HomeMy WebLinkAbout07060289 Application
City of Carmel! Clay Township Permit #: 01 {)(rfJJfDq
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAMEPlJ--L IF
STRlSADDOS: N '
FAX:
)( J.[)0
CITY:
STA~ J
BEST METHOD OF CONTAa:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
NAME;
STREET ADDRESS:
LOT #:
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
,/
Y N
Y vr:
ReViewe~
S:Permitsll=ormS/ILP RESIDENTIAL
~A
Erw
ZIP:
'-/.(o03L
smAIL
PHONE: FAX:
RELE~C;:FI enD r. ~
CITY: Subject to cornnlia,0-AT(,"h" ..._~, 'II': ~~l :,
" _ r 'L..8" l ell reoulatlons
of 5~31t? and I n,-."J ,'-"r".-J~ ~
.,.. " (IF -~. .
cl'r~' O' ~ 'sl;ctl<1!I1fViU!\!iT\ ~_~.C>N.r-,_,.I!t. V,Ie&- /)
r F CASM!b-/ r, .", -1-
j ~ lJ J
INui;;i\iA SQUARE C::.CI:J.
FOOTAGE: UC ~/
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) d-0;)
-SLLPEKlOQ BKc.
TAX MAP P,l\RJ=I'L #, q All 0 I
1~U'1-1 -UV-
PLUMBING CONTRACTOR:
/11I1'YJ 1Vl,'qJ .~S
Plumber's Indiana State-License #:
(l,QI q~mi( ~b/~ _
Which plumbing codes will'be appl e the construHion:
...--- f"'" U:, .... J iUUI. l,
~Intemational Residential Code w!Indiana Amendments
Uniform Plumhing Code ~;-~dian8Amendme~'ts:::': '
----- ~-"---,. ---....!
FOUNDATION TYPE: (Check alrthat appJ,.t~r the new
construction area) -..-.1
SUBDIVISION NAME:
LON E
AOqRESS OF CONSTRumON:
3 ClttJ N tJ
WATER UTILITY
PROVIDER: LAI2.Jv( E L
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):
Early Release
Permit:
Lot Split:
A-
" X. 11
TYPE OF IMPROVEMENT:
Q...-HEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
Basement Finish onl'.
o ACCESSORY BUILDIN'
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
INC-,
Manufactured
Trusses:
Sump Pump:
Vy N
\/( _N
o CRAWLSPACE 0 POST & ~ BEAM _PIER
o SLAB IiJ-"1lASEMENT (wJG;bt#SHI00 N)
Cert. of Occupancy:
Sit
Fee Received by:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
days of the date of issuance of the building permit, 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 lndiana, and the UZoning Ordinance of Carmellndiana - 1993~ (Z~
289) and amendments, adopted under authority of I,e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatOlY 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 issue b the Department 0 Community Services, Carmel, Indiana.
. Pri"y"JO\tJtJ6 S HEPHE:IW... ~
# Charged Re.
Reviews
SEONLY:*********************************************************************************
FT F . 9?/} 90
INSPECTIONS RE UIRED' I mg ees. , / --
, 1"--.., cf. .'J-.50
Under Slab Base Inspections: '* --
~ ,')'0
. J} /) f()
P.R.I.F.. cY b .
'-? TOTA}.? '27r:;-;/5}?/ 70
&z~i!ft~
./
I
OFF.
Additional Fees
Date