HomeMy WebLinkAbout07080205 ApplicationCity of Cannel /Clay Township Permit : V ?? 0 5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
wC1xw, ' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
/
p PHONE: FAX:
17- .7 -73 7? 17-2 -2
•
OF K
laki
RECORD: STREET ADDRESS:
f `t CITY: STATE:
C ZIP:
o
A
• 1 ae,
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
C
PROPERTY
OWNER: NAME:
UGC e ?ee?' , ?'I
kAeeIX PHONE: FAX`
7- 3- 8
STREET ADDRESS: Crry: STATE: ZIP:
a,n•d t 6'O
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
S71
& PROIECT r c Lei :X 5- tv 1 2 c I%
INFO: ADDRESS OF CONSTRUCTION: SQUARE '303 SF
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION' O'er
G LAND VALUE
-
PROVIDER: N PROVIDER: )
(EXCLUDIN ?
0
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABLE):
D /
/? 0
?S -
NUMBERS; TAC DATE(S ); AND/OR COUNTY WELL AN
/ P
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL ,4
UrI L '?2 ?I
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWNHOME
0 TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions, Remodels, Etc)
PROJECT INFORMATION:
Early Release
Permit: _Y ?N
TYPE OF IMPROVEMENT:
? NEW STRUCTURE
G ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
0 REMODEL
_ Basement Finish only,
ACCESSORY BUILDING
? DETACHED GARAGE
0 ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses:
Y kN
YXN
Lot Split: _Y _X_N Sump Pump:
PLUMBING CONTRACTOR:
Piumbees India State License #: 9
Which Plumbing codes will be applied to the construction:
D International Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Ind
FOUNDATION TYPE: (9kQ3
construction area) ``@x?
? CRAV,uSRRgl?
For Single Family and Two Family dwellings, additions, remodels, and/or accessory struc
davs of the date of issuance of the building permit, and must be completed (Certificate
structure permits are subject to the General Administrative Rules of the State of Indiana (SS
completing construction.
I, the undersigned, agree that any construction, reconstruction. enlargement, relocation, or alterati
requested by this application will comply with, and conform to, all applicable la'.vs of the State of Ir
2E9) and amendments, adopted under authority of I.C. 367 et sec, General Assembly of the State of
kitchen, bath, and floor drams are connected to the sanitary sewer- I further certify chat the const
Occupancyhas been is** by the I yWart,men?of Community Services, Carmel, Indiana.
the new
-PIER
g 1y1 tction commences within 180
r ee f the issuance date. Class I
n tune frames for beginning and
r IIJJ , o or
r any change in [he use of land or structures
kd'the 'Zoning Ordinance of Carmel Indiana -1993' (Z-
and all Acts amendatory thereto. I further certify that only
will not be used or occupied until a Certificate of
8- I9-6
Datae
****j**JA `f`**'
OFFICE USE ONLY:***************
INSPECTIONS REQI ED: /` ?/ /?//?
1
pper Footing Lower Footing Under Slab
Rough In Meter Base Final Site
PAII o M1sf?c 8-7.7-61
Reviewed/Appr01%d: Dept. of Community Services (Date)
$: Permits/FOrms/ILP RESIDENTIAL
# Charged Re-
Reviews
of Occupancy: S5.5-6
Additional Fees
Fee Received bv: V1 Le