HomeMy WebLinkAbout07060282 Application
City of Carmel/Clay Township Permit #:070foO~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Stru<;tures
.
BUILDER
OF
RECORD:
NAME:
b
PROPERTY
OWNER:
.
LOCATION
& PROJECT
INFO:
13
Pi
STATE:
's IN
SEmON:
3
ZIP:
'I. J7'i?
$-
ZONING:
SQUARE
FOOTAGE: </5 ;l.
SEWER UTILITY WATER UTILITY
PROVIDER: C I PROVIDER:
NAME OF tmLITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE.oF CONSTRUCTION:
r5lf" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y .(ry
_Y~N
TYPE OF IMPROVEMENT:
rz(' NEW STRUCTURE
o ROOM AOOITION(S)
o PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Sump Pump:
~_N
~Y_N
,()D
,; '.11
TAX MAP PARCEl.#: j
111'\') I
III III .J
PLUMBING CONTRACTOR:
-.f8JAJ E. SM;T~~ ~L_____
Plumber's Indiana stale License #: ..~~~__
101777
,.
, /'i,
!Ii: 11
'1'1,1
Jl01
I
I
I
Wh~ plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~BASEMENT (WALKOUT:_Y ~)
For Single Family and Two Family dweUings, 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 IS 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~ (2-
289) and amendments, adopted under authority of l.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
o upancyhas been issued by the Department of Community Services, Carmel, Indiana.
_ B . . LoR'1 A. B~R.bSI)t,)G- J.jENl;~f.
Print
~hlDJD7
Date
OFFICE USE ONLY: ************* **** ******* *************** *************** *,ff.************************
INSPECTIONS REQUIRED: Filing Fees: (('?,~ 0
~U F ~L - F~ U d 51 b Base Inspections: --7 )t\ # Charged Re-
'- ~r 0_0 I ~wer ~o I n er a ./ ReVIews
~ _ Cert. of Occupancy: C; -)" '5 CJ
Rough I l"'"'Meter Ba~ ~ Site J 1;( r; / {J (j . .
'-'C = --=~~~014t~2&-"->~
Fee R elved by' -- Date