HomeMy WebLinkAbout07120058 ApplicationCity of Carmel/Clay Township Permit #: 0 71
RESIDENTIAL RVIPROVEMENT LOCATION PERMIT APPLICATION
an , For Single Family, Town Nome, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE:
6 FAX:
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OF b OSES 3V-7300
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RECORD: STREET ADDRESS: CITY: STATE
; : ZIP:
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BUILDER'S EMAIL ADDRESS: BFST METHOD OF CONTACT II
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I R R E $ C 5
PROPERTY NAME: PHONE: T
OWNER R AYMOIJh A
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OCATION
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SUBDIVyyOIFNAME:{r= GC)t^,';ILl?'ll ?'IZ ~V `SECTION:
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ZONING:
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PROJECT $ E
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INFO: -Nita
ADDRESS OF CONSTRUCTION: v .?
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AGE:
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SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONS f UCTION:
PROVIDERrI PROVIDER: /L R (EXCLUDING LANDVALUE) ,d
NAME OF UI1LFrY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
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NUMBERS; TAC DATE(S); ANDfOR COUNTY WELL AND/OR SEPTIC PERMIT W'S (IF APPLICABLE): 3b i
r. 1V
Z7
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL g:
FORTHIS PROPERTY:
TYPE F NSTRUCiI N:
SINGLE FAMILY
? TOWN HOME
CJ TWO FAMILY
# of units being,
constructed at this
time:
LJ RESIDENTIAL (For
Additions, Remodels. Etc.)
TYPE OF IMPROVEMENT:
10 NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECKAODITION(S)
? REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
4 DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
PLUMBING CONTRACTOR:
?Au) E. SmprH
Plumber's Indiana State LiceiLSe #:
Whiccyplumbing codes will be applied to the construction:
LJ Intemationat t Residential Code w/Indiana Amendments
? Uniform Plumbing Code W/Indiana Amendments
PROJECT INFORMATION:
Early Release
Permit: Y
Lot Split: _Y N
Manufactured
Trusses: YN
Sump Pump: 'V Y_M
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACC ? POST&_SEAM-IER
? SLAB TN BASEMENT (VJALKOUT:_Y ?N )
For Single Family And Two Famlly dwellings, additions, remodels, aadlor accessary etructures, this permit is valid. only if construcuon commences withiri 180
days of the dace of issuance of the building permit, and must be campleted(Certiffcate of Occupancy issued) within lB months of the issuance date. ClassI
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration rime frames for begL i.g and
completing eorntruetian.
I, the undersigned, ageee Chat any construction, reconstmc^:oa, enlarzement- rtloca[ion, ar uheranor. of a st-uctuxt, ovary change in the use of land er structures
requested by [fits applicationwill comply with, and conform to, all aoplicahle laws of the State of Indiana and the "Zoning crdinance of Cartnel Indiana - 199T (Z-
? 09) and atrendmen[s, adop[ed under authority of LC. 35-7 et see, Cenral AssemSly of the Statt of Indiana, and all Acts amendatery theretu. I further certify tha[ only
kitchen bath, and f?ooe d-ains are con neeted co [he sanitary server. I further certify that the construction will not be used or occupied until a Cerdficate of
Occvpancyhas ^been issued 6y the Departmenc of Community Services, Carmel, Indiana.
Lilts b,61nO-Ae os.... Rb5MG-&0)iJJ6 IQ NO
Signature or Owner or Aa iiriaeE t Print Date
*xxxxxx*xasxxwswxxxzx**xx***xxxx***x.**xxxxxs*xxxx****xx****r>xxxxxxx*xxxxx:aa:
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: r Charged Re-
Base Inspections: n
Upper Foe ower Footin Under Slab Reviews
Cert, of Occupancy: 6FJ, 5 0
Meter
Reviewed/Approved: Dept. Of CammUiNty Services
5:puuns/ry s/iu, RERDENTIAL
P.R.I.F.: ??? 00 Additional Fees