HomeMy WebLinkAbout07100220 Application"4? . Permit M:Q?
m City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF a):
f?&Y( 1!C-`-s PHONE
C : F
WS-7-2-?
RECORD: STREET ADDRESS:
STATE:
CITY:
rZ r EL t y- Lo 0-3
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
?-be (eS Q,)I (?.IAkmc-fC ,, C.Of`l\
PROPERTY NAME: PHONE: FAX:
VASe? L E?l
OWNER
:
STAFFS ADDRESS:_: Dr?lll% Cny: ??N "T ZIP:fIN-2-
LOCATION
& PROJECT LOT#?: 7? ,, SUBDI S;ONI NAME:
to r? L SEC lO? NING I T/?
INFO: ADDRESS OF CONSTRUCTION:
I SAS I / FQUARE -7
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER?
C?.
ESTIMATED COST OF CONSTRUCTION:
)L
(EXCLUDING LAND VALUE s
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA! BPW DOCKET
OR SEPTIC PERMIT s'S (IF APPLICABLE):
ELL AND
T
L6 U
/
Y W
NUMBERS; TAC DATE(S); AND/OR COUN
FLOOD ZONE AREA DESIGNATI (S) TAX MAP PARCEL OC T 3
O 2
FOR THIS PROPERTY: 0
I
TYPE OF-CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
u PORCH ADDITION(S)
O DE_ XA9MUc1ji(S),
O ACC
O DET
O ATT
O DEI?
PROJECT INFORMATION: /
Early Release
Permit: Y N
Lot Split: _Y _N
Manufactured
Trusses:
Sump Pump:
PLUMBING CONTRA R:
Plumbers Indiana state License #:
I P-W
hx plumbing codes will be applied to the corstructon:
only
G O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
e
?FSfJD JiFOUNDATION TYPE: (Check all that apply for the new
0[_1? P? 9Cggnstruction area)
-i 7 E'?Phls
(OC I^
7 rirh CRAWLSPACE ? POST & _ BEAM IER
O BASEMENT (WALKOUT:_Y ?_ ( N)'
For Single Family and Two Family dwellings, additions, remodels, andlorl .. this?6ivnA9 valid only if construction commences within 160
days of the date of issuance of the building permit, and must be completed rit c??"?y,jj?-"?? ancy t ed) within IS months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of IndianLtbte , 12) regarding expiration time frames for beginning and
I, the undersigned, agree that any construction, reconstrstior., enlargement, relocation, or altemti . trueture, or any change in the use of land or structures
requested by &As application will comply with, and conforn to, all applicable laws of the State of Indian ,d the'Zonmg Ordinance of Carmel Indiana -1993'(7,
259) and amendmen , adopced under authority of LC. 35.7 at seq, General Assembly of :he State of Indiana, and all Acts amendatory thereto I further terrify that only
l6tchen, bath, and or drains arc connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Occupant}'has en i ued by th Dgpartment of Community Services, Carmel, Indiana-
Print irate
***************************************************?**s?f1*****************x*
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: d V
oo # Charged Re-
Base Inspections: l Reviews
Upper Footing Lower Footing Under Slab
Cert. of Occupancy:
ougkIn Meter Base Final Site Additional Fees
P.R.I.F.:
W - W
Reviewed/Approved: Dept of Community Services (Date) ?61ZG4
S:PenneajFonns/ILP ReSIDEN-rIAL Fee Received by: Date