HomeMy WebLinkAbout07080108 Application
City of Carmel/Clay Township Permit #:.Q7{)~OIDt
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
FAX' r.......
. t7 Y 6 - yz-,--~1
STA~
l-IV-
NAME:
ZIP:
V6L
BEST METHOD OF CONTACT:
BUILDER'S EMAIL ADDRESS:
'""
ADDRESS OF CONSTRUCTION:
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C "1;< C<./ p
PROPERTY
OWNER:
STREET ADDRESS:
LOCATION
8< PROJECT
INFO:
Loa 7?;r
SEWER LJTILITY
PROVIDER:
FAX:
CITY:
STATE:
ZIP:
SEmON:
C/O 2...
ZONING:
SQUARE
FOOTAGE: .F?72-
ESTIMATED COST OF CONSTRUcrrON: \I ()
(EXCLUDING LAND VALUE) "7/ J: , (f <1,
TYPE OF IMPROVEMENT:
~ 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 ATTACHED GARAGE
o DEMOLITION
NAME OF lITIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
A~I
FOUNDATION TYPE: (Check all that apply for the new
Manufactured construction area)
_Y _N Trusses: v{ _N 0 CRAWLSPACE 0 P,Q&ll& BEAM PIER
:'i\V" - -
Lot Split: _Y_N Sump Pump: c..-/Y_N ~B S~~1,~@KOUT:_Y ~)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structure ~f 't \i ~o ly~st~~ommences with:ii. 180
days of the date of issuance of the building permit, and must be completed (Certific !bf1~~~)..)~Gt~~w~~ance date. Claks I
structure permits are subject to the General Administrative Rules of the State 0 ~(S ~'Mt:-9.~~ ~f$\itl~n..\~~b for beginning and
completing co ~Iil.. ~\ S\'3\e .~\j ...J ,0'"
I, the undersigned, agree that any construction, reconstruction, enlargement, relocati ,or altera~nr-?ffl"~~i1-e, qr~ Ih:mge in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the Stat~1 I~n~~'Rdnb1~Qrdinance of Carmel Indiana - 1993" (Z-
289) and amendments, adopted under authority of I.c. 36~7 et scq, General Assembly of~:'li:e~f,Jn~prK'l a ~~dato1Y thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that t Q.ruafon wil e used or occupied until a Certificate of
Occupancyhas been iss cd by' he Department of Conununity semazces, d, In .
--.--.-'j (;;70 cC ,f - /r'""d7
Si re of Owner or Authori Agen rln Date
OFFICE USE ONLY: *************************** * **~~ * *****.********* *******f'/l::!o* ********* *******
NSPECTI S-REQUIRED: Filing Fees, .
_ _ Base Inspections: ;;Z ?7. -)0
Upper Footm Lower Footmg Under Slab
F~c~
(' ?A,(, HI<.&J(. 'l-'~-o7
Reviewed/Approve": Dept. of Community Services (Date)
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
S:PermitsjFormsjILP RESIDENTIAL
TAX MAP PARCE
o Uniform Plumbing Code wI Indiana Amendments
# Charged Re-
Reviews
Cert, of Occupancy: 5'5"_)0
P,R.I.F.: ,L ! d-- 6 f- 00 Additional Fees
~#r2S:?f_o(O
Fee Received by: Date