HomeMy WebLinkAbout07110093 ApplicationPermit #:D1 0D_b
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
i rl k
NAME: n I PHONE:
MT N
P S -15 "?35Q 1:
OF
RECORD: SrRE ADDRESS: QTY: NOV 9 1
_ffTE I kSq o rJ Vl X21 D G Arj ST CH('? m ? t33 1
BUILD ROArJni`tS-SHE pi-I&20 C'> >°t,(ruE BEST METHOD q
PROPERTY NAME. PHONE: FAX:
(NE?
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #: SUBDIVISION NAME: SECTION;
r_fAC_r_Q CREEK Ins S 1- ?I ZONING: r? t
J `11_
& PROJECT
INFO: ADDRESS IOI F CONSTRUCTION' I
SALE I l00 DP_ SQUARE
FOOTAGE:
SEWER PROVIDER (W-ME L PROVIDER: C-P P-mG (E%CLtUDI G LAND O VALUE) CONSTRUCTION: 1-79, /
l{•
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET ,t L J'1 ?t ,O2t-)
ELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): -
1^/cfz-(- tX C '
1
NUMBERS; TAC DATE(S); AND/OR COUNTY W
FLOOD ZONE AREA DESIGNATION(S) Lk Y/ 4 OT (? h 1?1? 1
FOR THIS PROPERTY:
/t
1 v v ' TAX MAP PARCEL #: ?? ' O`? ?'
-7 -10-21 "
1
,
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y v N
Y ? J)
TYPE OF IMPROVEMENT:
EP?EW STRUCTURE
D ROOM ADDITION(S)
? PORCH ADDITION(S)
D DECKADDITION(S)
O REMODEL
_ Basement Finis
D ACCESSORY BUILD,N
O DETACHED GARAG611
? ATTACHED GARAG
PLUMBING CONTRACTOR:
I:tAhA iNA a S r? S
Plumbers Indiana State License #:
(1Pka) Q101
Which plumbing codes will be applied to the construction:
O DEMOLITION P Cr' j'UF?
j 0" -rcons
Manufactured ( jF
Trusses: _Y Ff
t
Sump Pump: _Vf?N INni
all that apply for the new
Ot POST & _ BEAM -PIER
MENT (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
davs 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 pemdts 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 consmicuon, 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 of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -199Y (Z.
269) and an endments,adopted order authoncy of I.C. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. I furher certify that oniy
hitcher, bath, and floor drains are connected to the sanitary sewe=. I further certify that the construction will not be used or occupied until a Certifrcare of
Occupancvhas been issu by the epartment f Community Senices, Carmel. Indiana
1 Z ?)-()u t, S N F_PN(-P_J3 l Zf? 0
Signs o Owns or Authorized em Print rate
O USE ONLY:****************************:***************:*************..******************
NSPECTIONS REQUIRED: Filing Fees:
Base Inspections: Charged Re-
UpperFooti Lower Footing Under Slab Reviews
Cert. of Occupancy: SS. j 0
ough In eter Ba Final to O/ (14D Additional Fees
AN I tl ?D TOTAL:
Reviewed/Approved: Dept. of Community Services (Date) gre)rv-?7]PYP_K6
Residential Code w/Indiana Amendments
i7jrny Code w/Indiana Amendments
S:Pen i1WF.s[1UP RESIDENTIAL Fee Received t" v J Date