HomeMy WebLinkAbout06090118 Application
LOCATION LOT#:.I1/ 'l
& PROJECT 'T'f' C'l~ CiJsS"'~
IN FO: ADDRES~:r CONSTR3CTIONA ~~(O 'R-I-J S;.-;
SEWER lITIlTTY 11.. WATER UTILITY ESTIMATED COST OF CONSTRUCTION;
PROVIDER: G!i2LU';:) PROVIDER: C A ~L (EXCLUDING ~~D_~ALcUE), .:;:"C" '.'C -
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET -:#=- 6~9 '0 i'(r-1'~::':"'.L~SI lS. i
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): tt:..rr'/ib'~H N + ~ou -ill I,
FLOOD ZONE AREA DESIGNATION(S) l. A'AvJ TAX MAP' PARCEL #: SEP 2 2 2006 I; Ilf
FOR THIS PROPERTY: -I\JC I;, illl!1 ill
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING COrflRACrOR:.-.,-.--_J L::::/ I
-.,.LSINGLEFAMILY ~ NEW STRUCTURE !E\)I<;> A-J~ 'tL~f' I
.0 TOWN HOME 0 ROOM AODrTION(S) Plumbers Indiana State License #:
o TWOFAMILY 0 PORCHADOmON(S) l""q/__~i(J',";" rl,
# of units being 0 OECK ADDmON(S) v \Qv ~J \!Z. ,-
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions, Remodels. Etc,) 0 DETACHED GARAGE
Of- ATTACHED GARAGE
b DEMOLmON
BUILDER
OF
RECORD:
PROPERTY
OWNER:
City of Carmel/Clay Township Permit #:()focf101&
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
C-
PHONE:
"1/ '0re07o
CITY:
~0-.
FAX:
'ifl (., 25:'217
ZIP:
4-((>(1:32-
VI<../)
STREET ADDRESS: ~ ~
3~ S~~C~.l.R,
STATE:
(tv
BEST METHOD OF CONTACT:
C&l '(1<fG,Co 70 q,.
~ ~1Ro 2Q.:.,
BUILDER'S EMAIL ADDRESS:
NA~'L 45
STREET ADDRESS:
PHONE:
FAX:
6JfL
CITY:
STATE:
ZIP:
SECTION:
'1\
SQUARE 7'")-;>8
FOOTAGE: ~ :=>
Which plumbing codes will be applied to the construction:
~mational Residential Code w/Indiana Amend~ents
o Uniform Plumbing Code wI Indiana Amendments
_VYN
_V.,K.N
Manufactured
Trusses:
Sump Pump:
_VLN
LV_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WALKOUT:_V K N)
For S4!ik:f~~vfeOOi~ . , I on~,.!~IIl.odels, and/or accessory structures, this permit is valid only if construction conunences within IBO
days 6I'thrM'""a't~'Q'tr~mcei%-~t:!bM~\PifiQ~~\NntRt be completed (Certificate of Occllpancy issued) within 18 months of the issuance date. Class I
struc~~;9rP~UbJ~it t~.~tfteaf~strative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
of State ana. ;:: 0\/1 ri=S completing construction.
I, the uS' g:reo~v.YwqQP$ttL"'dti€n~eedifr>l:r\.J'tt~n7fl1!argement, relocation, or alteration of a structure, or any change in the use of land or structures
request hi a ,licatloq \}'j1l,cOJp[1lylwiPv~^'~tr,WH.pplicable laws of the State of Indiana, and the "Zonmg Ordinance of Carmel Indiana - 1993" (Z~
289) ~~ ~AijM.~e'r ~ry ot tt." 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitche~ bath, and floor drains\~9Af\~A to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc has be . ed oy ilie Department of Co unity Services, Cannel, Indiana.
q, b '\2-.\) ,'\:;,i;)S$~LL '1-1.2 --ll Cp
Print Date
OFFICEUSEONLY:*********************************************************************************
N CTI RED Filing Fees: / / / ;z.. !f ()
I~: .~
Base Inspections: d '77, :> (;
Cert. of Occupancy: 53. so
P,R,I.F,: / d-- {, l () 0 Additional Fees
llTAL: $0<107 JO
\:kdf{ ; 1Wddil~ 9, -1~h
Fee Received b D e
# Charged Re.
Reviews
ReviewedjAppr Dept. of Community Services
S:Permits/FormsjIlP RESIDENTIAL