HomeMy WebLinkAbout07010193 Application
City of Carmel/Clay Township Permit #: 0 7D {O J'13
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
PHONE:
..3i7 5&,q. 3:)3'-
.,JI;AX~ I j' 1071
orATEj
-:LA
OTY:
:57F 2/)0 ~DPLS
ZIP:
Vt.z(, 0
WFSTCLAy'
'S,eFcT
BUILDER'S EMAIL ADDRESS:
+-mun' 1-1- @ be.te,l.cr. corn
NAME:
8EAZ.k:~ ;.tOM.~
STREET ADDRESS:
9010.7 AI MEI!../Dll'rrJ rSk SOD
LOT #: SUBDIVISION NAME:
I/DO VI L (AGE OF
ADDRESS O~QNSTRU910N'fJ '/I
d' <-- 3 If Lc (J(T
SEWER lJTILITY
PROVIDER: C TR.. W
WATER UTILITY
PROVIDER: CAt' "'1 E L
BEST METHOD OF CONTACT:
PHONE:
FAX: .
3/71'/j'- 7cJ7/
CITY:
I "-fDf't.5
STATE:
-r.;J
ZIP:
</(...2(..0
ZONING::5 I
~g~~E: d- UbI
SEcrION:
(; 00 i
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) , .Ie p.3 GOD
NAME OF tJITLTIY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
D:K.
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON: . .e'f"TYPE OF IMPROVEM:-ENT:...
o SINGLE FAMILY" I'- f'#- ^' )g NEW STRUcTURE
g TOWN HOME \J IV T" 0 ROOM ADDITION(S)
TW~ :::n~~ being Ll~ M g ~~~~~g~~~~)S)
constructed at this ~\ 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.1 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
w' AT'SO /'../ C) 0
JAN 2 6 2007
TAX MAP PARCEL #:
./]
PLUMBING CONTRACTOR:
tAI?-L C,f-AY 4' SOAi.5
Plumber's Indiana State License #:
/05909
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana.Amendments
)i Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
Manufactured construction area) ..I'
YY 7,VNN Trusses: ,/ Y _N 0 CRAWLSPACE 0 POST&~~O\"',"PIER
V ~ '\....1 \ I',J .', "on~
Lot Split: Sump Pump: -/ Y _N ~. SLAB 0 B ~~~air<:J~\J\~~N )
For Single Family and Two Familydwdlings, additions, remodels, andJor access orystructures, .'. . sv~. .~~~i\~~~~~~~s.~~, lJiO
days of the date of issuance of the building pennit, and must be completed (Certificate of Occup~~~ . . w~h:trrs\q!\~~~ ,~~"$Jr\\\r'
structure pennits are subject to the General AdmilUstrative Rules of the St.ate of Indian~ (See 675 l~r1) reg g~~~~'fh\t,e' ',fi~~K~mtimg and
completmgconstrucnon. '"t",.Of \.J . <C\:"! GV""~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation. or alteration of a ~r~; or ~Pf~~~~ u\t}lf.-Jand or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, ~i\W~iI'lg'Ol?ina\lf$.'PJ~}tmffindiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 36~ 7 et seq, General Assembly of the State of India~ bll':;(c~ts ameridatory, tfjeteto. 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
Decu cy has been issued by t e Department of Community Services, Carmel, Indiana.
/ ----rrA MEt.. fi T -r
Early Release
Permit:
PROJECT INFORMATION:
OFFICEUSEONLY:*****************************************************~~************************
FT F Ln, 10
INSPECTIONS REQUIRED: ling ees: _ '-::::
~,....;;::: -:::::1 . ,Base Inspections: -7'7'2 S ~ # Charged Re.
~per FO~!i-ng Lower Footing nder S ab r7 ' SO ReViews
. . . ,. Cert.of.Occupancy: 53.
~~Ough ~~ter B~ Final Site /.:2 GI. () 0
" P,R.I.F.: _'_ __
" ' ' .
"" hls9 ,.. 1- ~I-01
'led: Dept. of Community Services (Date)
J> RESIOEI'ffiAL
Print
I ;J..f 07
Date
Additional Fees
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