HomeMy WebLinkAbout07080121 Applicationfv 6.V d I
_ City of Carmel /Clay Township Permit #: 0 /O D?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME(?/ PHONE: FAX:
v '
- c?2- qs
OF
RECORD: STR ADORES
Z i CffY:
?? ?
? ?
? SPATE: ZIP:
t° ?
J I
O , o
BUILDER's EMAIL A Ass.
- BEST METHOD OF CONTACT:
4
Y ?t o2- 34 :Z
PROPERTY NAME: PHONE: FAX:
OWNER
:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT*: SUED, 5 ]ON NAM SJ CTION: ZONING:
& PROJECT S ,
C
INFO: W CON UCTION:
ow
f t t1-
a 3 FOOTAGE:
SEWER UTILITY WATER ESTIMATED COST OF CONSTRUCTION'
PROVIDER: PROVIDER: (EXCLUDING
i
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA i SPW DOCkET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) O { V vDl UID TAX MAP EL
FOR THIS PROPERTY:
i
TYPE FCONSTRUCTION:
• SINGLE FAMILY
G TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y ZN
Lot Split: _Y
TYPE OF IMPROVEMENT:
"'
Oe NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y N
Sump Pump: _Y
'
PLUMBING CON!RkVP
Uri N o
Plumbers Indian State License
'3V6 7sr
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) _11^14
O
-PIER
For Single Family and Two Family dwellings, additions, remodels, and/or accessory strucn?9.dt?1Qy'PesV ??(?Ia S??on?l flithiu ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy r'Iss}Ie n if ace. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (Sew ®Freigp - e frames for beginning and
completing construction. ^a?G? ((``P o eeAt,`?[[??
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or aker attAtstZlre, or a brlr?t'ne use of lard or stru<[nres
requested by this application will comply with, and conform to, all applicable laws of [he State o am, and the -Zoning Or3inance of Carmel Indiana -1993' (Z-
283) and amendments, adopted under authoriry of I.C. 36-7 et seq, General Assembly of she Starr of Indiana, and all Acts amendatory thereto. I further certify that orly
kitchen, d Boor drains are connected [o nary sever. I further ertify that the construction will not be used or occupied until a Ceraficare of
Oc ancyh bee ued th ent of mmunity Services, etin am. ?j
?... pt t
OFFICE USE ONLY: x*x*xxx****xxxx**xx***xxxx***xxx***xxxxxxx**x**xx*x*x***«*****x******:**x*x*xxx**
Filing Fees: c771 - -2 0 jU
19,SPE REQUIRED: d # Charged Re-
Base Inspections: -7 Revews
pper Footi Lower Footing Under Slab
rt
. of Occupancy: 1515- Rough In Meter Bas Inal Site G v 5-0
Additional Fees
PA F.: ? -2 11 r4r
Reviewed/Approved: Dept. of Community Services (Date)
AL:
+ Date
S:Permi[SiFOrms/iLP REAJENTIAL Fee ReceWed trv: _- ' - -