HomeMy WebLinkAbout07020059 Application
City of Carmel/Clay Township Permit #: () 702-vfJ5Cf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA'ifION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPllCABLE):
~EtE \~);~AP'P~~i. #.: ;.'l.H ~i.l0\i..tl(J.~' .
ft::. biec V$UflYO;::'" (.)f)1:(J l'J.i:'(!) Y ;:. 00 cJ
. ,,"'. .\\TY ::;~ 'lft-l$H,'~>" ".
ELfl~'f~ '.- ' '\ ~"'!' V,c',,' \'
__,.,.- '.r.... \: '~I_~" ,".\ '\'
n lana S~f4l:!( f' ,."":.;../ '\\ \ ~\
f> C <bIdS / / ;) S-\ \~;;.::'>~ -n \\\0'\
' '1 \ ...,& ~'?Jfd ,.,0
Which plumbing codes will be ~~Pli~f thf:W n: , J\
o International Residenti~I'20~e w/\ndiana Amendments
. . \\ \ \\ \ ,..._~----- -
CZf Umform Plumbing Code w/Indlana.Amendments .__-----
\'-.1 \..-..--- .__......--
, -~
FOUNDATION TYPE: (Check all that apply for the new
construction area) ''--___-.-- '
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB )ia BASEMENT (WALKOUT:_ Y ,/ N )
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIlITY
PROVIDER:
NAMERo!x><'+ C. (h.;llef'
e fo.e/l'\t' r ~ c/U(/L/'su,lk. :e:~
SUBDIVISION NAME: (\ <__":I::)(::;{v'!'17~, 'A ,s'jc:n~N: ~ ZONING;/) _ " 1
.p, =. tJ, 1"--,,-..50/1;5 ~I"'t>\., f\ - ,,<,
ADDRESS OF CONSTRUcrrgr: 4 SQUARE l Ii Ct ,,"/
J 5 <) 3 r~ v( tv.'f. Cc.. r,,< I J tAJ 'f~o S d FOOTAGE: ,0 -, 75
ESTIMATED COST OF CONSTRUCTI~:
(EXCLUDING LAND VALUE) "1 d
NAME: U
STREET AD RESS:
8VO (.
OAts LLe
13" t!: :5-1"
PHONE3/7.q~(;, ';Gd5 FAX: S-gO. '1~7G
c;;, /' lYe f ,flu
BEST METHOD OF CON~7
,7(7 r~ . dO.)..?
ZIP:
7t OJ.,)
PHONE:
S / 7 . :>- .] f). .J9& q
. FAX:
;u Iff
BUILDER'S EMAIl ADDRESS: H- /-:! (
'US!.'", Mo.f-Pe \t:" C?o.O . COf'>'\
CWIV\t(
WATER UTILITY {
PROVIDER: C (;.. r fI'L
ZIP:
L 006,)
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: f.5 /Vot- /;e jv;H S tc.i..1 FfroJZOM
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT:
GI SINGLE FAMILY 4'l NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(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
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
_y1N
_yLN
Manufactured
Trusses: _Y $N
Sump pump: LY _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 Certificate of
O~cyhasbeenissu by eDepartmentofCommUnitySerne~~~P/nel,lnrana, ,A iI. / ~
;.c~ .,.. l..o~ (': Ir/(r ((~ € '6/a~o7
Signature of Owner or Authorized Agent Print .....
# Charged Re-
Reviews
Under Slab
~
P,RJ.F.:
..Jk
.LP RESIDENTIAL
Fee Received b