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HomeMy WebLinkAbout08010019 ApplicationPermit #:-)` c)l City of Carmel f Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME. PHONE: ?t7 FAx: A A? OF RECORD: STREET ADDRESS: ??77 ? -7? j7p -O? 'AJA A'R crTY: STATE: 1 ?If1- Sltif ZIP: 103-3 BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: jCr- Il ??- MAji-. 1717 Cllr - 3rzy? PROPERTY OWNER: NAME: iza F4u:7T PHONE: PtI ?ta517 FAX: A? 'lAr I " STREET ADDRESS: r S-7'rf ? 1/i.*r ??CIT??Y:'? STATE: C.r?K-1? L yAj ZIP: IC "j-3 LOCATION LOT #: SUBDIVISION NAME: 3'1 TPA -6' of 4-,JIAAj 6 A) SECTION: ZONING: S-1 & PROTECT INFO: ADDRESS OF CONSTRUCTION: ?7G1 Z ?F_ w G1'w'6t? yN '6U3'3 ': SQUARE r _ CT* _ rr SEWER UTILITY WATER UTILITY ESTIMATED COST OF pfSTRUCTI . : LUDIMG LAND V u OI - J2 0A PROVIDER: t? PROVIDER: (Q C f ? NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA I BPW DOCKET -? NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT at'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(5) FOR THIS PROPERTY: TAX MAP PAR TYPE OF COA15TR._UMON: Q SINGLE FAMILY O TOWN HOME ? TWO FAMILY # of units being constructed at this time: ft RESIDENTIAL (For Additions. Remodels, Etc.) Early Release Permit: Y N Lot Split: -Y ± N TYPE OF IMPROVEMENT: O NEW STRUCTURE © ROOM ADDITION(S) ? PORCH ADDITION(S) ? DECKADDITION(S) i6 REMODEL ? Basement Finish only ? ACCESSORY BUILDING ? DETACHED GARAGE ? ATTACHED GARAGE ? DEMOLITION PLUMBING CONTRACTOR: N/A Plumber's Indiana State License Which plumbing codes will be applied tU the construction; ? International Residential Code w/Indiana Amendments ? Uniform Plumbing Code w/Incliana Amendments Manufactured Trusses: Y N Sump Pump: -zY fN For Single Family and Two Family dwellings, additions, remodels, and/or access' days of the date of issuance of the building permit, and must be completed (Cet structure permits are subject w the General Administrative Rules of the State of FOUNDATION TYPE: (Check all that apply for the new construction area) ? CRAWLSPACE 7 POST & ` BEAM ? SLAB 0 BASEMENT (WALKOUT:`Y thin 180 Class I I, the undersigned, agree that any construction, reconstruction., enlargement,.'elocation, or alu many change in the use of land or structures requested by tihis application Aril/ comply with, and conform to, all applicable laws of the State oGana, e -Zoning Ordinance of Carmel Indiana -1993" (2- 289) and amendments, adopted under aethmty of I.C. 36.7 et seq, General Assembly of the State and all Acts amendatory thereto. I further certify that oall kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancyhas been i Ed by the Department of Community Services, Camel, Indiana. gels Slgnatwre of Own or Authori Agent Print Date OFFICE USE ONLY: ************************************************************ ************ax**** INSPECTIONS REQUIRED: Fling Fees: Base Inspections: # Charged Re- Upper Footing Lower Footing Under Slab ?? - Reviews Cert. of Occupancy: _'?0 Rough In Meter Base Final Site P.R.I.F.: Additional Fees G,ra:,o ?A 15,e,4 k-1 1-06 Reviewed/Approved: Dept. of Community Services (Date) TOTAL: LZ 5:PerriWFcrms ILP RESIDENTIAL Fee