HomeMy WebLinkAbout08010077 Application. ?iy of C+i'gy`r?
?KTU ? 'Ciity of Carmel/Clay Touwship Permit #: C
RESIDENTIAL IMTROVEMENT LOCATION PERMIT APPLI(
,kola*a For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory
BUILDER NAME: PHONE: FAX:
a J
OF _
RECORZ STREETADDRESS: CITY, STATE: ZIP:
J n
j?
j' BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
ROPERTY NAME: PHONE: FAX.
OWNER
:
STREET ADDRESS" CITY: STATE: ZIP:
LOCATION LOT ; SUBDIVISION NAME: SECTION: ZONI*7
PROJECT
&
INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE:
5EWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION i BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT *S (IF APPLICABLE);
z la r,' ?
FLOOD 70NE AREA DESIGNATION(S)
FOR -HTS FP'-)T'ERTy l4 TAX MAP PARCEL
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels. Etc.}
PROJECT INFORMATION:
Early Release
Permit: Y __::__N
Lot Split: ?Y `'`N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
O ROOM ADDITION(S)
? PORCH ADDITION(S)
O DECK ADDITION(S)
C REMODEL
_ Basement finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
Q DEMOLITION
M an ufactu red
Trusses: Y ---N
Sump Pump:Y ---N
awl,
PLUMBING CONTRACTOR:
Plumber`s Indiana State License #:
r
Which plumbing codes will be applied to the eonstruction:V----
International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE ? POST & BEAM
? SLAB ]!?( BASEMENT (WALKOUT: _Y
rtt6 `s? a?dc??i?ti? ?s MIX16 3 frctuzes, this petmhit is valid only if construction commences within 180
For Single Family and Two Fam"
days of the date of issuance of t P'rE'Iiui?'r??e C eer . hcate of Occupancy issued) within I8 months of the issuance date. Class 1
structure permits are subject to the General?A1Wfadeil?of Indiana (See 475 LAC 12) regarding expiration time frames for beginning and
t ?? L IN I ??Y-6 ian. any
I, the undersi ed, jig nee [hat a? a dtf cc7`? e e n{??}¢ qr?" ration of a structure, or an y change in the use o f;and or structures
requested by this application w•itr t &A" ? ?bld tai§? ?3r'att of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (2-
289) and amend rants-ado ed under authority of LC. 3?f?gral .Assembly of the Sate of Indiana, and all Acs amendatory thereto. I further rxrt fy :fiat only
kitchen, bath,,at}d looms are connected to the sani Z' 1'fu'rther certify that the construction will not be used or occupied until a Cerdficate of
Occupant} h 5?i ed by the Department of Community Semites, Cannel, Indians.
?iL??.
A/11
r.....?r..„o .,r n:....w, r.r d.,fh-i-A aunt Priat Date
OFFICE USE ONLY:**************************************
Filing Fees: [ 191 u %J V
Base Inspections: # Charged Re-
Reviews
Cert. of Occupancy, h ,
P •R.I. F.: v? • 66 Additional Fees
Fee Received bv: Date
S:PermitslForm 5,110 RESTDENML