HomeMy WebLinkAbout07110072 Application'cc.11 "'' I I W7 a,
City of Carmel/Clay Township permit #:
I`. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
;aaice>,/ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME' J PHONE: XY FAx: ;-,,-,22-,
A 6 -2,,/2-
OF
RECORD: STREET ADD : Z r CITY. r STATE:
A1
0
/
N ZIP:
Y6 Z`/a
vca 4
,
,
BUILDER'S EMAIL ADDRESS: BEST METHOD OFCC
Q I
n
o
PROPERTY NAME: PHONE: FAX:
WNER I
?
O STREET ADDRESS: CITY: ZIP. L
!
LOCATION LOT R: SUBDIVISION NAME: /
?
- SECTION:
3
PROJECT OGIlr/f
23
3 `?? r
&
INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE: ??O 7
/327,7 `i (4 lhT? t4J
SEWER UTILITY
PROVIDER: C Y UjD WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 2 Q a V a
NAME OF U 1LrrY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
-/ J L,
NUMBERS; TAC DATE(S); AND/OR
FLOOD ZONE AREA DESIGNATION(S) 61 1 Oa'?
FOR THIS PROPERTY: I TAX MAP PARCEL #:
Y,V1 C
8// pB
r-
TYPE OF CONSTRUCTION:
(II,-SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions, Remodels. Etc.)
TYPE OF IMPROVEMENT:
&--KCW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
DETACHED GARAGE
? ATTACHED GARAGE
u DEMOLITION
PLUMBING CONTRACTOR: Qp - '-EU8 r"f6lg
Plumber's Indiana State Licen #:
A T i o 9 ,
Which plumbing codes will be applied to the construction:
E3'fntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION:
Early Release /
Permit _Y
Lot Split: Y_N
Manufactured
Trusses: .? N
Sump Pump: =Y _N
FOUNDATION TYPE: (Chedc all that apply for the new
construction area)
O CRAWLSPACE ? Pos-r & BEAM -PIER
?JJCAB O 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 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 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any corsnvd-ion, reconstruction, enlargement, relocation, or alteration 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 oft' e State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993' (2-
239) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the state of Indiana, and all Acts amendatory thereto. I further certify that orly
kitchen, bath, and floor drains are connected to the sanitary sews. I further certify that the construction will not be used or occupied until a Certificate of
Oecupaneyhas been iissued; the Department of Community Services, Carmel, Indiana
a ce? /6-V-2
nMrrr. -n, Ahab-."Ace,. v Dine
OFFICE USE ONLY: ***x**xxxx*******xx.*x*x******x****xxx********sx******x**x: x**xxx**xx****xx***xx*
INSPECTIONS RE UIRED: Fling Fees: a g 2,56)
Base Inspections: Charged Re-
Base
ootin ower Footin Under Slab Reviews
C rt f O an 951,50
In /Meter Base
Services
ae>,oo
,x,/21-;11 ' j. 4
Addidonal Fees
e .0 ccup cy.