HomeMy WebLinkAbout07010126 Application
City of Carmel/Clay Township Permit #: 010101..<.\->
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
NAME:
Dou& i3u;s(cd1y~
STREET ADDRESS: ::> ,
3B2(p SiFEP~j-jil<;f: DQ.
ure,
itions, Remodels, & Accessory StructJres
For Single Family, Town Home, & Two Family: New
ITY:
FAX:
B7('?-5;)....7
STATE: ZIP:
I N. &J~.2.
BEST METHOD OF CONTACT:
( 14-leC,7o
BUILDER
OF
RECORD:
PHONE:
7t4-&rR70
f:.L-
BUILDER'S EMAIL ADDRESS:
PI-0AJC
PROPERTY
OWNER:
NAME: ~
J~
PHONE:
FAX:
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
LOT #:44
SUB~IVISION NA
mON:
Cioo;)..
Sf".
er c,'
ZONING:
5'--\
ADDRESS OF CONSTRUCTION'
SQUARE ' ,
FOOTAGE: (" 7 8 I
SEWER UTIUTY
PROVIDER: ~'I1<.W j)
'"
E.1\I:::JO tt1>J
. , ~
TAX MAP PfRCEL #: JAN 1 8 2007
i I
I
"
TYPE OF CONSTRUcnON:
$. SINGLE FAMILY ~ NEW STRUcruRE
o TOWN HOME tJ ROOM ADDITION(S)
o TWO FAMILY 0 PORCH AODmON(S)
# of units being 0 DECK ADDITION(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
~ ATTACHED GARAGE
PROJECT INFORMATION:~LEA~E8E~~l!JNSTRU FOUNDATION TYPE: (Check all that apply for the new
Early Release , U 1ec~lPnlii1l.!iil/{;lnce with CTION construction area)
Permit: -Y~E n>t~~-and L~;;;t~:/~Ulatlons
Lot Split: Y ~-!,T~~~MUNPW~ue5,;,
- 'rOF SCRVIC
For Single Family and Two Family dwellings, additjMNFW~~s, 'OWNSHlpctures, this pennit is valid only if construction corrunences within 180
days of the date of issuance of the building penni~'an~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, 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 fumer certjfy 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 Certificate of
OCC~ the Department of Community Setvie.", Carmel,lndiana,
~ ." 'iJI\.w ~< 'D ~US~(lL.. PI2E<;_ 1-\9-07
Slgnatu~ of Owner or Authorized Agent I Print
PLUMBING CONTRACTOR:
I '
EDS 1~!fI1 E:,iUcAv
Plumber's Indiana State License #:
Iocr &0000 4
'"G)W Nlf?:HJ (.,
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
o CRAWlSPACE 0 POST & BEAM PIER
o SLAB )Q' BASEMENT (WALKOUT:_Y )( N )
D...
OFFICE USE ONLY: ** * ** * * * * * * * * * * * * * * * * * * * * * * * * *~ ~ ** ** * * ,* * * ** * * * * * * * *,. ** * -;:,., * ** * * * * * ** * * **** * * ** * * *
INSPECTIONS REQUIRED: FIling Fees. if) h L /() ,
(liPPer ~ ~wer Footi~ U Base Inspections: ;) } ;. If
( Cert of Occupancy:
ugh Me ? ((; 00
~ ~ P.R.I.F.: V'
ReV~APprov~ePt Df Community Services (Date) ~
# Charged Re-
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