HomeMy WebLinkAbout07100056 Applicationm"? . Permit #: Q-7 0005(e
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
xouw*?% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: BONE: FAX:
tul E (ICES J . J ?35U X to6
RECORD: `
Ek5q r ADDRESS: I N MEP- (01 A tJ ST CITY.
S 71P.
ATE: i ' J ? l (t? 032
QV M EL
BUILDER'S ti?trJNLADDRELI `LL
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BEST METHOD OFCO
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PROPERTY FAX:
PHONE:
NAME:
OWNER:
STREET ADD CITY: STATE: ZIP:
LOCATION
& PROJECT LOT:: SUBDIVISION AME: C
)LIL SEA SECTION: I
S ZONING:
i:3-1
INFO: ADDR IssIOF CONSgUCTION?, C C
`t (l\l(?` q
SQUARE
FOOTAGE: 459 C?
SEWER UTILITY
PROVIDER: WATER UTILITY
PROVIDER: EQ?OTRUCTION: '
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BP4V DOCKET /^',? S 3
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCAgLC?:J/,q RA C 2 C xe
FLOOD ZONE AREA DESIGNATION(S) Ii I I A 071C0055
FOR THIS PROPERTY: TAX MA ?f? 23 (y
' - 'O- - QU- -031-
TYPE OF CONSTRUCTION:
LYE JINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc)
PROJECT INFORMATION:
Early Release
Permit: Y Lot Split: Y N
TYPE OF IMPROVEMENT:
C?FEW STRUCTURE
O ROOM ADDITION(f
C PORCH ADDITION
C DECK ADDITION(:
O REMODEL
_ Basement Finish
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: Y _N
Sump Pump: ---Y_N
ci-
Which plumbing codes will be applied to the
lemational Residential Code w/I
O Uniform Plumbing Code w/Indiana
tio?? J
FOUNDATION TYPE: (Ched( all that apply for the new
construction area)
0 CRAWLSPACE O POST & _ BEAM -PIER
O SLAB rSEMENT (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 18 months of the issuance date. Class I
structure 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.
1, the undersigned, agree that any construction, reconstrucrion, enlargement, relooation, oralteration of a structure, or any change in theme of land or structures
requested by this application will comply with, and conforn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel indiar a -1993" (2-
289) and amendments,adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Alts amendatory thereto. I further certify that only
latchen, bath, and floordroms areconnected to the sanitary sewer- 1 further certify that the construction will not be used or occupied until a Certificate of
Ocrapancyhas been issued the Department of C unity Services, Carmel, Indiana.
4A AA e? D 2?l P? ! 1K'i /k r\; N? J` [?tf?l lG-?I? 4 0 5 ?1
Go„ae., Owner or AUrhnriaea At Print Date
*FILE _-UgE ONLY:*****:***********************************************:**:* **** ****************
INSPECTIONS REQUIRED: Filing Fees: **
Base Inspections: 5 :Charged Re-
?Q
Upper Footl g 'Lower Footin Under Slab Reviews
Cert. of Occupancy: 5 s" 5-0
Rough In. Meter Base Final Site pZ G/ Q Additional Fees
OTAL:
Reviewed/Approved: Dept. of Community Services (Date)?_
S:PenNWFWTnsfHY RESIDEN [AL
Fee Received by:
Date