HomeMy WebLinkAbout08010122 ApplicationCity of Carmel/Clay Township Permit #: , I r) I a
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME' / PHONE:
j 0 FAX:
?l ^' U
OF Gtvt hJ.? ?? t h,c )
RECORD: STREET ADDRESS:
•
1 CITY: STATE: ZIP:
2--
922-2 K-
BUIT EMAIL ADDRES B€ST METHOD OF CONT ri I 1
PROPERTY NAME.
e
Z PHONE: I FAX:
, 9 f!J
OWNER: "
.4
/w
STREET ADDRESS: V' CITY: TE: ZIP:
B
LOCATION LOT #: `. SUBDIVISION NAME: / SECTION: ZONING:
& PROJECT PF, J t
INFO: ADDRESS OF
CONSTRUCTION: L'L
9
FOOTAGE:
'0 e,
Z/ Y71
,
SEWER UTILITY
PROVIDER: C /? WtJ Qom,
W trill C y
PR ?, '`? a
Jti ?,:C ,?''
J? OF CONSTRUCTION: x '! Q Q
L?ND VALUE) Z U V (I.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA f 1801
1
S?RV
w,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT x?i
/ ?
,?,
IF PPLTG?LI?r % DI O I Z i
FLOOD ZONE AREA DESIGNATION(S) PARCEL #:
FOR THIS PROPERTY:
C;y NGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
TYPE OF IMPROVEMENT:
Q1*EW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
? ATTACHED GARAGE
C DEMOLITION
'
PLUMBING CONTRACTOR: `O?OL'
PI n `er'a India a tate License
Early Release
Permit: _Y N
Lot Split: _Y
Manufactured
Trusses: N
Sump Pump: Y N
Which plumbing codes will be applied to the construction: 10
ZL 3t emational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w f Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C;-''CRAWLSPACEE O POST & _ BEAM -PIER
l" SLAB ? BASEMENT (WALKOUT:_Y ::: )
For Single Family and Two Family dwellings,
days of the date of issuance of the building F
structure permits are subject to the General P
1, the undersigned, agree that any construction, reconstruction, enla
requested by this application will comply with, and conform to, all al
289) and amendments, adopted under authority of LC. 36-7 et seq, G
kitchen, bath, and floor drains are connected to the sanitary sewer. I
Occupancy has been issued by t? Department of Community Sei
this permit is valid only if construction commences within 180
apancy issued) within 18 months of the issuance date. Class I
75 LAC 12) regarding expiration time frames for beginning and
relocation, or alteration of a structure, or any change in the use of land or structures
laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
semb'y of the State o` Indiana, and all Acts amendatory thereto. I further certify that only
:ertifv that the construction will not be used or occupied until a Certificate of
/ `Zy-?e
Date
OFFICE USE ONLY:
Upper Footi
Rough In
S:Pe=rWFomi0LP RESIDENTIAL
Filing Fees:
Slab
(Date)
Base Inspections: A$ 7.50 # Charged Re-
KG Reviews
Cert. of Occupancy: ,55. :J
P.R.I.F.: I,?, Ce I • OC Additional Fees