HomeMy WebLinkAbout07070144 Application
Permit #:07D70t4LJ
City of Carmel! Clay Township
RESIDENTIAL IMPROVEMENT LOCA TION:PERMl-T,--A;PPJ;ICA.l'ION
lln\ \:::= ('-, I'-..J II \\1/1'-- 1'.'\1
For Single Family, Town Home, & Two Family: New Structures, Addir!f1$,J~!!rTKI:!l.elS;-~.lAcce~ Yiictures
r I I I
I \
Early Release '\/ Manufactured f
Permit: _Y..6.-N Trusses: Y N 0 CRAWLSPACE 0 PCST & _ B~_PIER
Lot Split: _Y X-N Sump Pump: Y N 18!: SLAB D. BASEM ~~~N )
For Single Family and Two Family dwellings, additions, remodels, andJoraccessory structure~~ epd&~Q.hd 9'PJy\t!e ' j;;.~~e~~~thin 180
days of the date of issuance of the building pennie, and must be completed (Certificate of Od:l1~9'.....~\~~ih~~~~. Mtfi..!; ~~ Class I
structure pennies are subject to the General Administrative Rules of the State of Indiana (See 6aD\~2) ff~ft~P'ir~\iR~~ b:aRtH for~:@g and
completing construction. 0 r~.', U\""', "JO\f'JN"\" ,
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration..2Jfl:~@f.oH c ge~~ 0 lan.d or structures
requested by tbis-application will c Iy with,"and conform to, all applicable laws of the State of Indi~d'tQc "~/l{ '~c~f IN;rmel Indiana -I993~ (Z'
289) and am{ndments, adopted un er a tho 'cy of .36-7 et seq, General Assembly of the State of ~ aQ.\iUWcts am_~~o. I further certify that only
kitchen ,({a.thx d floor drains are cQnne ted the s nitary sewer, I further certify that the const~li~m' will not be used or occupied until a Certificate of
Occu 'been issued by the'De t t of ommunity Services, Carmel, Indiana.
/(o.t5)
Date
OFFICE USE ONLY: *****************************~~**********************~;;**~*j?*****************
INSPE ONS REQUIRED: FIling Fees: ,/ b .
rr;::. . Base Inspections: / "7;;Z :) ()
~ei'Hioti~ ~ower Footing ~nder Slab . c> 5.) cJ
~ Meter Base c::
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTI
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION{S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
)l!l' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
!l!f RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDmON(S)
PORCH ADDmON(S)
DECK ADDmON(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOunON
o
o
}I:!
o
o
PROJECT INFORMATION:
---.
Print
C r iI-,'
Reviewed/Appro ed: Dept. of Community Services
$:Permlts/Forms/ILP RESIDENTIAL
BEST M
STATE:
0'
FAX:
,ZIP:
'-\'
ZONING:
SQUARE
FOOTAGE:
srr.
ESllMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLUMBING CONTRACTOR:
,,"_. ~~~~"
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re-
ReViews
TOTAL:
:#3,Y3
Additional Fees
J8
i-ee ReceIved by:
Date