HomeMy WebLinkAbout07100223 Application,.`yNGFy`. 1 I ?/V
City of Carmel/Clay Township Permit:
RESIDENTIAL UYIPROVEMENT LOCATION PERMIT APPLICATION
ao RiP,' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: / PHONE: FAX:
" - - I/?
OF /-
!S-
RECORD: STREET ADDRESS:
222-7
161 w C'
/364 CITY: STATE: ZIP:
fu it No !>. Cv Y
;
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
o ??s Kati u. . cd,.' '06- /Pt u,/
PROPERTY NAME: PHONE: FAX:
OWNER
:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT SUBDIVISION NAME : SE ON: ZONING:
&PROJECT
INFO: ADDRESS OF CON STRUCTION:
OI SQUARE
FOOTAGE: Z 3
3 ;.?K2
SEWER UTILITY
PROVIDER:
Cl WATER UTILITY
ROVIDER: ESI MATED COST OF CONSTRUCTION:
crty
(EXCLUDING LAND VALUE) 2U B O
ay
NAME OF UTILITY IXCAVATI N CONTRA
AND
OR CO
S
T
D
TE
S LI(A?J R R PW DOCKET
'S (IF APPLICABLE):
.
47 - F
NUMBER
;
AC
A /
(
); (nn I
1 CC
1
"'
FLOOD ZONE AREA DESIGNIA 1 (5) ARCEL #:
TAX MAP PPP
FORTHISPROPE 7
-T Q?1
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: 1 _Y _I'
Lot Split: / _Y_N
TYPE OF IMPROVEME T:
By ?
OM ADDITION(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: `Y N
Sump Pump: Y v-'5
PLUMBING CONTRACTOR: or- for p2 ?Ijfts
9 p1148
Plumber's Indiana State Lic
3?s
Which plumbing codes will be applied to the construction:
? International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C3 CRAW(LSSPA t i`19 _ BEAM -PIER
?13A6EI?NT (WALKOUT:Y ?i N )
For Single Family and Two Family dwellings. additions, remodels, and/or accesvOrAlk, Lg?O ?enrF1 1joja 0'rq db' re within 180
days of the date of issuance of the building permit, and must be completed (Ce?jl'CbTQ? y+su 18 itro t uance dace. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (SZ'e?la%Aerf4rP a frames for beginning and
completing cons 17?`
I, the undersigned, agree that any construction, reconsrmccon, enlargement, relocatio alte ?M hange in the use of land or strucru:es
requested by this application will comply with, and conform to, all applicable laws of ikq e6iGn tanadI , and t2Hnlhg Ordinanct of Carmel Indiana -1993" (2-
239) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly a State of indiana, an d all Acts amendatory thereto. I further certify that 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 Certificate of
Orcupancy-has been issued by the Department of Community Services, Carmel, Indiana.
? tit ? C • ???t? to -i?-d?
owu sl re of 04vner w Autho z e' R,)At Date
*x*xxxxx*****xxxxx****xx***xxxx*xxxsxx****xxxxxxxxxx?/?xx**y+****x****x*****x
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: 3 ? • ? ? # Charged Re-
Upper ootin Lower Footing Under Slab Reviews
Cert. of Occupancy: ?? Sd
Rough In eter Base Final Site
J, P.R.I.F.: Additional Fees
GY6._. n ? ! I S.R-l f I - 2 - 07 S C A N N L:
Reviewed/App ed: Dept. of Community Services (Date)
5:Pel JWF.S/ILP RESIDEhMAL Fee Received by: Date