HomeMy WebLinkAbout07120021 Applicationra +n\
City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
,holaar. For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHO E:
(317)3q7-730o FAX:
(3 3
- UN
OF -
RECORD; STREET ADDRESS:
' CITY: STATE: ZIP:
?7e
5 T za
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
REESPOMES-CoM
PROPERTY NAME. PHONE: FAX:
OWNER: RAYM014b H, E G 31 S
SHEET ADDRESS: CITY: STATE: ZIP:
1171.22
LOCATION LOT x: SUBDIVISION NAME:
(
) SECTION: ZONING:
S
PROJECT EST ATES
&
INFO: ADDRESS OF CONSTRUCTION:
1 SQUARE
FOOTAGE:
;0 1 E S
S Twim 'A CS 1 (D qlo
SEWER UTILITY WATER UTILITY ) 0?71
?
ESTIMATED COST OF CON UCTION:
"ClAY T 1 PROVIDER: 0- A
R (EXCLUDING LAND VALUE) ?1 tJ
a(I D
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA! BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #S (IF APPLICABLE): IT
FLOOD ZONE AREA DESIGNATION(S) "TAX PARCEL x: I
V LS U (,
FOR THIS PROPERTY:
TYPE F CONSTRUCTION: TYPES OF IMPROVEMENT: PLUMBING CONTRACTOR: U0 LIL L - ? ZQ?]
SINGLE FAMILY 'YT NEW STRUCTURE PAul F. S
O TOWN HOME ? ROOM ADDITION(S) Plumber's Indiana State Lice
O TWO FAMILY O PORCH ADDITION(S) ????ri
# of units being ? DECK ADDITION(S) 1D1777
constructed at this O REMODEL Whic plumbing codes will be applied to the construction:
time: _ Basement Finish only
O RESIDENTIAL (For O ACCESSORY BUILDING Intemational Residential Code w/Indiana Amendments
Additions. Remodels, Etc.l O DETACHED GARAGE ? Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
DEMOLITION
PROJECT INFORMATION: FOUNDATION TYPE: (Check all that apply for the new
LEASED F0
Early Release py CONSTRUO?If?'on area)
/ MaU3Slo - e?
Permit: _Y _ Trusses: of S.a ? a h all re9U18t1on$? CRAWLSPACE POST & _ BEAM -PIER
/N oc Codes. /
Lot Split: _Y N :PUmpt n? ??^ , ,,^_ l?? SLAB CVHASEMENT(WALKOUT YZN)
For Single Family and Two Family dwellings, ed non?.?,'r?emode6;)i 64AA _ mtit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must tN q gIto (Certificate of QtEN{fattcy issued) within 18 months of the issuance date. Class 1
structure permits are subject to the General Administrative Rites o46)e of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing consuvction.
I, the undersigned, agree that any constmctior, reconstruction, enlargement, relocation, or alteratioa of a structure, or any change in the use a: land or structures
requested by this application will comply with, and c onfo-m to, all applicable laws of the State of Indiana, oral the "Zoning Ordinance of Carrmei Indiana -1993' (2-
289) and amendments, adopted under authority of I.C. 36.4 et see, General Assembly of :he Sate of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bah, and floor drains ate connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Oceupancyhas been issued by the Department of Community Services, Carmel, Indiana.
don , r1 I'?:«d>Il,-W >KO:r„o, (oai A BIRDSONG-?En)J??J? /2bik
Signature of Owner w Authorized Opt Print Date
**sx***s*************x*******x****x*****************x******* ******.*************
OFFICE USE ONLY:
PECTIQS#}EQUIRED: Filing Fees: Q
?bGt/e[EoelL Base Inspections: S? Y' V # Charged Re=
Uppe1T oo L ng Under Slab Reviews
Cert. of Occupancy:
P.R.I.F.: G 0 Additional Fees
o h In 4D ter se Final a
q
TOT
G Reviewed/Appropt. o Community Services (Dot ? A ?W
S:Pennits(Fcr fILP RESIDENTIAL