HomeMy WebLinkAbout07060271 Application
City of Carmel/Clay Township Permit #: 070 bOJ.7/
RESIDENTIAL IMPROVEMENT LOCA'fiWtNim)R:MI~mro1\WION
For Single Family, Town Home, & Two Family: New Structures,9UII!itioms,r~8l'iA.tc&l~lst~ures
,~ r' cal Codes,
CES
~12.
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
LOT #:
'6
ADDRESS OF CQNSTRUcnON:
11~ I /cJ1;h 5-tre
TYPE OF CONSTRUCTION:
~rWGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
SEWER LITIUTY~) /7 WATER UTIl
PROVIDER: ~ PROVIDER: ~_
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BlA I BRW P'OC,KE:r.,",'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT. #'5 (IF~APPLICABLE):
,,' Iii
FLOOD ZONE AREA DESIGNATION(S) '1'\' ;:, \ I
FOR THIS PROPERTY: I \ i I
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
, I I ~ I :
TYPE OF IMPROVEMENT:
I "
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
8- DECK ADDITION(S)
)liX REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Sump Pump:
_y-XN
-X-Y_N
BEST METHOD OF CONTACT:
FAX:
ESTIMATED COST OF CONSTRUCTI~
(EXCLUDING LAN~ VALUE) -r
~J
SQUARE 5
FOOTAGE: '00
70GJO
III \
,11 III
TAX MAP PARCEL #:
JUN 2 8 20 7 j,t.11J~()6-
IIL.111
PLUMBING CONTRACTOR:
-- I
I
-'-Plumbers'Indiana-state License #:
j/Jf-
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o
Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE:
construction area)
.9Q CRAWLSPACE
o SLAB
(Check all that apply for the new
o POST &
BEAM _PIER
o BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only:if construction commences within 180
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 pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time harnes 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 Cannel Indiana - 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 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 Cerdfkate of
Occupancy has been issued b the Depart nt of Community Services, Carmel, Indiana. /
/l1'-thvr C 5qyif)rA 6-~'j{-O 7
Print Date
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / :5..9 SO
Base Inspections: / -:7",< 5'0
Cert. of Occupancy: S 5'. c;- d
Rough In
Lower Footing Under Slab
Meter BaseGl' y
# Charged Re-
ReVIews
Additional Fees
7-3-
(Date)
P.R.I.F.:
~_/TOTA~: ///? ,#;~(-.( C;(J
-~~ II~----
Fee ecelved by:""" Date
S:Permits,lformS/ILP RESIDENTIAL