of Community Services, Carmel, Indiana.
B' .
/o1/sID?
Lb!?; A. ~;RbS{)NG-lkNI;NE
Print
Date
P.R,LF.:
W~
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL
OFFICE USE ONLY: ** ****************************~~*********************"7Y:*J.'~***************
INSPECTION~ RJ;QUIRED: FIling Fees: I - -..
U . F t'') , U d SI b Base Inspections: / 7 ~ ,) 0
pper 00 InJl n er a
. ~ Cert, of Occupancy: ,!;' ~- . Sd
':::Fin I Sit;;)
~
(Date)
# Charged Re-
ReViews
;d: 4/u ({ A.d~..:;:ees
TOTAL:
Date
Fee ReceiVed by: