HomeMy WebLinkAbout07080082 Application
. /~
City of Carmel/Clay Township Permit #:~J-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Str~ctures
\
\
I
BUILDER
OF
RECORD:
NAM:
I
STREET ADDRESS:
Sf-..,
6>1
PHONE:
CITY:
STATE:
BEST METHOD OF CONTACT:
?
e
PROPERTY
OWNER:
NAME:
/'
STREIT ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT #:
SUBDIVISION NAME:
V'
o.f-- We.d- Cr
SQUARE
FOOTAGE:
SEWER UTIUTY _ .,
PROVIDER: CTIV.}J L>
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATIDN(S)
FOR THIS PROPERTY:
~\J\
TYPE OF CONSTRUCTION:
'f/.. SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
k""NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
6r- e
FAX:
CITY:
STATE:
ZIP:
S>.crrON:
C( 4-r ks
ZONING:
P
7?3 ?
t;\)~\
Plumber's Indiana State License #:
Oe
/ (lJ
,
P/(/(J60
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release Manufactured,,~
Permit: _Y ~N Trusses: ~~~N 0 CRAWLSPACE 0 POST & BEAM PIER
Lot Split: _y.x.N Sump pum~,",\?-~~~~N 0 SLAB~BASEMENT (WALKOUT:_y~ )
For Single Family and Two Family daen' l.IJqO~':}~ ~ry structures, this permit is valid only if construction commences wit~ 180
days of :he date of issuance of the Mg~~ ~~ ~ n ertificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject lP~ n~~~[~~ xu Colt~ tate of Indiana (See 675 lAC 12) regarding expiration time frames for beginning'and
_<::\,.v \OCO ~elQ: 0~_\ ~ \:ompletingconstruction. .
I, the undersigned, agree~a!.\'e.chtist~~ ~ruf~!llargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this applicatia&~~~omPiY__~t ~l",~\lr*t l~~pplicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993~ (Z'
289) and amendments, adoptedunde~Ui;.lIOri~~..c.?~~~q, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains ~n';.(~d(i9)flle sa~ sewer. I further certify that the construction will not be used or occupied until a Cert:i[icate of
Occup yhas en issued b~~ent of Community Services, Carmel, Indiana.
. //J/(PfP<h I17C!/€lj0!i.(r/1 !-f-07
p!FnP U Date
OFFICE USE ONLY: ****** *** **** *** *********** ** **~**************** ******'r* b>*"**~************ ***
INSPECTION E UIRED: FIling Fees: '. J / ,);0
<:; =-F~t' g> L F t" nder Slab Base Inspections: ,;;2 <<7 .)
pper 00 I ower 00 I c; :>. <""0
~ Cert. of Occupancy: ~ J l
Rough Meter Base Final Site) J /.. ) ()
P.R.I.F.: 0"-6/. 0 Additional Fees
r ./"6T~:< ~7 ;1/21 '71 70
/:/~// ~
Fee Received by: ...
C~A\'-, H\~~f:: t'3-14-ci1
Reviewed/Approveo: Dept. of Community Services (Date)
S:Permits,/FonnS/ILP RESIDEJ'ITlAL
# Olarged Re-
ReViews
Date