HomeMy WebLinkAbout07060135 Application
'"\ City of Carmel/Clay Township Permit #: () 7 O~()135"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME: 6 rt(
BUILDER
OF
RECORD:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
E 6trrn
LOCATION
& PROJECT
INFO:
LOT #: SUBDIVISION NAME:
!PI
ADDRESS OF CONSTRUCTION:
:3 ;;-
SEWER UTIlITY
PROVIDER:
FAX:
.91c' : 7 Sf'o
ZIP:
Inc))fs :TAJ 2/0:25;'
BEST METHOD OF CONTAcr: ffl"l-f'f W/"'JA,f-
. ,;;J;;?3- 3070
FAX:
cm:
Co- FlY'
STATE:
.II...{
SECTION:
IL
v{:)I()
ZIP:
L.tfaJJ"
ZONING:
SQUARE
FO
0J~
':~lgff
, ;---', i
ESTIMATED COST OF CON
(EXCLUDING LAND.VALU
\';1
ill
III
" ., 'I I Ii
TAX MAP PiffEiIi: JUN 1 5 2007 I! I /! i
PLUMBING CONTRAcTOR: .J'-' I
Hen) r I 'r Iz :, I CocJnJy r? I t/ .nbtagInLJ
Plumber's Indiana State License #:
CP i9/,,(JO /3/
NAME OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
N~
~I)' .'
. i I
',I'.
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE OF CONSTRUCTION:
.ll(' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release /'
Permit: _Y ~N
Lot Split: _Y ~
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
-z.---o-ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
fa" REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
Sump Pump:
_Y~
"....y~N
. ,
. _...:..- --~- =.jl
Iii
, ,
Which plumbing codes will be applied to the construction:
K[ International Residential Code wjIndiana Amendments
o Unifonn Plumbing Code wjlndiana Amendments
FOUNDATION TYPE: (Check all that applv for the new
construction area)
0'l:RAWLSPACE 0 POST & BEAM PIER
o SLAB ~SEMENT(WALKOUT:_yLN)
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 permits are subject to the General Administrative Rules of the State of Indiana (See 675 IA C 12) regar ding eXPir~tio' '. beginning and
completingcon"ruction. ~i~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterati ~. g . ructures
requested by this application will comply with, and conform to, all applicable laws of the State of I '. ' ' ce 0 Carmel Indiana -1993" (Z-
289) and amendments, adopted under authority of I.c. 36'7 et seq, General Assembly of the State of . ana, 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 Certif1cate of
Decu cy has en issued by the Department of Community Services, Cannel, Indiana.
. . - Ji I( /-ICrb,'&>" &-I'/-Q!
OFFICEUSEONLY:******************************~~*****************~~*~~*************************
PECTIONS REQUIRED: FIling Fees: g& Zk'. .2 (,
.~, Base Inspections: / IJ d. 1'0
pper FootIng Lower FootIng Under Slab I S:s-. sCJ
~ Cert, of Occupancy:
Meter Base Inal- Si
P,RJ.F.:
[~f ~.!'JL!;j7~02",
Fee 'v; ~
Signature of ner or Authorized Agent
Print
~
o.te
# Charged Re-
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Add!bonal Fees
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