HomeMy WebLinkAbout07080246 Application+ or C.19`
City of Carmel/Clay Township permit 47i2wa
RESIDENTIAL IlVIPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
NAME fC PHONE
n12 7j $(s ?CO,lianc;.?r?" =_
RECORD:
STREET ADDRESS
703 r`e? ?f, cnY c ; ildytnC I_:,c,alCp?Rs
/rana r;?rCrf:(J?^
BUILDERS EMAIL ADDRESS riL
B o??!
AY TOWNSHIP
_
yv
PROPERTY
OWNER: NAME
RDGer+ "a itJ ei/ e PHONE FAX
C? i? t`2( 31 7-'5-C19 `9/,Zo
STREET ADDRESS
16. ?2c) 0'4? ? (lAa e CITY STATE ZIP
f 5h ers /N 9603 8
LOCATION
PROJECT LOT A SUBONISION NAI•tE
.Z 3 F? f 5 SECTION
o C/° tje 5+ ZONING:
P?to
&
INFO: ADDRESS OF CONSTRUCTION
n L
13385 Be Q
?e? /?t/ o
Ir ?t SQUARE
r ,
SEWER UTILITY WATER UTILnY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE)
NAME OF UTILITY
NUMBERS; TAC DA CA ATIO NTRACTOR; PLAN COMMISSION I BZA! BPW DOCKET .(. ..
t ???7J in9
; AND COUNTY WELL AND/OR SEPTIC PERMIT u 5 (If APPLICABLE): 1<.rC'q
TYPE OF CONSTRUCTION:
TYPE
OF IMPROVEMENT: PLUMBING CONTRALTO ~V
Q
SINGLE FAMILY
l?
NEW STRUCTURE r /
Sckje--c-
? TOWN HOME O ROOM ADDITION(S) Plumber's Indiana State Lic
? TWO FAMILY ? PORCH ADDITION(S) G?/VS S3? 5
# of units: O REMODEL
O MULTI-FAMILY O ACCESSORY BUILDING which plumbing codes will be applied to the construction:
# of Units: O DETACHED GARAGE 0- International Residential Code w/Indiana Amendments
? RESIDENTIAL (For
Remodels
Etc.)
Additions D ATTACHED GARAGE
? Uniform Plumbing Code w/Indiana Amendments
,
, O DEMOLITION (Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
Y ?/ construction area)
Permit: _Y I/ N Trusses: Y _N
O CRAWLSPACE O POST & BEAM
Lot Split: _Y V N Sump Pump: ? Y _N ? SLAB 9? BASEMENT
Does any part of the property lie within a special Flood designation area: _Y t/N WALKOUT:_Y ? N
For Single Family and Two Family dwellings, additions, remodels. andior accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the Scare of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application vMl comply w'it"d conform to. all applicable lasts of the State of Indiana. and the `Zoning Ordinance of Carmel
Indiana - 1993" (Z 89) and amendments, adopred udder narho`tity of I.C. 35-7 cr seq, General Assemhly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only luribien, bath, a floor drains arconneczed to the sanitary- sewer. I further certify that the construction will not be
used or occupied until a Certificate ofOccupa cy has been issued y the Department of Community Services. Carmel, Indiana.
A
or Owner or
oat
OFFICE USE ONLY:*********** ***e***'+*********************s** ** ****************
l1U Filing Fees:
INSPECTION TIRED: ?(' # Charged Re-
Base Inspections:
pper Footing Lower Foot g Under S ab Reviews
Cert. of Occupancy: S- SUn
Rough In M er Ba Final 00 Additional Fees
-<?--67 c_CT (p G
Reviewed roved: De t. of Community Services (Date) -
S:Permts/FO s/ILP RESIDENTIAL Fee Rereived by: