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HomeMy WebLinkAbout08010049 ApplicationI City of CarmellGay Township Permit #: 0 80 )4& & RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME: j? PHON ? I E FAX: -152 - 09-13 24- OF l ©.,l o +? Ira a o s LA C c, RECORD; STREET ADDRESS: CITY: 57ATE: u ; S; 1 ? 0 P P -- ' t sf LgO 4 e 56 La (- e- L-. f"lD BUILDER'S EMAIL ADDRESS ? -y BEST METHOD OF CONTACT: PROPERTY OWNER: NAME: l PHONE: FAX: STREET ADDRESS: CITY: s 2 r?. P c.L STATE: ZIP: C, 06r Cz Iv-% GiE LOCATION LOTa?: SUBDIVISION NAME: I A `} U J A- SECTION: ZONING: & PROJECT T I N 6 t I Q INFO: ADDRESS OF CONSTRUCTION: f SQUARE FOOTAGE: ` SEWER UTILITY PROVIDER: L , WATER UTILITY ESTIMATED COST OF CONSTRUCTION: r PROVIDER: C Et" (EXCLUDING LAND VALUE) y 7 C'L" NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION 162A i BPWV DOCKET NUMBERS; TAC DATE(S); ANDJOR COUNTY WELL ANDOR SEPTIC PERMIT #'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(S) _ FOR THIS PROPERTY: ' n n T TAX MAP PARCEL '-J - -, "" - - ?4 !7 L? ?i' TYPE Of CONSTRUCTION: O SINGLE FAMILY O TOWN HOME O TWO FAMILY # of units being constructed at this time: ( RESIDENTIAL (For Additions, Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: Y N Lot Split: ?Y " TYPE OF IMPROVEMENT: PLUM13M,gQMTRAC1OR: L LL lid O NEWSTRUCTURE+t. v, es'i O ROOM ADDITION(S) Plumbers TM a State Li O PORCH ADDI 1710N(S) O DECK ADDITION(S) 0 REMODEL Which plumbing codes will be applied to the construction: -, Basement Finish only O ACCESSORY BUILDING 0 international Residential Code wJlndiana Amendments O DETACHED GARAGE Uniform Plumbing Code wJlndiana Amendments O ATTACHED GARAGE O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new Manufactured construction area) Trusses. _Y 6"N 0 CRAWI.SPACE O PAST & BEAM PIER Sump Pump: _Y SLAB ]$ BASEMENT (WALKOUT:Yk' N ) for Single Family and Two Family dwellings, addirions, remodels, andlor accessory structures, this permit is valid only if construction eonuncaces within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 mouths of the imaawe date. Class f structure permits are subject to the General Administrative Mules of the State of Indiana (See 675 IAC 12) regarding exqiai.2Ation time irmnes for beginning and completing construction. I, the undersigned, agree that any construction, reconstruc`ion, enlargement. relocation, or alte adon of a s:_ ucture,. or any changein the usC Lifland or structures requested by this application will comply %virh, and conform to, all applicable laws of the State of Indiana, ` the" 0n W- C)-dir.ance of Carmel Indiana -1993- (Z- 289) and arnmdments, adopted under authority of I C 36-7 et seq, General Assembly of the State of Indian "al3 f4ces r endato y thereto I further certify that only kitchen, bath, and floor drains are connected to the sar itary server. I further certify, that the construction w not be used or occupied until a CetrWcare of 0ccupan !V?v ued by the Department of Community Services, Carmel, Indiana. K;ll? ]- !G v 3 c:..?e...? n.......... ..wa..a•.aa a...... 06..t Date OFFICE USE ONLY: INSPECTIONS REQUIRED: Upper Footing Lower Footing Under Slab Rough Meter Base Final Site ?el ',?,z -06 ReviewedJApp ved: Dept. of Community Services (Date) S:PwmiWformslIlP RE51DENTIAL -?k?k#*****qc#?k*?k#*#**$$####?**gcgc##?##?K*?K*#y.#?k?k*#*?*#ok# Filing Fees: Base Inspections: {1? Charged Re- Cert. of Occupancy: a S? P, R.I.F.: Additional Fees