HomeMy WebLinkAbout07100063 ApplicationCity of Carmel/Clay Township Permit_
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
hm?Mp'j For Single Fa own ome, & w aml Y. s, Additio{{5, Tjpls cc ry Structures
Al -I-
BUILDER NAME PHON ' OL FAX:
Pyr-?,yo6
OF nfa ?YI (t 4SO
RECORD: STREET ADD SS:? /' crrY: -/STATE: ZIP:
77
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a, BUILDERS EMAIL ADDRESS: BEST ME-HOD OF CONTACT: 211-r13-3,1j0
PROPERTY
OWNER: NAME ?? /U?
J ' w G1/ PHON?? _ FAX:
1 STREET ADDRESS:
2 ss
10 CIfY: STATE: ZIP'
Ybo3,2
LOCATION LOT #: I r SUBDIVISION NAME:
N
1
Ur r
1 SECTION: ZONIN C?
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PROJECT J
N
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&
INFO:
ADDRESS OF CONSTRUCTI
d?s.? ( Ak (J?. Uc3?
r./ 3Z
C?-C J1? 'T J
FFOOTAGE:/3 00
-
SEWER UTILITY
PROVIDER: WATER UTILITY /
PROVIDER: `-L ESTIMATED COST OF CONSTRUCTION:?/
(IXCLUDING LAND VALUE) 9 `00 Qc?(?
ys,.
NAME OF UTILITY ATION C CTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) \/ TAX MAP PARCEL #:
FOR THIS PROPERTY: /,m4
II'
/ F,- ni
TYPE OF CONSTRUCTIO?1
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y )?__N
Lot Split: _Y_C N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
D DETACHED GARAGE
D ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses: N
Sump Pump: _Y _X _N
({ PLUMBING CONTR//A?CTO ` `=) ? D
1WrLrr? 1 Q 1' a ?L-
Plumber's diana State Lc "-#:
Which plumbing codes will be arVOL.
International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments 1
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM -PIER
SLAB O BASEMENT (WALKOUT:YN )
For Single Family and Two Family dwellin s d' 'o , remodels, and/or accessory structures, this pennit is valid only if construction commences within IBB
days of the date of issuance of te1 ust be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
f the State of Indiana (See 675 IAC 12) regarding expiration tune frames for beginning and
structure permits fif a Rules o
completing construction.
I, the un sr truction, reeon$tuction, enlargement, relocation, or alteration of a structure, or ary change in the use of fand er structures
requeste is mply with, and confomt to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993' (C'
289) and amendments, adopted under authority of LC. 36.7 er seq, General .Assembly of the State of Indiana, and all Acts a-nendamry thereto. I further certify that only
kjtchen, bath, and floor drains ate connected to the sanirar; sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
OecuPanc has ' ued tment of Community Services, Carmel, Indiana.
104-07
signature of er or Audtonzed Abifnt Ptint T Date
OFFICE USE ONLY: xxxxxxxxxxxxxs*xxxx*xxxx***xxxxx*xxxx**xxxx*xx*xx**xxxx***xx****x****xx*xxx*xxxx*
INSPECTIONS REQUIRED:
Upper Footi Lower Footing Under Slab
Rough In Meter Base Final Site
Revi E .4- O hI-_J - ly•tt-o)
ewed/A proved: Dept. of Community Services (Date)
Filing Fees
Base Inspections: # urged Re
n Reviews
Cert. of Occupancy: \O\?
P.R.I.F.: Ad u^on?l eees
TOTAL: ? - D f' YVo (
2S
s:?erntlWFar:ets/RP READ M? kL -
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