HomeMy WebLinkAbout07080170 Applicationc`7m =w\
.rxoian>%,i
City of Carmel/Clay Township
Permit #: _Q7010170
`RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FiFi r-A t eri Cftit7 ryf %ICTOI ie-ri m
BUILDER
OF NAME: ?? P fY'3j "t 0on"," ''In all hqul$Rnprr
IJ / G -
I•at' L n des
Y2-2
RECORD srnEETADD ?T ire 0 UW ' ERVIC
BUILDER'S EMAIL ADDRESS: BEST METH ?bl;,gNTAP7:
H
CC)
4
! - G r
PROPERTY NAME. PHONE: A%:
OWNER
:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION
PROJECT LOT #: SU E'
2&y
aK SECTION:
/'O, ZONING:
Jz
&
INFO: ADDRESS OF CONSTR ON: SQUARE
FOOTAGE:
2 W !1
SEWER UTILITY
PROVIDER: C Tt w v WATER UTILITY
PROVIDER:
? t
4L A"
/ I ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) O
C60
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BTA! BPW DOCKET
IF APPLIC
C PERMIT
5
ABLE): / / Lc
f
C
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTI .« t
#
(
e
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL
r
FOR THIS PROPERTY: C, 14
i. w
TYPE OF CONSTRUCTION:
40mi-SINGLE FAMILY
[frTOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y
Lot Split: _Y N
TYPE OF IMPROVEMENT:
(g kw STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECKADDITION(S)
? REMODEL
_ Basement Finish only
ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
u DEMOLITION
Manufactured
Trusses:
Sump Pump:
?Y_N
_Y ?: ?
PLUMBING CONTRACIFO/R?: C* V9 17i?
Plumber's Indiana State Licen #: -VJT7
10r -?d? 04
Which plumbing codes will be applied to the construction:
179-International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE ? Pos-r & (BEAM -PIER
Q--t'LAB ? I3A5 c1?4Ef?( ASf-Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permi st1' oW 4,%n trction noes within I80
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issu tthin 18 mon s qq((jj?ff rss daze. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) r ing7?, alic?iOtilNham beginning and
completing construction. I, the undersigned, agree that any constturion. reconstruction, enlargement, relocation, or alteration of a structur -ry e in the use of lan d o; tructures
requested by _nis application will comely w4th, and rneform m, all applicable laws of the State of Indiana, and the' oning ance of Ca -1993' (2-
239) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all ej urher ecrtify that only
kitchen, bath, and floor drains are connected to the sanitary sewer- I further certify that the construction will no or occupied until a Cerrif"re of
Occupancvhas been issued y the Department of Community Services, C el Indiana.
?y, (-,/f J ci y
Sg re of Owner thorimd ent Prri Date
OFFICE USE ONLY:***********************
INSPE
pper Foo " g
gh In J
Revie /proved
S:Perrni5/F sn3 RESIDE]
CTIONS REQUIRED:
Lower Footing nder Sla
a8as coal Si
F.z z -v7
. of Community Services (Date)
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Fee
I
# Charged Re-
Reviews
Additional Fees
Date