HomeMy WebLinkAbout07060125 Application
City of Carmel/Clay Township Permit #: OI000/~5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
lOT #:
>tv
FAX:
ZIP:
CITY:
SECTION:
2.
Ln.
SQUARE
FOOTAGE:
SEWER lJTlLITY , ESTIMATED COST OF CQNSTRUcnON:
PROVIDER: C 7 f. LV b r;;... -<- '" '-- (EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET 070
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE): - -,
___ /':" \ ( ~ -e f)
TAX MAP PARCEL #:
FLOOD ZONE AREA DESIGNA110N(S)'---:;;~1 '~ \\~\'0'~
FOR THIS PROPERTY: ~. (\ '!. ....-C/'\\ \ \'
---.... ~("....-:, \\ ~ \\ \
TYPE OF CONSTRUcrlON:7- TYPE OF,'IMPROVEMENT:
. \r_'.\,,~ rJ'I12\)I\
~GLE'FAMI~ '- l~,~RUCTURE
o TOWN HOME \ \ ~ \ 'J 0 ROOM ADOmON(S)
o TWO FAM~~y' ~ S;S 9/PORCH ADjmON(S)
# of uni~~e!~g ~/D DECIS ADDmON(S)
constructed at this~' 0 REMODEL
time: \ \ \ \)\........- ,...---....... _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions, Reri.odels..Etc.l 0 DETACHED GARAGE
\..-/' 0 ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
Sump Pump:
~N
::7.': -
_Y_N
_Y_N
_Y_N
_ 00
.9) 60(/'
PLUMBING CONTRACTOR:
C~ "" ( F,'AI./
Plumbers Indiana State Lit'ense #:
c.~
~ -"cit' ~"- p~
O,~':'
'''~S
/ d)' 70 'i
/
Whi]h plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~RAWLSPACE 0 POST & BEAM ~ER
[J.A1::AB 0 BASEMENT (WALKOUT:_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 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 strucrures
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 l.e. 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
Occupancy has been issued y the Department of Corrununity Services, ~el, Indi~a.
"1 //. L C-1.':1C(c:' (," -/r-o 7
SJgna re of Owner- or Authori PIlnt Date
Lower Footing
Under Slab
Base Inspections:
# Charged Re-
Reviews
P,R,LF.:
Cert of Occupancy:
Addioonal Fees
Final
ite
S:Permlts,lForms/ILP RESIDENTIAL