HomeMy WebLinkAbout07010197 Application
\
(
\. ...
" '1!.Q!A~.~'/
City of Carmel/Clay Township Permit #: 0 70 1014-7
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:
BUILDER'S EMAIL ADDRESS:
+fY\e.rr. H @ bCQ<-.e-r. Com
NP;~fllE e I-Io/VI E5 ,317 5~9 3331
rJ:2~~ADDi:r /VJE-<-If)/lItJ .5n:: dO) CITY: D i5
LOT #: SUB IVISION NAME: 1 ^ f. , /
/ / D J IIAG[ oF" vvESTCU-17
EA 1EK J-Iolv} E5
tj:/;;lDD;r';1E~/D/flJ :5rE doo
.3dH5&9 3531 ...317 F~jp. 701(
I:;TE:
CITY:
:IA1bPL5
<1&.2 {, 0
BEST METHOD OF CONTACT:
FAX:
SI? PI p. ,/01
r:r
VI..:2 (, c)
y
ZONING: S I
SE7;CoI
ADDRESS OF CONSTRurnON: ') I
. txl<7/D
A/eDTT STR.RT
SQUARE
FOOTAGE: ,;2 cj /,(0
SEWER UTIUTY rl
PROVIDER: L T iZ. vi j)
WATER UTIliTY
PROVIDER: C-A R- Nt cL
ESTIMATED COST OF CONSTRUCTION;: / ..., 5' --,,1'\ ' ,
(EXCLUDING lAND VALUE) , ~ L>-J i I
\ I ,I i L
N 2 6 2007 i iJI)'
6 l) 2V.:;dl
rl
b./L W ftr,$o
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUtfTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: (:#,TYPE OF IMPROVEMENT:
o SINGLEFAMILY ,- ~ (; Illf NEW STRUCTURE
'~ TOWN HOME ~ \'x 01:] ROOM ADDITION(S)
tJ TWO FAMILY \}J"~ 0 PORCH ADDmON(S)
# of units being ~'O DECK ADDmON(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions, Remodels. Etc,) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y VN
Y/N
Manufactured
Trusses:
Sump Pump:
'/Y N
/Y=N
,
TAX MAP PARCEL #:
,
"-
PLUMBING CONTRACTOR:
EAI2- L CUi! >- 50tJS
Plumber's Indiana State License #:
/0590'1
,
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check aU that apply for the new
construction area)
o CRAWLSPACE 0 POST &
BEAM _PIER
~E!b!l!A$lEIJI\6~~6jIiRu..c~ )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this ltefimt IS v 0' M~9Pft,QJ~.t.ipp..w.J:W11fnces within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issueJY' 8ih&nd1.SJbflhH.~l1Htle date. dass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 ~Te0fH~~tJli8J~~~~fii:6 and
completing construction. . ff"'i LlV 'Tr'\\hl"IC::~IP
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ~11tiGc.Gi ~~1t~flladd-tfr"sl"rut:Mfe!
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning On1Nl3t~el Indiana - 1993ft (Z'
289) and amendments, adopted under authority of r.c. 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 Cerdh"ca.te of
;:q;Zh~t~e 7artment of Community Services, 7P~I, InM~~( 111 l.) --107
Signature of Owner or Authorized S-- Print Date
OFFICEUSEONLY:******************************~~******~*********************~*******************
INSPECTIONS REQUIRED: FIling Fees. 6:30 - 0
.;:-., Base Inspections' r2 '77. 50 # Charged Re-
~er ~~ Lower Footing ~der Sla~, " Reviews
Cert of Occupancy:
(Roug~ Q1eter ~ (Final Site)
'"--=-' _ "------_.---/ P,R.LF.:
J
c [- t~o
Reviewed/ roved: Dept. of Community Services (Date)
S:Permlt:s,/FonnS/ILP RESIDENTIAL
Additional Fees.
......
Date