HomeMy WebLinkAbout07110112 Application#:??/v
Permit
.: w City of Carmel/Clay Township
RESIDENTIAL IMTROVEMENT LOCATION PERMIT APPLICATION
.?xoug?.% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
° PHONE:
X17- FAX: )70-734?
OF ?J?C ?v&7, es
?
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
-0 >c Of C IA.- Ld
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: 3i l/ toe 4e3 _8 Jo"
PROPERTY NAME: PHONE: IJ67
7/ FAX:
OWNER: ! <F MPA u v .
STREET ADDRESS: CITY: STATE: ZIP:
46O
o DA- C 14.1
LOCATION LOT #: SUBDIVISION NAME:
!?y SECTION: ZONING:
- t
& PROJECT
atx
INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE:
11/73*1 27 dm h Ci4i?IiFC fs
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCI70ty?
PROVIDER:
BL
PROVIDER: Yi
(EXCLUDING LAND VALUE) M
QWQ
vv
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IF APPLICABLE): n
f 11
FLOOD ZONE AREA DESIGNATION(S)
I TAX MAP PARCEL
l
u
FOR THIS PROPERTY: l iqv 9 A HA71 i
TYPE OF CONSTRUCTION:
q.?SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
Q,-RESIDENTIAL. (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit _Y P-N
Lot Split: _Y J-?N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
aelTTACHED GARAGE
O DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y VN
-jtfT _N
PLUMBING CONTRA I'w
Piumber's Indiana Stat .
Which plumbing codes wilybe applWi to the construction:
? International Residential Code w/Indiana Amendments
1= Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAW LSPACE O POST & - BEAM -PIER
SLAB ? 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 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.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or stn¢tu res.
requested by this application will comply with, and corJonr?m,allspphtable laws of the State of Indiana, and the toning Ordinance of Carmel Indiana -199Y (Z,
289) and amendments, adopted underauthonty of LC.36-7etseq, General Assembly of the State of Indiana, and all Acts a.-nendawry thereto, Ifurthercertifycha:oniv
kitchen, bath, and floor drains are connected - e sanitary sewer. I further certify'ehat the construction will not be used or occupied until a Cerrificate of
unl[ Srvices,, camel. Itl iana
Cr
r7ecupancyhas been issued by the D mrnc of
/AM N ?5/GliLFj//?Gl?
.... .__ .. /t r / Date
********#******
OFFICE USE ONLY:
INSPECTIONS Rng U
pper Footi Lower Footing Und
o gh In Meter Base Final Site
1-47-1
Review proved: . of Community Services (Date)
S:PermFS".s/ILP R E
Filing Fees: Za /P
Base Inspections: / Q #C haiged Re-
_ _ Reviews
J -5
Cert. of Occupancy: _G
P.R.I.F.:
Additional Fees