HomeMy WebLinkAbout07100004 ApplicationtY o: Cngw\
City of Carmel /Clay Township Permit 4: 'D ?J D 0 b D
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
.m.x>,% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER e: ` PHONE: '1`?
S I FAX: . - II
L9
OF 1 ?
RECORD: STREET ADDRESS: V QTY:
l5 -
s7 STATE: ZIP:
7-ti), CIb
r
BUILDERS EMAIL ADDRESSt>? ?T Olst O/hA// A BEST METHOD OF CONTACT:
((c
e Yr.C,
?
6 a
,
PROPERTY
OWNER: NAME:
Ac C Cq /? COC /t f O
?CN1eS.L 21(/ etC .S FAX:
a"? ?oc
STREET ADDRESS:
to to y C at/O
Y7 d. STATE: ZIP:
?, Ll (ODSD
LOCATION LOT a: J
_ SUBDIVISION NAM NS tS SECTION:
A W ZONING:
S"
PROJECT I '
&
INFO: ADDRESS OF CONSTRUCTION:
??,t u 6 bV 7? FOOOTAGE.
^ as
OVIpR? C?RW? VIA R
PROVIDER: lIl"Y Cpt,T-+rvsP` ESTIMATED CO
(EXCLUDING STRUCRON:
i
NAME OF UTILITY IXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT ?'S (IF APPLICABLE): J
ELL AND
O
NTY ry
LS
U
W
NUMBERS; TAC DATE(S); AND/OR C /
FLOOD ZONE AREA DESIGNATIO (S) # 01100003 TAX PARCEL V
I ZOQ?
FOR THIS PROPERTY: 8
TYPE OF CONSTRUCTIdN:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
Ci RESIDENTIAL (For
Additions. Remodels, Etc.)
PR OTECT INFORMATION:
Early Release
Permit: _Y V/N,,
Lot Split: _Y _
TYPE OF IMPROVEMENT:
CY NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: Y N
Sump Pump: --S./-Y _N
PLUMBING CONT I^
Plumber's Indiana State License #: C7
Whic plumbing codes will be applied to the construction: I' l I wrV
International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C) CRAWLSPACE O POST &-BEAM -PIER
O SLAB VBASEMFM (WALKOUT:_Y__?,/N )
For Single Family and Two Family dwellings, additions, remodels, and/or 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 i8 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any charge in the use of land or structures
requested by this application will comply with, and conform to, al! applicable laws of the State of irdiana, and the "Zoning Ordinance of Carmel Indiana -1993' (7
239) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and a!IAc:s amendatory thereto. I Further certfry that only
kitchen, bath, and floor drains are connected to the sar itsry sewer I further certify that the construction will not be used or occupied until a Certificate of
Occupancyh een issue e D ent of Corium • Services, Carmel, Indiana.
Si9na re carer r Aut orized Ag t Print Date
OFFICE USE ONLY: **************************.***************.:xx*>a<.....[73. 07
--------------
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: ,z J r Charged Re-
Upper Footin Lower Footin Under Slab - Reviews
Cert. of Occupancy: J` Q
Rough I eterBa CFlnal Sit
??ra t"^•Cl P. R.I.F.: Additional Fees
J TOTAL: 70
Reviewed/Approved: Dept. of Community Services (Date)/!/ d b
5:Penmts/FomsiILP RESID0.hTNL rm oe.es,en ate