HomeMy WebLinkAbout07020061 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit #: CYlfJ .2coCe l
RESIDENTIAL IMPROVEMENT Ifi@CATI0N.PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New SUilctllres, Additio'ns; Rem~dels &'A-;;;:;';ssOly Strllctllres
, - ','.~"'" I Ji''''li,~.1 !l..,'a <<,,"il(! diji j~1n(1! Ik,t;r.
[}ffli;r:;G~&Z~~~~d~f~: . 0; S '7 b
CITY C1;A'/{ TOWNSfZlfP-;
C ~ rtV\.e/ lNOlANA --s.. I'U' Y00 S .)
NAME: U
+OiIJl\ Hdf\\e)
I.J(.A SI
LLC
STREET ADDRESS:
/rC{O E.
BU!LDER'S EMAIL ADDRESS: II~ (
vsf;,,~rP-te TIV'/ Od ' com
BEST METHOD OF CONTACT: / I
e-^~:; IfI1ClNl.
PHONE:
S n . en c; , ;;'0 p.. 3'
7T <f!?DRE~~ S" !1JtJ ( :;:'~ /
LOr : t1 , SUBDIVISION NAME:J:::?tjlY.c.t l \ ~..s:(i)1.:s-
tt ~ lJ' I K,ASO". .hw-..
ADDRESS OF CONSTRU~N:
.)5.J 3 r~4cJe tV.t;,
FAX'
s}1;;' 9 S-9"
ZIP"
q~oJ.,2
NAME: -:)us!.; '" IJ lVIo{,.fe +f
STATE:
:rN
(iArl'>-e /
lOf')lANG:
K-J.-
,J, SQUARE I I ~(
-:rrN '1bO.:$c).. FOOTAGf!'7,) 0 \0
ESTIMATED COST OF CONSTI}jIJCTIO~:
(EXCLUDING LAND VALUE) -fI ;) 10 (JO 0
riio "?-aYCe 1
~CTION:
SEWER UTILITY WATER UTILITY
PROVIDER: C v. r A. e ( PROVIDER: C", r I'V1P (
NAME OF UTILITY EXCAVATION COI'/TRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
F.'\" ( G(C\ c~
FLOOD ZONE AREA DESIGNATION(S) I' I r:I , Ii J TAX P PARCEL #: q II' -
FOR THIS PROPERTY: pot) No} lie wi -/,/...,,,^- 5 e CI~ t"fO<V n~7"J M .4 I C; - / a - Xi - 0 -0,-, oas.
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING C NTRACTOR: ",' \:,<,>~;,,;\\;\
~ SINGLE FAMILY rn'" NEW STRUCTURE R, v' !-{c.. (LV<. f/ur-:-ht/:<q;,:c,;;./ \.\ '0\
o TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana State License#:<',~/ ;\ I \\J \ \
o TWO FAM~L Y . 0 PORCH ADDITION(S) C> /' / 0 "'-11 ~ ,.- '",;../ ' 'l-\\\\I, \ \:/)
# of unIts bemg 0 DECK ADDmON(S) r L- --> "'--.>, . ,-- 'Q'.\
constructed at this 0 REMODEL " ,\' \ ,~./
ti. B t F' . h I Which plumbing codes will be applied to the ruc.tion: ~ ./
me: _ asemen InIS on y \' _-,-.-'\ \ / I //"
o RESIDENTIAL (For 0 ACCESSORY BUILDING 0 International Residential Code,w/Indiana Amendments
Additions. Remodels. Etc.) 0 DETACHED GARAGE f":::7('" \\\ \\, // ///
o ATTACHED GARAGE Y'l Uniform Plumbing Code w/Inshana Amendm/ents
o DEMOUTION \ //
FOUNDA110N TYPE: (Check'all that apply for the new
construction area) ~.....
o
Early Release
Permit:
PROJECTINFORMA110N:
Manufactured
Trusses:
o CRAWLSPACE 0 POST & _ BEAM PIER
o SLAB rsI BASEMENT (WALKOUT:_ Y ,/ N )
Lot Split:
_Y.-XN
_Y-X-N
_y-f>--N
--LY _N
Sump Pump:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, 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, 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
Dce ey has bee i"ued the D r.artment 01 Community service;:;~~anal-}. ;VI d f'..k If- ,}. Ie, /0 7
Print Date
OFFICE USE ONLY: ***************************** ***************************~****~****************
INSPECTIONS REQUIRED: Filing Fees: , ?S / J tOo
B I ct ., 7 r-r ,- # Charged Re-
U F.. L F t' U d SI b ase nspe ,ons: '" "?
pper 00,,1 ower 00 In n er a C3, ,r-7\ ReViews
Cert, of Occupancy: J , ,~
~ ';(bl, 00
Site
P,R.I.F.:
Additional Fees