HomeMy WebLinkAbout07060224 Application
o -SiNGLE FAMILY
[j?" TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTIlITY
PROVIDER:
City of Carmel/Clay Township Permit #: 67 () &0 '2?-/}
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures.
PHONE:
176'- S"9Si
ZIP:
(00 3d--
-5
E~(DIA-tJ ~T
BU~3A-I-J~EREStiEPHt12-D Q Pu
CITY:
CA-fh-.tG L
BEST METHOD OF CONTACT:
Dm E..}--{4iG
NAME:
PHONE:
FAX:
SA-m G
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOT #:
1'50 I
SUBDIVISION NAM!:: SEmON:
tJ H-OmE-s' AT 6 W LFdUJ
uJ
ZONING:
30
SQUARE
FOOTAGE:
-.\ !
- 1
~RUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish o!!!y
o ACCESSORY BUILDJ'-- -
o DETACHED GARAC" \ \!l\
o ATTACHED GARAI ~
o DEMOUTION
".: I
TAX MAP PARCEL #: 1 .
1-'1:0q -.3{L; -0 -o?> -072- 000
PLlJMBING-CONTRAdoR:
1--\1-\-w\ m '4--.SOi\!.9,
Plumber's Indiana State License #:
C'/PI GOO I 0 1
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
_yV-;;
-y~
Manufactured
Trusses:
Sump Pump:
V;N
y~
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
~LAB 0 BASEMENT (WALKOUT:_Y_N )
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences wit~in 180
days of the date of issuance of the building pennit, 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 frames for beginning and
completing construction.
I, the unde~- _ ~H~I.mllt<lsAc'm, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested b th . ~njly rI\!~~all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and ame e S,a opte un eraut orityof LC. 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
Occuptmcyhas been issued by the Department f Community Services, Cannel, Indiana.
~tJNG SI+l::Pt--I-8UJ
Print
rhllq/Ot
Date'
SEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: -70,3 . ~ 0
r-r F t:"l L F t' Base Inspections: =).?7 ,">0
~~ 00 I~ ower oOlng
~ ~ Cert. of Occupancy: Ss- S-O
~n ~se P.R.I.F.: / ;2(;/ O()
W~ :a T9T~L: /'c2567;:/1-Q"
Reviewed/Approved: Dept. of Community Services (Date) ~~ _ _ :2 J,
S:Permits!Forms/ILP RESIDENTIAL ved by: Date
# Charged Re-
Reviews
Additional Fees