HomeMy WebLinkAbout07070073 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SEWER UTILIlY
PROVIDER:
City of Carmel/Clay Township permit#:07D7oo73;>
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Strflctures
NAME:
( PHONE:
'1\),.., S?'I~ I
CITY: --z.., 1> MlJ
<Ji"' JJ-
D
FAX:
58'o~o
STATE: ZIP:
BEST METHOD OF CONTACT:
VldOr)
-e.+
PHONE:
~lg'-SI103
FAX:
STREET ADDRESS:
ZIP:
CITY:
.s
~J
STATE:
.-n
~
.,e
SEmON:
ZONING:
SQUARE CI' Cur?
FOOTAGE: I J 7 Il.
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
w'D
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VAL~E ':' I 'f '7 0, CD ;::.
i
1/1
III II. I IJ I I ;111
AX MAPPAR(El #: "!.J /'
I L' I
'L__ ,[' y,
PLUMBING CONTRACTOR: L '," I
f\ ~ .~. < L.. ~,,;) p~"",", ~,^N.-1
Plumber s In na StateLlcense #: d
_p L ~'ii'Oj - DO 0 (1;"-0
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
PROVEMENT:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
EW STRUCTURE
o ROOM ADDITION(S)
o PORCH AODmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o OEMOUTION
. /I Manufactured
y ~N ./"'"russes:
_Y ~ Sump Pump:
~ FOUNDATION TYPE: (Check all that apply for the new
construction area)
---;f- ~ 0 CRAWLSPACE 0 POST & BEAM _PIER
LY , ~SC!'fI\~QllfI{lliy ~
Early Release
Permit:
PROJECT INFORMATION:
For Single Family and Two Family dwellings, additions, remodels, andJor accessory struct6ubjliis:t>itlmlQNQI~b~ s~gion commences wi~hin 180
days of the date of issuance of the building permit, and must be completed (Certificate of occupancl>fs~ ~tksQfflmhssuance .slate, :Class I
structure pennits are subject to the General Administrative Rules of the St.ate of Indian~(SeeSl.5lA.c.l1f r~MU;Nf11'lV't@~~bginning and
completmg constructlonDt:.P, U Q\AlNc::.l-IIP I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or aJt~~~A"R~tP~ 1; f'Il!rtcfh't~Mtct:J,res
requested by this application will comply with, and conform to .allappheable laws of the State",nrtdfan1r,' andthe uZoI\ill~.qNt~.r:t of Carmel Indiana - 1993" (Z-
289) and amendments, adopted under authority of LC. 3 -l'~eq, General A~bly of the State of Indiana, and all Act!;l~Am.td'fy'\:hereto. I further certify that only
kitchen, bath, and floor drains are connected to the S ltat)' sewer. I further cert' that the construction will not be used or occupied until a Certilicate of
Occup;mcyhas been issued by the Department Co unity Se .ces, Carmel, ndiana.
i1
Lot Split:
7
OFFICE USE ONLY: ************
Date
i- 1-0
Dept. of Community Services (Date)
S;Permits/Forms/ILP RESIDENTIAL
**************************~~,~******~***************
Filing Fees: /3 ...>0. r.f6
r2 cP7 5Jl
Cert. of Occupancy: S'::> ' :>0
PE/ .. /clC/,N -"~,-
~~ ,#!!h~ cftJ
Base Inspections:
# Charged Re-
Reviews
Fee Received by:
Date