HomeMy WebLinkAbout07110033 ApplicationK Caq?
°•"`°? `, City of Carmel/Clay Township Permit:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
1 ,xci>n. j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF OF NAME. PHONE:
puu? a? ES 5-15 -X350 300
RECORD: STREET ADD ESS. CITY:
159 6 t\) r )Ek O i At? ST j): k"
:
EL
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
ENE. SNL-P S PU1..
PROPERTY NAME: r PHONE:
I U U :
WNER CI
:
O
STREE7ADDRESS: CITY: TT
NOV MUTE:
ZIP:
LOCATION
& PROJECT LOT sUBDIViSITr FC)A c
.
'59 L_'bt?a m 03 ?Wfflkjfv ZONING: r
INFO: ADDRESS OF CONSTRUCTION ar,
op.
YK
I
1
SQUARE
1 ?J
FOOTAGE. F J
.
I
Vl
SEWER UTI
OVIDER ?
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v: °(1
WATER UTILITY ?']?p???f;?, LA'Y
PROVIDER:
- OF CONSTRUCTION:
i
VALUE)
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PR
:
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LIT
YY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NAME OF UT1
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
E X C)
FLOOD ZONE AREA DESIGNATION(S) II 11 ? Q-7 11 003x,
FOR THIS PROPERTY: v TAX MAP PARCEL
G-I'"
(
TYPE OF CONSTRUCTION:
W,-SINGLE FAMILY
D TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release ?
Permit, Y N
Lot Split: Y -lem,
PLUMBING CONTRACTOR:
1 W1 ?+ SOrJ S
Plumber'sIndiana State License
1 '.PLWc-) L D
Which plumbing codes will be applied to the construction:
1?temational Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM -PIER
O SLAB U' BASEMENT (WALKOLFr:_Y N
TYPE OF IMPROVEMEN
,/'NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
Basement Finish only
_
O CESSORY BUILDING
AC
O DETACHED GARAGE
O ATTACHED GARAGF
O DEMOLITION
Manufactured
Trusses: _!?'Y _N
Sump Pump: ?Y N
)p
For Single Fandly and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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, reconstruction, enlargement. relocation, or alteratior of a structure, or any change in the use of land or structures
requested by this application. will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
239) and amendmems, adopted under authority o f f C. 36-7 et seq, Genctal Assembiy of the State of Indiara, and all Acts amcndatorythereto. I furthercertify :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 Cemacate of
Occupancyhas been isslue by the Departure of community Services, Carmel, Indiana.
iv - 1.C) Aral n E S ?-1 EP 0
eufhM. sent Print Date
*s:ss*e*ss**.:ss.....s****sss*:**s:*.e..sssss::::xa::;:.?*?x
ONLY:
Fling Fees: I, J
Ids TIONS R ED: 01?? 50 # charged Re-
Base Inspections: Reviews
ootin Lower Fao " Under Slab E- ?O
Cert. of Occupancy:
In eter Bas final Site 00 Additional Fees
ved: DeV.rof Community Services
RESIDENTIAL