HomeMy WebLinkAbout07100012 ApplicationCity of Carmel/Clay Township Permit #: 0,71 baOIZ
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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?,uaiea n*?' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER ME'
^ PHONE: FAX:
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RECORD: STREET ADDRESS:
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BUILDER'S EMAIL ADD BEST METHOD OF CONTACR
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PROPERTY N E' PHONE: FAX:
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OWNER t •
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STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #o SUBDIVISION NAME: SECTION:
__ ZONING:
& PROJECT IA-1-2 7v- T S_?) )A c:a 4f8 e-'A 1P1 uvn
INFO: ADDRESS OF CON UCTION: ``
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' SQUARE TAGE:
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SEWER UTILITY
PROVIDER: WATER UTILITY
PROVIDER:
e_Gy. t"1 Q ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) •?` ,`? I '??
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOO(ET
OUNTY WELL ANDIOR SEPTIC PERMIT #5 (IF APPLICABLE):
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NUMBERS; TAC DATE(S ); AND/O
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FLOOD ZONE AREA DESIGNATION(S) 'r--o `j ( occas
I TAX MAP PARCEL #:
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FOR THIS PROPERTY: I
2 2007 U
TYPE F CONSTRUCTION: TYPE F EMENT: PLUMBING CONTRACTOR: B I
SINGLE FAMILY NEW ,C
? TOWN HOME O UAD Plumber's Indiana State License #:
? TWO FAMILY CON -
# of units being ? S)'v,
constructed at this COD RE 1, 4oL/`rh codes will be applied to the construction:
time: _ Base Il(i!±
O RESIDENTIAL (For ACCESSORY B IcDIf?6 I ?/' YntS al Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) u DETACHED GA'(?ftGE ,/? ]' S
CC] ATTACHED GARAGfj rm plumbing Code w/Indiana Amendments
PROJECT INFORMATION: ? DEMOLITION 'rbA TIO TYPE: (Check all that apply for the new
Early Release Manufactured ? // cons (don area)
Permit: _Y N Trusses: `?/C _N O CRAW LSPACE ? POST & _ BEAM PIER.
Lot Split: _Y:N Sump Pump: SLY _N O SLAB IVBASEMENT (WALKOUT:_Y_ ?N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is odid only if construction commences within ISO
days of the date of issuance of the building permit, and most be completed (Certificate of Occupancy issued) within i8 months of the issuance date. Class I
structum permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construcion, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of laid or structures
requested by this application wilt comply with, and conform to, all applicable laws of the State of Indiana, and the-Zoning Ordinance of Carmel It liana -1993" (7-
289) and amendments, adopted under authority of I.C. 36-7 et sect, General Assembly of the State of Tndiana, and all Acts amendatory thereto. 1 further certify that only
kacher., bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu ancyh been issued the De tment of community Services, Carmel, Indiant
c ?.a rt...-C' - o MzM AA t Prim Date
OFFICE USE ONLY: ************************
Slab
Meter
Dept. of Community Se. vices
S:Per.rtsjnrms/RY RESIDENTIAL
Filing Fees:
Base Inspections: 8 7? # Charged Re-
Reviews
Cert. of Occupancy: .?
P.R.I.F.: 1j-6z C Q Additional Fees