HomeMy WebLinkAbout07010136 Application
\ City of Carmel/Clay Township Permit #: ()7IJ/ (!J 1.3(c;
\
WSIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
\
. or Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
6UILDER
OF
RECORD:
NAME: '{5(Zuw 4u~i1Z4 /'!N/~C;; T~~HONE:?(1_.s-~ -CfIiiS'
FAX:
3t1-S"t">-Zlb
STREET ADDRESS:
3fI3 C/lA~ Sr. tf. (00
CITY:
y"h/ ".....I\fk.tc;
STATE:
ZIP:
~2st>
:;:-,J
BUILDER'S EMAIL ADDRESS:
~M~~eY e ",.IrA b"Z(d<<,~. .:0''''--
BEST METHOD OF CONTACT:
S: 11,,~~y ail 3;7-71<[ -.s-1:vz.
PROPERTY
OWNER:
NAME:
/'Ifo"'rJ)J .:
MAW UC-
,
PHONE:
3;1- S4s-- qvqr
FAX:
3/7 - -:;qS- - &:1(" I
STREET A~~3SS:
IS 70 Ct-A 14
c;r: Ii:; po
CITY:
T'" 1> I AN .'-Po <-tS
"STATE:
]:,.)
ZIP:
{bz~
LOCATION
& PROJECT
\
INFO:
LOT': ,,, ii. ~ SUBDIVISION NAME:
vn /. MOI->lJN ~ MAl,.)
SECT10N:
ZONING: k
po.u
SQUARE 2-
FOOTAGE:
, ,
ADDRESS OF CONSTRUCTION:
b1. ~e:";"ve il:>"1> f5
SEWER lmLfTY
PROVIDER:
WATER UTILITY
PROVIDER:
CfrP+1el--, r,.l
CA~et.-
'fb"2-,2-
Cll~:e\..-
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF lmLITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPUCABLE): .b
FLOOD ZONE AREA DESIGNATION(S) il \r ...~
FOR THIS PROPERTY: '2-0,Jt; t"-
tf; /20, DO'='
WIUS "'l(CAv'r\'t1~ pol> (k2<J,..e cUT:
#<0 1003' o Ifo,?iJo:JS-z.
TAX MAP PARCEL': II, -"1- ZS'-"2 -<>1- -o;to. "''''''
1(, - -2S--"Z-O) -0)./.
PLUMBING CONTRACTOR:
IZ- -!,e. P /p .'^ e>( ,J tt
Plumber's I~~P2~ ~~e/~ f-
TYPE OF CONSTRUCTION:
TYPE OF IMPROVEMENT:
o SINGLE FAMILY
Ji!!- TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
)!:i. NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL Which plumbing codes will be applied to the construction:
_ Basement Finish only 'M'
o ACCES~DING \OI-Intemational Residential Code w/Indiana Amendments
g ~~~~~D FOR 60 Uniform Plumbing Code wI Indiana Amendments
o DEMo~.Comp/, ~'RJ~~'"
PROJECT INFORMATION: of Stat lance DMlOi\lmPE: (Check all that apply for the new
Early ReleaseJ Manufact\!l:&1PE/~~P{1 e and LocaP oi/MJJII~~
Permit: _Y ~N Trusses: ~ITY ....QMMUNl7y s . CRAWLSPACE 0 POST & BEAM _PIER
Lot Split: _Y -i--N Sump Pump: _Y o/('L/ CUl,y T V:9fSu BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory'st:fu1:tures. this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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, reconsttuction, 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 - I99r (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 e sanitary sewer. I further certify that the construction will not be used or occupied until a CertiliC3.te of
Occup y h bee ssue by the. De t of Community Services, Carmel, Indiana.
<;[D 'iT JIll . ;'VI" $' If,.-{L
Signatu
Print
1/'7/" {
Date ( I
OFFICEUSEONLY:***************************************************************~*****************
F.\. F . b / /') 00
SPECTIONS REQUIRE . ling ees. _ - 0<. I
Base Inspections: I{ 77, 5' 0
Cert of Occupancy: 53. 50
P.R.LF.: rrV/;O!~ r&;dv
\~~.~ TAL:. ~~q3.l)D
~~~ ::2 /~
Fee Re d by: ~ ----' Date
# Charged Re-
Reviews
Additional Fees
Reviewed/Approved: Dep. of Community Services
5:Permlts/FormsjILP RESIDENTIAL
(Date)
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