HomeMy WebLinkAbout07070076 Application
City of Carmel/Clay Township Permit #:07D7cp16
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA'FION
For Single Family, Town Home, 8. Two Family: New Structures, Additions, Remodels, 8. Accessory Structures
,
,
BUILDER
OF
RECORD:
NAME:
BUILDER'S EMAIL ADDRESS:
/f/.
PHONE: FAX:
r16 -2<; 6 L ,IY-6 -
cfl'tfLEASl:D FOR C0NSIRUCTI
Sub'o t . r. it
BEJl1S.tElbtfpp~ ~P.!"TetCodes.
r':r FCOM~ '[I ''fI
Glll'N{OF CARMEL / CLAY T6WNSHIP
;z...y
.)
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
8. PROJECT
INFO:
LOT #:
3'L
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
2_)-:Lv Wf/ ,0<
cm:
STATE:
ZIP:
ZONING:
SQUARE .
FOOTAGE: ;-772-
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALU
SEWER UTILITY WATER UTILITY /
PROVIDER: C'Tfl WI> PROVIDER: (,;{c..Pt......
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 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. , ,.-=----~ -'~~;-r; ~ - . , \
I, the undersigned, agree chac any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any chang~~~n~~u~{~Oalr[4-~r~jtr~cpjr~~, "\
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zonmg Ordinanc~of Cannel.In-diana.-.1993"(Z- . , I \ I
289) and amendments, adopted under authority of I.C 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendaroryjthereto. I further certify that only; ~ JI
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 I
Occupancy has been issued by the Department of Community Services,;;rme~, In~iana. \ ~ JUL 1 0 2007
Ie L- {r..uc(? " ;zt-9 -Q i.
Sig' re of Owner or AuthOl"ized gen pfint l.. Date
OFFICE USE ONLY: *********************************************************~~.e ~!...:t:",,~,~.*.*_*************"_J
Filing Fees: 0
Base Inspections: ;J J-J. sV
S~. .57J
36. cd
~
FLOOD ZONE AREA DESIGNAllON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
Q.-SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc,)
PROJECT INFORMATION:
-y4
_Y~N
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
QAlEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o AITACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
~N
~N
Upper Footin
INSPECTIONS RE UIRED:
~
Review
S:Permits/FormS/ILP RESIDENTIAL
00
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
'2c.. ^' ~"->4
Plumber's Indiana State Licentie #:
Ie)' 'N Cf
I
0,. p. 8~1ta
0,. ~/c/lJ 9~8. ~/lIa
@ $06 ~?
'13?S
Which plumbing codes will be applied to the construction:
C3-1ntemational Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
,
I
(Check all that apply for the ~ew
FOUNDATION TYPE:
construction area)
I
I
o CRAWLSPACE 0 POST & BEAM PIER
c:tvSiJ\s ~ENT (WALKOUT:_Y ~
# Charged Re-
Reviews
Cert. of Occupancy:
Fee Received by:
Additional Fees
Date