HomeMy WebLinkAbout07060287 Application
City of Carmel/Clay Township Permit #:07()(P()~'B7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
L
\
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTILnY
PROVIDER:
NAM'
NAME:
STREET ADDRESS:
LOT2g'
-SJ
CAILHEL
PHONE:
5,5 -;;350
FAX:
STA~E\
IN
ZIP:
3;L.
BEST METHOD OF CONTACT:
E:1YlA (L
PHONE:
FAX:
~U.'ii;G:mFOR C()ffl1!lTRUCTIOf,f:
BUfJjeCI to cornr-.II"'" If. 1- .
. . - 6f Sfi;leSfc!:lQN;)cal Code ZONING: 1-
i=;'" r--.' ";';'_ II ,:. -. . ,~
C,._.? I 0,- GL,,'v, , I, !IT' Q~ ,.S
CITY GF G,c\ii.vJ!::L I CLAY r ~WIPL:"C:. ffY"lA
n ,~." ~U-I
K. . ., ,<.\<~
ESTIMATED COST OF CONSTRUCTION:
(EXCL I G LAND VALUE)
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET /\ 1 <:" f\
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT #'5 (IF APPUCABLE): /-i - ~E:12J.().Q. &K C!-
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ 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:
Lot Split:
_Y ./N
_Y I.--"1'f
t~ X 1\
TYPE OF IMPROVEMENT:
GrNEW STRUCTURE
o ROOM ADDITION(S)
o PORCH AODmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGF
o DEMOLITION
Manufactured
Trusses:
v' Y _N
-'Lf _N
TAXMAPP~RCEL#:..n._ .....0.". _
1- - h"1- (;JtJ"",Q,/..--
: ,'! '1 I c:--=-' \\ .';' .: i \ \ . -~- ~ '...:::-~ -, I
PLUMBING CONTRACTOR:: . i.~ . ::. :::__:~, 'J vol : :': I ., \ ;
-L-IAm m 041/ SJbJJs -----=. Ii) 'I
Plumber's Indiana State Li~~se;1: JUN 2 9 20 III I) I!
QPl()!)nU@I. 07 Iii if
Which plumbing codes will be ~PPlied\othe-i:i::mst...uction:-..j~' I
g---fntemational Resident\al'Code.wlJ.~~e."~~
o Uniform Plumbing Code w/Indiana Amendments '
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ASEMENT (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 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. Oass 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.
r, 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 UZoning Ordinance of Carmel Indiana - 1993" (2-
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 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 by the Department of Conununity Services, Cannel, Indiana.
~Nc -Sbtef}l&t2})
Print
Sump Pump:
EONLY:***********************************************************
INSPECTIO RE UIRED' Filing Fees: as .
, . \
~ -.::-") Base Inspections:
1........J!p.ller Footing Lower F!lOtliig Under Slab .~;/ --71
~ "-~~ Cert. of Occupancy: ,C; ,~ - JI/
~9h I Meter Base Final S' ) -} (,../ /) () . .
-- - __ P.RJ.F.: , -,. Additional Fees
/'
~~-2,~-<f(f fit}
Rev'
7-5-07
(Date)
/()/;)J7 /01
Date I .
# Charged Re-
Reviews
Fee Received by:
Date