HomeMy WebLinkAbout07120018 Applicationr
City of Carmel/Clay Township
Permit #: () 71a oo/d'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: -? PHONE: FAX:
? J73-3q?7p ?'?3-39(7
RECORD: STREET ADO SS: CTTY; STATE: ZIP:
S, U- a . 40 s L N 4
C2Za
BUILDER'S EMAIL DR BEST METHOD OF CONTACT:
Gores 5 -3qW or 4S
PROPERTY
OWNER: NAME' jr -% PHONE: FAX:
e'2? ee .,
STATE Z[P:
STREET ADDRESi
?
/
77
J
?
? l.(G't? re,
77 /
V
LOCATION SUBDIVISION NAME: SECUON:
LOT #: ZONING:
& PROJECT
INFO: ADDRESS OF CONSTRUCTION:
4339 U? Main Si. -C r rJ Z N SQUARE
FOOTAGE:
C'11/
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE)
NAME OF UTILnY EXCAVATION CONTRACTOR; PLAN COMMISSION i BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
TAX MAP PARCEL 5: D v
it
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
0 SINGLE FAMILY
0 TOWN HOME
0 TWO FAMILY
#of inS
?O T OF IMP NT: PLUMBING CONTRACTORIu DEC - 5 2007
-C,o '°vt',ISTR t ,f I
• _t?6? ION(S) Plumber's Indiana State Lice
9WD
constrycv"@thf it state
time:
0 RESIDEN ?(b1 0? G(
Additions,•It sdelfteot
PR03ECTINFORMATION:
Early Release
Permit: _Y _N
Lot Split: _Y N
H"??,,??B'akttient Finish only
9 ESSORY BUILDING
(P`?CHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses:
Sump Pump:
Y _N
Y N
Which plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
17) Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
19 CRAWLSPACE 0 POST & BEAM -PIER
D SLAB 0 BASEMENT (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 18 months of the issuance date, Class 1
structure pernuts are subject to the General Administrative Rules of the State of Indiana (See 675 [AC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any constmction, reconstruction, enlargement, relocation, or alteration o£ a structure, or any change in the use of land or structures
requested by this application will ply with, and conform to, all applicable law's of the State of Indiana, and the 'Zoning Ordinance of Carmel Irdiana -199i' (2-
289) and amendments, adop• - ur ' azj:ho ty o' LC 36.7et seq, General Assembly of the State of Indiana, and all Acs annenciatoty-theretorl4funher eettify chat only
kitchen, bath, and Poor d s are co red to the sanitary sewer. I further certify that the construction will not be used-or-occupied until a Cert&f ate,of
occupancy has u e Department of Community Services, Carmel, Indiana. 7 (? / 1
Gr
Print
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final ite
?am?iloL AQ lkc- t2,15Z
ReviewedJAltroved: Dept. of Community Services (Date)
S:RetmiWFannslIl RESTDUMAL
Filing Fees: JS r/ S?
Base Inspections: / -? Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F.: Additional Fees
TOTAL:
Fee Received