HomeMy WebLinkAbout07070140 Application
City of Carmel/Clay Township Permit #: o7070lLfD
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROJECT INFORMATION:
Early Release ~ Manufactured ./
Permit: Y Trusses: L/ Y N
. X- 0 j;AAWLSPACE 0 POST & BEAM
Lot Split: Y _N Sump Pump: . Y _N EJ SLAB . ~ASEMENT
Does any part of the property lie within a special Flood designation area: _ Y _N'r 1\ 1" ::; ,WALK.oUT:,,--"- Y ---N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit id,tilid only if consuuction commeri~es
within 180 days ofthe date of issuance ofthe building permit, and must be completed (Certificate ofOccup'aricy issued) within 18 months'6f the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indi'a?~ (See OOLAC 12) regarding e~#rai:ion
time frames for beginning and completing construction. .' 2 0 2007 I': i f I,
I, the undersigned, agree ~hat any c~nstru:tion, recon~truction, en.largemem, rdo~ation, or alteration of a struc~re, or any change. in the ~se of lanc;l,~r l /!
structures requested by thIS applicatlon WIll comply WIth, and contorm [0, all apphcable laws of the State of Indmna, and the "Zonmg Ordmance ofJ'2.argtCl
Indiana -1993~ (Z~289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amenootor)' I
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 ber
used or occupied until a Ci ri!icalt: of Occupancy has been issued by;)\c OeFartr~cnt of Community Services, Carmel, Indiana. . ----1
, Ie,. C (. R <ICE- 7- -U7
prt'nt
OFFICE USE ONLY: ***** **** ***** *** ** ** ** ***.~** *** ******* * * **~ **f:* ~*** **** ******* ****
FIling Fees: ~ I ~ V
INSPECTIO ED: 1"\ (11. 5(\
Base Inspections: a:u V-
5"5 s ~O
P.R.I.F.: ';;)LO \.00
~. ~TOTA: Ii> ;;l4CfO.5b
_ ~.~A': /'
Fee R c y: "
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
llr. PROJECT
INFO:
SUBDIVISION NAME., L
L /#'-"1
ADDRESS OF CONSTRUCTION
1m 1
C~wp
LOT #
SEWER UTILITY
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 APPLICABLE):
TYPE OF CONSTRUCTION:
Q.--SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o '-HEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHONE
y( -./-.'/(z.
FAX
f/(-2yy
ZIP
STATE
N
J
(.",
-,.,........"./
PHONE
FAX
CITY
STATE
ZIP
SECTION
Z~
ZONING:
-L
L/J2-S
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION: 2 / If"" to..)
(EXCLUDING lAND VALUE) bJ. () o! cJ. -
~~~
q. .l:> El",
~ ''1,-'
te License #: . ~
/.,j )- '1.) If 4h~>~
Which plumbing codes will be applied to the construction: ~
~nternational Residential Code w jIndiana Amendments
o Unifonn Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Date
# Charged Re-
Reviews
Cert. of Occupancy:
Z:tl41
(Date)
Additional Fees