HomeMy WebLinkAbout07100208 Application?3r of ?Q `DO
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT 1 LICATION
LRo_apn ?' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodel , & Accessory Structures
0 BUILDER NAME' p / PHONE: FAX:
OF So JL r ?Oi 1,//- 7,57S ?9 -75?Z?
RECORD: STREET ADDRESS: i CITY: STATE: ZIP:
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` BU LDER's EMAIL ADDRESS: BEST METHOD OF CONTACT: r-
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PROPERLY AME: PHDr jbject;0 ccrnpliar?c" '? ?F "?
OWNER: vn 57 -
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STREET ADDRESS: aT?' DEPT OF GUN Sc'fl?: 'V - 0,j,? Ii1P
74r/5'
LOCATION LOT #: SUBDIVISION NAME: _ SECIIO :U '
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2 ZONING: l
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&PROJECT tS
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INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE:
SEWER UTILITY /
PROVIDER: GT?wa WATER UTILITY
PROVIDER: ESTIMATED COST OF C
(EXCLUDING LAND VAC Il
tl
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
'
M7
S (IF APPLICABLE): C 13 Q
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #
I
FLOOD ZONE AREA DESIGNATION(S) L /? l TAX MAP PARCEL #: LJ
FOR THIS PROPERTY; T ALi
TYPE OF CONSTRU ON:
G SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
6b
?` RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
X DETACHED GARAGE
O ATTACHED GARAGE
PROJECT INFORMATION: .-1?41 O DEMOLITION
EarlyRelease Y /N Clr Trusseactured Y Permit: ??N
Lot Split: _Y ?N ?L\\Sump Pump: _Y ? N
PLUMBING CONTRACTO
RC)
Plumber's Indiana State License #:'
1 t TS?f- T-A°t-
Which plumbing codes will be applied to the construction:
, nntemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE ? POST & _ BEAM -PIER
(r 021SLAB ? BASEMENT (WALKOUT:_Y_N )
For Single Familyand Two Familydwellings, additions, remodels, and/or accessorystrucures, 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 ary construction, reconstruction, enlargement, relocation, or alteration of a st.acture, or any change m the use of lard or structures
requested by this application will comply witb, and conform to, all applicable Iavs of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (2-
239) and amendments, adopted under authority of 1.C. 36-7 et see, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connecied to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhu beep issued by the Department of CommunityServices, Ca/rrttel, Indian
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Signature or Owner w Authorized Agent Print Date
x**x****s***xx**xxx***************x**xx*x***x******x*x*+ xx***?**s*********x****xx*
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: SIJ
Base Inspections: / Z 50 # charged Re-
pper Foot) Lower Footing Under Slab S5 5o Reviews
Cert. of Occupancy:
ough I Meter Base lnal _ S' P.R.I.F.: Additional Fees
Review`s y ove ;.;W. -of Community Services (Date)
S:Perm s11U> RESIDENTIAL Flee
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