HomeMy WebLinkAbout07010171 Application
City ofCarme/lClay Township Permit #: 01010/1/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX:
J-OG,
STATE; AJ
BUILDER
OF
RECORD:
575-Fr9
ZIP:
L/: D32
MSS
STREET ADDRESS:
115 0 N MEXIO AtJ
BUILDER'S EMAIL ADDRESS:
JVANrJe.. . SH A-i82-D _ P
NAME'fULTG W1 - S
CITY:
BEST METHOD OF CONTACT:
..e..m A tL-
PHONE:
FAX:
PROPERTY
OWNER:
STREET ADDRES~ ^ -'"^ ^
\;::,j-'rfY IE:;
CITY:
STATE:
ZIP:
LOTh4
A{D3Sq50~STR~~ oJ
SEcnON:i ,
1&S '-t
f21--{SL 4
ZONING:
LOCATION
&. PROJECT
INFO:
-S -I
5643
SQUARE
FOOTAGE:
SEWER UTILITY WATER UTILITY
PROVIDER: C.A PROVIDER: QA'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT "5 (IF APPUCABLE):
ESTIMATED COST OF CONST UCTION:
(EXCLUDING LAND VALUE) . q 5
- i cDl2 e.-
TAX MAP PARCEL #:
1- 22-DO-25-~IO.OO
PLUMBING CONTRACTOR:} ,
I Ul.tAII ' i~~
r.:r r'1 r I t"V1 . ~\ : ~ I)(vn
Plumber's Indiana State license #: I '"t L'.JVI
(y PI 0 DOn/OJ.
/53
FLOOD ZONE AREA DESIGNATION(S)A _
FOR THIS PROPERTY: f:::; <4-
TYPE OF CONSTRUCTION:
0' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc,l
TYPE OF IMPROVEMEN"T
6' NEW STRUCTURE
o ROOM ADDITION(S,
o PORCH ADDmON(S,
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
, "
._....__1" ..
Whi;!J-plumbing codes will b!e applied to the construction: I
0" International Re5ide~ial Code-w/Ind1anaAmendmentS _~J
o Unifonn Plumbing Code wfIndiana Amendments
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for ,t!'e n~ I I I
construction area) lJ..1\l f'll'-llS H S l) ~
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB (Z("'BASEMENT (WALKOUT:_Y /N)
Early Release
Permit:
Lot Split:
Manufactured
Trusses:
~_N
/Y_N
_Y -'0
_Y-6
Sump Pump:
For Single Family and Two Family dwenings, additions, rem~ s an Q..,.;GR:~e~Btsqi~ is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must t?e JGpYtW ~m!i'fi~{bCcbpii'a~fThkUQr~ 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of thee~atftffi~({Ll1:a ~~~51Ialt ,~xpirat~~ frames for beginning and
&rf-lffiP}<,tJllgCO&ml!i! Oaf COde ,-
I, the undersigned, agree that any construction, reconstructio~ argem~nt;illo~Mf,~~erP#9lHl'aAtAJ~re, or any change in the use of land or structures
requested by this application will comply with, and conform t~] pl@~le l~ ~ tl;1e.State""6/ frfd\a1ia,\llrUla.~rdinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of r.c. 36~7 et seq, General AsitmblY [jflt!hetsJt(9fJA~f("rIfMP~l..4~!j ~.:.ndatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify t1j~~~n$g:uction MlYKJ.lIQlDUtPor occupied until a Certificate of
Occupancyhas been iss ed by the Depanmen of Community Services, Cannel, Indiana~ I\JA
. ~ A-tJ N E., .s.M-EPtl€1?f)
I h 4/07
Date'
Print
OFF CE USE ONLY: ******************************~~******~***************cJ~***:*~***************
INSPECTIONS REQUIRED: FIling Fees... t-;!-.J:.. ~
~~FO~ €wer FOO~ Under Slab Base Inspections: c2 71 : # c~:~~:~s Re-
- Cert. of Occupancy: 7'3. ,) iJ
ugh Meter B se . / J //. 0
p, RJ,F" f.p<... t:t- ()
~$~#:;?S{' ~ Yo
Additional Fees
Reviewed/Approved: Dept. of Community Services
S;PermltsjForms!ILP RESIDENTIAL
(Date)
Fee ReceIved by: