HomeMy WebLinkAbout07100139 ApplicationCity of Carmel/Clay Township Permit #: (? ?'? n ??.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
xaUe F. is For Single Family, Town • aN r , Additions, Remodels, & Accessory Structures
NAME: P FAX'
BUILDER
OF G- ffi 20 cif' /' 24-1 `/_ 3/% Y67 /sy 13
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
7?-
ye eef_,Y - ?
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
PROPERTY NAME, PHONE: FAX:
OWNER
:
STREET ADDRESS: CITY: STATE: ZIP:
7 z 4 ef: _! rzs raz. -,.L 1<'00e
LOCATION LOT:: SUBDIVISION NAME: SECTION: ZONING: 7
& PROJECT /? l??n ?C?i?i? /Z ?
INFO: ADDRESS OF CONSTRUCTION: FOSQUARE
OTAGE:
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
1
PROVIDER: PROVIDER: ?e_
. (IXCLUDWG LAND VA
'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WE'L AND!OR SEPTIC PERMIT :'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNI{TtON(S) II?II
TAX MAP PARCE & ? u
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
p7iSINGLE FAMILY
? TOWN HOME
0 TWO FAMILY
# of units being
constructed at this
time:
-RESIDENTIAL(For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y _N
Lot Split: 41,/- _Y 1 N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
+ROOM ADDITION(S) t
5P, Y
ORCH ADDIfION(S)15 10 1
O DECK ADDITION(S) x L?
?_REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y N
Sump Pump: _Y J_ ?N
Which
to the construction:
? International Residential Code w/Indiana Amendmentsws-
?'Uniforn Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE O POST & BEAM -PIER
,12J-SQB O BASEMENT(WALKOUT:_Y_N )
For Single Family and Two Familv dwellings, additions, remodels, andlor 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 LAC 12) regarding expiration time frames for beginning and
_______?completing construction.
I. the undersigned, agree that acy corsttnci constmctnrr, enlz dement, relocation; or alteration of a stmcture, or any change in the use of land or strut:ures
requested by tats application will co with, and conform !o, all applicable laws of the State ofdndiana, and the "Zoning Ordinance of Carrt:el Indiana -1993" (2-
289) and amendments, adopted u er authority of I.C. 3b' ec seq, Gene_?l Assembly of the State ar ?ndiana, and all Acts amendatory taereto. I;urther certify that only
kitchen, bath, and floor drain reconnected to the sanitary sewer. I furhe certif<that the const ction will not be used or occupied until a Cerafirare of
Occupancyhas been issu by the Ikpattment of Comm y Seri ?I Indiana.
- U, l? ,mss- i? z3?
ace
OFFICE USE
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Filing Fees: ?-
Base Inspections: ?02 •?Q # charged Rea
Reviews
Cert. of Occupancy: JAS
INSPECTIONS REQUIRED:
Footing ower Footing Under Slab
Meter Base Final Site
Reviewedi pr : Depta/f Community Services
S:Pamas/Fo ns/ItP RESIOErmnL
P P T F • Additional Fees