HomeMy WebLinkAbout07090068 ApplicationCoy pAN? ?[.
City of Carmel/Clay Township Permit #:07N
'?. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
Me1F?? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: Tic ?/
FF 617ED PHONE:
3/2-779'-9481 FAX:
3/7-77Y-7-133
RECORD: STREET ADDRESS:
i a t>re??,l a? CITY: STATE:
,tAW 0, :` -77N ZIP:
6060 _
BUILDER'S EMAIL ADDRESS:
b) cu) -Op-e k1lik BEST METHOD OF CONTACT:
' C6 N.
527A-0'/1E?
PROPERTY
OWNER: NAME:
? PHONE:
3/7- 10-13y6 F
?--
STREET ADDRESS: CITY: STATE: ZIP:
N
LOCATION -
& PROJECT
DMSIONNAME:
LOTr
00
SECTION:
511? PS
ZONING: C
S
-
INFO: ADDRESS OF CONSTRUCTION: SQUARE
5A ME f'
SEWER LMLTTY
PROVIDER: WATER UTILITY
PROVIDER: ESTIMATED COST OF CON R
(EXCLUDING LAND VALUE) Il 00
9
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BpW DOCKET Lr
1
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERAMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: by
FOR TH15 PROPERTY:
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
i RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y X -N
Lot Split: _Y --)( N
TYPE OF IMPROVEMENT:
? NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
Basement Finish only
_
ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: ) Y _N
Sump Pump: _Y -11?-N
PLUMBING CONTRACTOR: he
Plumbers Indiana State License #:
Which plumbing codes will be applied to the construction:
? International Residential Code w/Indiana Amendments
0 Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) C ?-
0 CRAWLSPACE-e"O((RMSi'AU REi? CL PIEF
Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessorystructures,
days of the date of issuance of the building permit, and must be completed (Certificate of Oro
structure permits are subject to the General Administrative Rules of the State of Indiana (See 6
E 30/9e
completing construction. rr..??Iryry OF Vpr"' ??l?? A
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteratiorW X.Icture, or any cI I/'f}1e use of land or structures
requeszed by this application will comply with, and conform to, all applicable law?cf the State of Indiana, and the "Zoning Ordinance o: Carmel Indiana-1993" (Z-
289) and amendments, adopted under authority' of VC. 36-7 et seq, General Assemhly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drams are connected to tie sanitary sewer. I further cert4 that the construction will not be used or occupied until a Certificate of
OccupQcyhaz been isstLeo. qc the DepamnW of Community Services; CI.Jl, Indiana.
So.tum of Owner o 'itdt6dzed Agent I v
OFFICE USE ONLY: ***************j****
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base t'-tDg-19- n7
Reviewed/ADp;Lbved: Dept. of Community Services (Date)
S:PenNtS/Fonns1ILF RESIDEtmaL
me. 18
Wksl 0
beginning and
q'-/7-0 7
Date
Filing Fees: d
Base Inspections: /? 06 # Charged Re-
Reviews
Cert. of Occupancy:
R.I.F.:
Additional Fees
Fee Received by: Date