HomeMy WebLinkAbout08010118 Application\i? UG WRAC'
`'Y, City Of Carmel /Clay Township Permit #: r
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Hamer &Two Family: New Structures, Additions, Remodels, &Aceessory Structures
BUILDER
OF NAME:
NEEs Pomr-s PHONE:
3i 3 FAX:
' -7 (3i7 3q' -7
S
RECORD: STREET ADDRESS:
L 5 Td 'v r CITY:
Q ItibiANA STATE: 2IP:
VOlls IN
BUILDER'S EMAIL ADDRESS: BE5f a
biz as MmES.U m 150
PROPERTY
OWNER: NAME:
R PHONE: of ? a _ "FAO
`-
STREETrt??ADDRSEADEQU ESS: (?ff ry1 ?7
t'C CITY: I t Y OF rTfit' r ' ItP: -
. . ? 1?
'.
LOCATION
& PROJECT LOT SUBDIVISION NAME;
kAKE:S`1hE 280
6 SAT S SECTION:
- ?gNTNG:
'
INFO: ADDRESS OF CONSTRUCTION:
:3 T ' LAms C" clE
EA5T SQUARE
FOOTAGE:
SEWER LMLrrY WATER UTILITY ESTIMATED COST OF CONST UCTION:
PROVIDER: 11
ny Ty Lta1? H' A
PROVIDER: I?
I
(EXCLUDING LAND VALUE) .P.2 .
BZA / BPW DOCKET
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I
NUMBERS; TAC DATE(S); AND/DR COUNTY WELL AND/OR SEPPTIC PERMIT k`S (IF APPLICABLE):D
TI
ISIS
ROOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAX MAP PARCEL #:
FT L r f
f C
TYPE F CONSTRUCTION:
SINGLE FAMILY
C TOWN HOME
Q TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.l
TYPE OF IMPROVEMENT:
CK NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
C] DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
PLUMBING CONTRACTOR: I 1
W' 2 9
Plumber's Indiana State License #: _ J
PROJECT INFORMATION:
Early Release
Permit: iY
Lot Split: Y N
Manufactured
Trusses: ,rY/,N
Sump Pump: V Y_N
7In Plum bing codes will be applied to the construction:
temationat Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Q CRAWLSPPACE O POST & J BEAM `PIER
Q SLAB 0CEBASEMENT (WALKOUT:_Y r!I/N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 184
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 (375 IAC 12) regarding expiration time frames for beginning and
completing construction-
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, m alteration of a structure, or any change in the use o€ land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (L-
289) and amendments, adopted under surhority of I.C. 35-77 et seq, General Assembly of .ie State of Ridiarta, wad all Acts amendatory thereto. I further certify &.at only
kitchen, bath, and Poor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
%cupanc,ybas been issued by the Department of Community Services, Carmel, Indiana.
L?Rt • 6RhSQtZ-AEA J:N, y k
signature of owner or Authorized t Print Date
OFFICE USE ONLY'******************************************************:***************:*********
CTIONS REQUIRED: Filing Fees:
no ina Si Base Inspections: AM& 7" ?)O. # Charged Re-
Reviews
UnderS
Deft, of Occupancy:
P.R.I.F.: 1 z Co I . 0(?) Additional Fees
Fee Received by: