HomeMy WebLinkAbout07120044 Application{ ov Gk\
S, . ` City of Carmel/Clay Township Permit #: /"?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
an rna For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory , Structures
BUILDER
OF "AM
Pu(/YICJ PHONE:
JOG FAX'
RECORD: STREET ADDRE55:
11580 1 rn PINAK) CITY:
-r C STATE:
-PIM IA) ZIP:
40032
BUI ER'S EMAIL ADDRESS:
f U BESI MEU100 OF CONTACT:
-
MArL,
PROPERTY NAME: PHONE: FAX:
OWNER:
STREET ADDRESS: Cl SLATE: ZIP:
LOCATION LSN5 SUBDIVISIQN NAME:
(,
C
LI
G SECTION:
X11 ZONING.
13-1
& PROJECT Ul
f
N
INFO: RpES50F CONSTRUCTION: ?
I \ v
_II 1 lnA -OSS
11 FSQUARE
OOTAGE: y5
LITY
SEWER UT1
PROVIDER ^
WA-ER UTI N1
?
PROVIDER: J/
?J7 O?
57 F
(EXCLUD NGCLA Do ALOE)SRUCTION: I
4
: - G CCC... t
NAME OF UTILrrY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TAC DATE(S
NUMBERS
? C
;
); i
ROOD ZONE AREA DESIGNATION(S) ? 1! I.
FOR THIS PROPERTY:
?? PARCEL S•I -
TAX MAP
(
1
O OI
??
'i -
'
TYPE OF CONSTRUCTION:
L9-SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
D RESIDENTIAL (For
Additions. Remodels. Etc.)
PROIECTINFORMATION:
Early Release
N
Permit: _Y
Lot Split: Y
TYPE /OF IMPROVEMENT:
CYNEW STRUCTURE
? ROOM ADDITION(S)
? TORCH ADDITION(S)
? DECKADDITION(S)
? REMODEL
_ Basement Finish only
l7 ACCESSORY BUILDIN^
? DETACHED GARAC'
? ATTACHED GARAI
? DEMOLITION
M uses, ture
Q h"e, n- ? A
Trusses: . ubj?P?•tty-(ww,u? LwOR
Sump Pumg,- IY _. lie,
For Single Family and Two Family Ll -elhngs, additla" fita?gls, at
days of the date of issuance of the building permit, and mus a apg
strncmre' permits are subject to the General Administrative Rules of
aLid only if construction commencessithin 180
within 18 months of the issuance date. Class I
riling expiration rime frames for beginning and
I, the undersigned, agree that any construction, remnstnxtion, enlargenent?re?o ?>fi pta a]te; tio?g? or any change in?he use oflaad or struts-es
requester by Liles application will comply with, aid conform ro, all applicable laws r the Mate eF Indiana, and tFpzoninz Ordinance of Carmrl iadiam - 1993' (Z-
239) and amendments, adopted under authority of I.C. 3b-7 et seq, General Assem ply of the State a' Indiana.. and all Acts amendatory thereto. 1 further certiEi that only
kitchen, Sash, and floor drains are connected to the sanicary sewer, I further certify that the construction wilt not be used or occupied until a Cerribcate of
Occ? ancyhas been issued by the Department ofC mmutrlty Serices,Carmel,lndiana.
AAV>S,nkZ-h14 \10,A?? S f?EPHLIQA 12-10 10-1
Signature Owner or AutAo and Agml I- Print View
04F USE ONLY: ** **a!a!*a!*****a:***********s.a<aa*******>K **************•: F :: *:**: ********* ***...**
INSPECTIONS REQUIRED: Filing Fees - ?_
Base Inspections: JQ # Charged Re-
Upper Footi Lower Footing Under Slab _ Reviews
Cert. of Occupancy:
Ro eeter Ba3E Final Site / J / Q?
fir--- r n /J? G/ Additional Fees
P.R.I.F.:
Reviewe Approved: Dept. of Community Services (Date)
PLUMBING CUNT RACfUR: T4 ', r-
i?11k1 ?f
Plumber's Indi?aan??sstate Licens
loll I00 MEC 1 2-ho
Which pl u meing codes will be applf tp the construction: y 1
i 9 I
M-intemational Residential Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE ? POSf&_BEAM PIER
(WALKOUT :___Y_N )
S:?enaiWForas/ P RESIDENTIAL Fee Received by