HomeMy WebLinkAbout07070119 Application
City of Carmel/Clay Township Permit #: o70701:JEl
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME:
o
STREET ADDRESS:
41J..8 KEJ)2It Itl/~,
PHONE:
80,-
FAX:
9- .;1.10;' ,
CI1Y:
V,4,A/Jv/(<-E
STATE: ZIP:
~ 71.2
BUILDER'S EMAIL ADDRESS:
S P1;9N,v ce
BEST METHOD OF CONTACT:
PHoNf
PHONE:
FAX:
NAME:
0<- , ('om
~s.?3
STREET ADDRESS:
CI1Y:
STATE:
/\I
ZIP:
6032.
LOT #:
,00,
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
38 gl...lfC/UTiJ
ell/em E
WATER UTILITY
PROVIDER:
SECTION:
El OCK 3
ZONING:
RU ......swc" (( fl'ltl ..,
SQUARE _ -? ~
FOOTAGE: .,...00 J"t
~
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / aZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
/;;;{) RESIOENTlAL (For
/ - Additions. Remodels. Etc.)
FOUNDATION TYPE: (Check all that al?ply for the new
construction area) , -:\\O~
o CRAWLSPACE ~\l~EAM _PIER
o SLA~ ~~~~'r~ e ~KOm:~Y~N)
For Single Family and Two Family dwellings, additions, remodels, andJor accessory structure ~ .t\\~d\f~iW.~tS~ n es wi~hin 180
days of the date of issuance of the building pennit, and must be completed (Certificat tlJ:~ (3~~~~ ~~irt \\~dnths.- of< ance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana eAAeYf'A~I~an:l.~~IPf&'lnrle rames for beginning and
completing constructi.0 0 C GO.\~c.~ \ \.J
I, the undersigned, agree that any constructiO. n, reconstruction, enlargement, relocation, or altera~ion ;t'\sG~tu~~~UY~D?-P&...~Rh.e use of land or structures
requested by this applicatIon will comply with, and conform to, all applicable laws of the State of a, ''!..nP.. t€9l"!bni~\rance of Carmel Indiana -I993~ (z-
289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State 0 ~~d all Acts aR;~datory thereto. I further certify that only
kitchen, bath, and floor drams are connected to the sanitary sewer. I further certify that the con~\-.don',will not he used or occupied until a Certificate of
Occupancyhas been issued by the Department of Community Services, Cannel, Indiana.
~'A /J,.d O. g R~ blAIl LE NE :r, I' ET~ If S
';i9~,e;:;/=~~ed Agent Print
PROJECT INFORMATION:
Early Release
Permit:
OFFICE USE ONLY: ************* *********************************** * **Tr~~~**4r;**** *************
Filing Fees: Ij ,
NSPECTIONS REQUIRED: _ ,S l"" TO
F . 'd SI b Base Inspections: \ Q\ - 2_
pper ,ootln Lower Footing Un er a ---:lI-,S '"
~. Cert. of Occupancy: l/> 5 .5 v
Meter Base Final Sit
P.R.I.F.: Additional Fees
/) ,$3~\,-4~
d0-~
Lot Split:
_Y~
_Y~
D NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S) Oil
D DECK ADDlTlON(S) dQ" li-
D REMODEL U'
_ Basement Finish only
o ACCESSORY BUILOING
o DETACHED GARAGE
D ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
XY_N
_YLN
Sump Pump:
.C
JUL. '1
er's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wi Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
7;', /07
Dale I
# Charged Re-
ReViews
Date