HomeMy WebLinkAbout07100187 ApplicationPermit#:0? 100 11
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
a01FMFor Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAM° PHONE: FAX:
Il c c Cf ,P[ s,ni? 1- 8y y,Zo /
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
.O 47 p q 0'< sric K C R 2m « /yr *46 0317
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
PROPERTY
OWNER: NAME. J PHONE:-- ? _ FAX:
441-,I-Af CA-,e -s on/ ?S /7-844-11u0/--)
CITY:
STREET ADDRESATE: ZIP:
?-4- m r l i? ?6 c 3.Z
J9 0 ?DP K C ,17 `S? cis /.l/
LOCATION LOT --: SUBDIVISION NAME: SECTION:
E ZONING:
& PROJECT D
' P .cam
INFO: ADDRESS OF CONSTRUCTION:
m 4 D ?ie o o a ST7 c is ?.? rIlc lzm t FOSQUARE
OTAGE: yO ?
SEWER UTILITY 0 L/4 sI 'row K• WATERUTILTTY ESTIMATED COST OF CONSTRUCTION:
66
PROVIDER: SJfrP
P- W D PROVIDER: lf? ri ]t'i Tl ca (EXCLUDING LAND VALUE)
r-.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA I BPW DOCKET D L I
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTIC PERMIT a's (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL 0 C T 2 9 2007
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
/ time:
0 RESIDENTLLL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y /N
Lot Split: Y -ZN
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
Y ROOM ADDITION(S)
o PORCH ADDITION(S)
v DECKADDITION(S)
0 REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured /
Trusses: T? Y '? N
Sump Pump: Y ?N
PLUMBING CONTRA9Z[*
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
CRAWLSPACE O POST & BEAM -PIER
O SLAB O BASEMENT (WALKOLJT:-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 I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the `Zoning Ordinance of Carmel Indiana -1493' (Z-
289) and amendments, adopted under authority cf LC. 36-7 et seq, General.4ssembly of the State of Indiana, and all Acts amendatory thereto. I further certify that onhy
kitchen, bath, and floor drains are connected to the sanitatysewcn ( further certify that the construction will not be used or occupied until a Certificare of
Occupancyhas been issued by the Department of Community Services; Carmel, Indiana
Signature of Ownetlgr AutBOrii eii Agent
OFFICE USE ONLY:
SPEG71ONS RE IFaQU ED: " -
Upper Footin /)Lower Footing Under Slabough In Meter Base inal Site
S:Permlts/Fer OLP RESIa-
Reviewe i nity Services (Date)
to a c
D
ate
Filing ees: -
se Inspections: z// " / - 5--0- 4 Charged Re-
Cert. of Occupancy: S 4 Reviews
P.R.I.F.: _ Additional Fees