HomeMy WebLinkAbout08010105 ApplicationCity of Carmel/Clay Township Permit #: C -?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAM PHONE
1PAY-56d 3 1 :
1 - 7 G -to FAX.
0
.317- 70 - 4,91
OF
RECORD: STREET ADDRESS: CITY: STATE: ZIP.
o52.
4
5340 D An. L Jv ,
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
nW QdQ buAd. Co 3
PROPERTY NAME: PHONE: FAX.
AL P-64f, Cso 31 -I
NP -
OWNER: - ZIP
STREET ADDRESS: CITY: STATE: :
I7;L e-eek d w f * d -rw 0SZ
LOCATION LOT 9: SUBDIVISION NAME: SECTION: ZONING:
R+'
PR
ECT )'7-
a
OJ
& SQUARE
INFO: ADDRESS OF CONSTRUCTION: FOOTAGE: ??
A ABOVE
SEWER UTILITY
PROVIDER. C'? o? Carnet WATER UTILITY
PROVIDER: rMl[L ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 35 000.00
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):
ZONE AREA DESIGNATION(S)
F TAX MAP PARCEL
HIS PROPERTY:
MR
TYPE OF CONSTRUCTION:
,] SINGLE FAMILY
C TOWN HOME
C TWO FAMILY
* of units being
constructed at this
time:
RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: .-Y ? N
Lot Split: _Y _A.N
TYPE OF IMPROVEMENT:
C NEW STRUCTURE
JK ROOM ADDITION(S)
C PORCH ADDITION(S)
C DECK ADDITION(S) (?7
Vr REMODEL
,[ Basement Finish onl
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured K
Trusses: _Y K N
Sump Pump: -X-Y _N
will be applied
? International Residen strnenamenss
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM -PIER
O SLAB X1 BASEMENT
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 1
structure permits are subject to the Crneral Administrative Rules of the State of Indiana (See 575 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any concrrucnon_ 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 applicahlc laws of the State of Indiana, and the "Zoning Chdinance of Carmel Indiana -1993' (Z-
289) and amendracnts, adopted under authority of I C. 36.7 et seq, General Assembly of the State of Indiana. and all Acts amendatory thereto. I further certify that only
kitchen. bath, and fkxtr drains arc connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a CerQficate o!
Occupancy-has been issued be the Department of Community Services, Carmel, Indiana. /
Data
OFFICE USE ONLY: ****
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
ough I Meter Base nal Site
2 -i-'08
R of Community Services (Date)
S:Pertrt?lFOnnSrILP iDENTUtL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
I l ?5 , o G ;r Charged Re-
Reviews
Additional Fees
TOTAL: G
Date
Fee Res