HomeMy WebLinkAbout07100016 ApplicationPermit #:?
City of Carmel/Clay Township
;. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
.?xoinx?.%r For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME:
ES ?' PHONE: FAX:
354-g4OZz _-3!5z--909)6
RECORD: STREET ADDRESS:
W-30 Sbu?1 /t /i c CITY: STATE: ZIP:
_?7-44b?cS 1777V WP2-03
BUILDER'S EMAIL ADDR BEST METHOD O CONTACT:
ititorfon r? I-?25 1 Q rots .Con( /IiCtl f
PROPERTY
OWNER: NAME: ?r?
K + t?oUL GHAA J PHONE: FAX:
5-n00t.09
SS
STREET
163R? &,)AR aCZK Pike
cmCAFAEL_ STATE:
P:
uq D
LOCATION
PROJECT LOT #; SUBDIVISION NAME: , v SECTION:
33 Y(Ur reel ZONING:
t
&
INFO: 'le?hrJ ADDRESS OF CONSTRUCTION:
P SQUARE
FOOTAGE: I I r1 b
lace-
/0-3 ri ae f U'
SEWER UTILITY WATER UTILITY ,?t?
PROVIDER: (' -Qr I III&PROVIDER: / Ztmej ESTIMATED COST OF CONSTRUCTION
ON? Q
(EXCLUDING LAND VALUE) o
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION j BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND(OR COUNTY WELL AND,1OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATI N(S)
FOR THIS PROPERTY: TAX MAP PARCEL #: `n Q^
TYPE OF CONSTRU ON:
G SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
/ time:
G RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y ? NN
-Y ?N
TYPE OF IMPROVEMENT: PLUMBING CONTRA
(v? '
NEW STRUCTURE O
f-I
G ROOM ADDITION(S) Plumber's Indiana State Lic a #:
PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL Which plumbing codes will be applied to the construction:
Basement Finish only
_
O ACCESSORY BUILDING O International Residential Code w/Indiana Amendments
? DETACHED GARAGE O Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
G DEMOLITION FOUNDATION TYPE: (Check all that appfor the new
construction area)
1P .
Manufactured
Trusses: _Y I' N 0
:??k`OEAM-PIER
&
0
CRAWLSPACE
Sump Pump: _Y ? G,
\
?J
(J' _qWa (-®?p gq?SOUr:, cr_N )
For Single Family and Two Family dwellings, additions, remodels, andfor accessory struct u ?ali?(b?ly Ifn ithin 180
, cy?(5 ?ir 0 [ r§ ance date. Class I
days of the date of issuance of the building permit, and must be completed (Certificate of 0
structure permits are subject to the General Administrative Rules of the State of Indiana (See 67i LAC t- I e frames for beginning stud
I, the undersigned, agree that any consmxtion, reconstruction, enlargement, relocation, or alteraC st T t •an YMThe use of land ora-199Y s
requested by this application will comply with, aid conform to, all applicable laws of the State of a the "zoning manta of Cannel Indiana-1993" (Z-
289) and amendments, adopted ender authority of I.C. 36-7 et seq, General Assembly of the State o liana, and all Acts amendatory thereto. I further certify that only
kitchen,, bath, and floor drains arecoauected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certi&ste of
occ yhas been issued b qt, Department of Community Services, ?C?el, Indiana.
Signs oeof Oxmer or A AdWd Print Date
v
OFFICE USE ONLY:***********************************************************:*********************
INSPECTIONS REQUIRED: Filing Fees: w
Base Inspections: ) 0 # Charged Re-
Lower Footing Under Slab Reviews
Cert. of Occupancy: Ss 5?6
Rough h Meter Base Final S _
P.R.LF.; Additional Fees
C: raL.-Lq !-ft Sa,-> lo- g• CO TOTAL: 3,pp
Reviewed/Appr ed: Dept of Community Services (Date) ?? n 1 el
5:Pennlts1Forr 4q P RESIDENTIAL C. e ??L