HomeMy WebLinkAbout07060223 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
City of Carmel/Clay Township Permit #: 070lDO~J.j
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PHONE:
FAX:
O/7d-
STATE:
"7
ZIP:
CITY:
<1 j/'-/
&
BEST METHOD OF CONTACT:
HI.
FAX:
PHONE:
8/6
39
Vl Dr
STATE:
ZIP:
CITY:
o
6R A-&'
:3 :>--
lvL
SECTION:
ZONING:
LOT #:
~L<TlLJ
ADDRESS OF CQNSTRUCTlON:
5,4-YJ1 v
SQUARE
FOOTAGE:
68(?
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) $
'-'
t~
Oc7D
,..-...~.,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN CQMMISS N / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (OUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
r~\-r~ rF;~ ~:'-'f~ \-;,?~' ~',.
; I!. \ \ '-----' "--
TAX, I)'APj JARCEL#:--
\ \ 1_, ( \
III \It
PLUMBING CONTRA
_g. u. \lH\.h-, (~_
Plumber's Indi~na State License #:
-P (: 8''-~/-l:::r:,.
Which plumbing codes will be applied to the construction:
FLOOO ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
1[1 . .
ii' \1\
,,\ I L
\1SI\' :
I :
I
INGLE FAMILY
N HOME
0-- TWQ,FAMIL Y
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions, Remodels, Etc.)
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
I
I
o International Residential Code w IIndiana Amendments
d2f.uniform Plumbing Code wI Indiana Amendments
o
o
o
o
~
.--z,----
_Y_N
_Y~
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
~EAS~~etJf{J!?TRUCTION
_Y , - SlJQiect to compliQl\cel\4~%guilit1ollS1ST & _ BEAM _PIER
_Y _t--N - of State aQ9 4rul.~1 ~SEMENT (WALKOUT:_Y_N )
r- 1/11 It.
PROJECT INFORMATION:
. .......... ,
For Single Family and Two Family dwellings, additions, remodels. andJ?I" M"\9'~t.Rl.9f~iW'f, t!!r ~~t iA i',w,l~ Af f@{\S~1YStion commences within 180
days of the date of issuance of the building penoit, and must be complM1M (tetrlfica\t:'OI'Oc~Upln~ Mula-)Y withitt\l'illdtbiimg 61 the issuance date. Class I
structure penoits are subject to the General Administrative Rules of the State of Indiana (See fM~?-)Agarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structu,res
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 I.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
Decu eyhas been issued by the Department of Conununity Services, Cannel, Indiana.
~ #IlIHP .J.'
~ Print
Upper Footing
~ Meter Base Final
uJ&:L ~
Early Release
Permit:
Lot Split:
'~
\~
~
T:e.r-f-?-/Ya/ ~
b- ..; (', ,;lo.- 7
Date
INSPECTIONS
****************~****************************
/:s I? < SO
( 0
//.-{ U'
I ,''):)'50
# Charged Re-
Reviews
,
(Date)
P.R.I.F,: Additional Fees
~o!<a67'd4
Fee Received by: Date
Reviewed/Approved: Dept. of Community Services
S;Permits/Forms/IlP RESIDENTIAL