HomeMy WebLinkAbout07100126 ApplicationF= :_ °U.,= City of Carmel /Clay Township Permit ? ?????
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
au?can For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME
S
Pit LIE ft01)E
5 PHONE: FAX:
S 35d X 0
OF ,
RECORD: 1STREET 559 D `
? - A .1.
CITY: C'P Pi L_ SAN b 6912-1
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
J nIE • SW2HLRD PLC EMAIL,
PROPERTY NAME: PHONE: =n='_ - '
Subject to C,)rnpfianre w& all regulations
OWNER'
• STREET ADDRESS: CRY: 07 J i:1ITATE_. _ _ .. ..Ep.
DEPT OF C~?+•,'!viUiil Y SEiIViCES
LOCATION
& PROJECT LOT#: SUBDIVISION NAME:
Q -7 C Q?,)rk' - Ully 4Ah V.-?L /
_ `-t INDIA NNGI I?N
A
INFO: ADDRESS OF CONSTR ON:
Rq5 SIB Lm ON 1/ ? '
13 t
L SQUARE 1 c
FOOTAGE:
tv
SEWER
/? X
)
UTI P OVID R Lffl' 1 ' L.1-K AA E L RWATER UTILITY OVID R CA" C 1
, !
DTI1 tQLANTD VjLUE SRUCTIO j L
CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NAME OF UTILIrt' EXCAVATION
ND
OR SEPTIC PRMrr #'S (IF AAPPUCABL p
E): - `i lop
t5
t '
`,
!
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL A
/
FLOOD ZONE AREA DESIGNATION(S) f ( b 11100 t2
FOR THIS PROPERTY: TAX P L #•- _ ??
17-7 2
PE OF CONSTRU ? E OF IMPROVEMENT: PLUMBING CONTRAC
O R:
U,16NGLE F
1
o
NEW STRUCTURE T
Q I/?
t1?? i !V (? '
MW I^/ 1 4-
0 TOW ??o M ADD
0
DO
ON(S)
Plumber's Indiana State License
O TWO ry H ADDITI
O cY t o o o 10 1
# Of hei,p&, DECK ADDITION(S)
Con at'th is O REMODEL which umbing codes will be applied to the construction:
time: Basement Finish only
.-RESIDENTI (For _
O ACCESSORY BUILDING Intemational Residential Code w/Indiana Amendments
Additions. R . Etc.) O DETACHED GARAGE Uniform Plumbing Code w/Indiana Amendments
ATTACHED GARAGE
PROJECT INFORMATI ON: -, DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release ? Manufactured L/
N BEAM
PIER
Permit: _Y N Trusses: _Y _ _
O CRAWLSPACEE O POST &_
Lot Split: _Y I< Sump Pump: ?Y N O SLAB "B EMENT (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 most 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 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 stricture, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable lav s of the State of Indiana, and the "Zoning Otdirance of Carmel Indiana -1993° (Z-
239) and amerdments, adapted under authority of I C. 36.7 et sea, General Assembly of the State of Indiana, and all Acts amendatory therein. I further certify :hat only
kitchen. bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued by the Departmic of Community Services, Carmel, Indiana
Qpp?1 IA??aI 1nh- A SNG'r+EP? ,,? f 1
-, Print bate
USE ONLY: *xx*********xx**********xx***xx********xx******x***x*****: *>*x***xxx**********
Filing Fees:
? ? v # Charged Re-
Base Inspections: r
er Fooling Under Slab
76a ED:
Cert. of Occupancy: S S ;_0 Reviews
ugh In eteal Site 6 ov
P.R.I.F.: Additional Fees
Services (Date)
Fee Received by: