HomeMy WebLinkAbout06060128 Application
City of Carmel/Clay Township }j;tO Permit #: o;ObO (;;{8
RESIDENTIAL IMPROVEMENT th~ATION PERMIT APPLICATION
For Single Family, Multi-Family, llo: Two Family: New Structures, Additions, Remodels, llo: Accessory Structures
BUILDER of NAME cS,T/2I\::>t..E ~M'::S, PHONE M."S" 8$":>c FAX 815 -2.SI"L
(.V >Ill M
RECORD: .$Vi.1""€ z'oc
STREET ADDRESS CITY STATE ZIP
143<:,0 L-LA-{ 1Cf?FA'-t ()l....D CAf.t-\E"L ItJ 4<.oH-
BUILDER'S EMAIL ADDRESS ....*"'~"". "'"* BEST METHOD OF CONTACT:
o....""r<2 (l"'-r"'--c:.-..'\\
PROPERTY NAME PHONE FAX
E:r/flll)t.c c::::.v;.~,"", ~~.s t,,;,J-j353o 815- 2.5\L
OWNER:
STREET ADDRESS CITY STATE ZIP
14300 c............--( \E(Z.{lA,-i: 6=-vc $.TC "'t..~":' LA/l.JoA.CL /,.> -/(."'-
LOCATION lOT # 3& 1- SUBDIVISION NAME SECllON ZONING:
VILLA"': of" tr-'B.... C<...Ay ,~"'I .51
llo: PROJECT
INFO: ADDRESS OF CONSTRumON SQUARE $"15$
12.;).$ ,!.(lct,J'~Iu.E s; FOOTAGE: tl:.. '5>
\ .
SEWER UTILITY GI..A'i WATER UTILITY I ESTIMATED COST OF CONSTRUCTION~
PROVIDER: PROVIDER: CL.'<-I (EXCLUDING LANDVAL~EF;-0 '-0. nt1 ~ ~ 1;::;\1
I J __ \ ) 'u_.. .~ _l I c._, I \ \ .J 'I r -J
.'; \ 1 L'- ., \'-"/ ' .._~ 1I \' \...::= , \
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET J 'I I ~-,> '-.~ .~".." . . ~-;:=..
(2T jJvocf!.<S il! 1)[--------- 1\
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): , fL_
"
TYPE OF CONSTRUCTION: """ RdUN 1 9 2006 Ill>>
TYPE OF IMPROVEMENT: PLUMBING CON~qTO
}1{ SINGLE FAMILY I" U'
";g( NEW STRUCTURE {l:.I ~CU;: '[
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Plumber's Indiana State License #:
loC51.t
J
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments,
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
_Y -X-N Trusses: ...::t...Y_N
o CRAWLSPACE
Lot Split: _Y.,lLN Sump Pump: -;LY _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y LN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
~
POST & BEAM
BASEMENT
WALKOllT:_ Y ~N
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 I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, 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 applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only 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 CertiIicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
,"7~!2- ,~vc WeJ
Signature of Owner or Authorized Agent Print
f..!,~/OI.
Date
OFFICEUSEONLY:*************************************************~* **~*****************
Filing Fees:
INSPECTIONS REQUIRED: '0
~ ~ a;:> Base Inspections: ;;. 11. )
er fnn.in er I=nnJ:i Under Slab . 0
. =SE~IfQfl~~(fflUCTION SJ. -)
ough I eter Base ~ . t ta comp-lia~cG with all reg~latio. ns p... G I 00
of s~a\b'afuj [_ocal Codes.'. '.
DEPT OF COMMUNITY~~s$ /j,)..5'"S'{'. ;5d
I OFCARMEL/CLA~j ~ 0. .
(Date) INDj/\Nb Q... /.::2r~
~~~~: .' I
# Charged Re-
Reviews
Additional Fees
Reviewedf Approve ,
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