HomeMy WebLinkAbout07020171 Application
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City of Carmel/Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA11ION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME: i i!\ (Y1 0() & s t A l2- t0rnE:-5-
STREET ADDOq: So~ f1e~ . 5+(1, B
PHON!:;:
317
FAX:
317 - eq(p- lIP '3
ZIP: L/i.J074
aQb-IJAI.?
I e, (c~
BEST METHOD,OF CONTACT:
CkiW:' (3lil;;. .
CJS-O)I'"f
ONE: i i i.j/ I
~BOVE7 l/r}Jl
CITY: /LI fJ/ 8 2 "A200'7 ; i ; j,:ZIP:
! '---. . i ..
SUBDIVISION NAME: I' . i C I L____ SEcnON:_~ d2i'J<Nf
Viii or \.tJe.51 ft --.....__. 00 cJ... ~I'-.j;
ADDRESS OF CONSTRumON: -______ SQU,{RE 11.., 5
\"3 '3&, 3 te.r rn str-eet -FOotAGE: 1.01-
SEWER lJTI WATER lJTI~ b 00,0 I 0
PROVIDER: PROVIDER: L; fv, D f /
NAME OF lJTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE): W I ~ l-s ~ V1'I-77'o t7
BUILDER'S EMAIl ADDRESS:
LA e or; ,>"let
PROPERTY
OWNER:
NAME:
~Am'E-
-s
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
LOT #:
107
TYPE OF CONSTRUCTI
'M SINGLEFAMILY
5 TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions.. Remodels. Etc.)
~ NEW STRUCTURE
o R.OOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o R.EMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATION: AAoI 0 DEMOLITION
Early Release X '1,!!9'" Manufactured V
Permit: _Y _N Trusses: --L:J....Y _N
Lot Split: _v IN Sump Pump: .$..v _N
enY:
STATE:
-IN
, FAX:
ESTIMATED COST OF CONSTRUCTION;
(EXCLUDING LAND VALUE) 7<1
o
TAX MAP PARCEL #:
- 01- ;;)8-00 -55 - 0;).9.000
PLUMBING CONTRACTOR:
r;luJ~~ Yn~~~te License #:
~ A~II lMv\~
Which plumbing codes will be applied to the construction:
~
o International Residential Code w/lndiana Amendments
~ Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB ~ BASEMENT (WALKOUT: Y YN )
, ~'.'l"
For Single Family an.d Two Family dw~ll~gs, additions, remodels, and/or accesso,! structures, this pennit is valiA~ . c i ....~o~:,within 180
days of the date of Issuance of the buddmg permit, and must be completed (Certificate of ~~fs..~ ~lrt....l... ~ms3>>l\~~~~ce ~ate. Class I
structure permits are subject to the General Administrative Rules of the St,ate of Indian~ (St\t\D~:rl: \"crii~Xplrat1or~~~fs for be,gi~ing and
compIetmg constructwn. SUblect . te and 1-oca ",t::.I"\\fICE;;:.
I, the undersigned, agree that any construction, reconstruction,_~nlargement, relocation, or alteration of a str&\:t5?~?dr Wf,~llg~~ use bfJ~Ifq*?H!~es
requested by this application will comply with, ancLconf~ allappij~able laws of the State of In;!!~h~~f.~~~di"di1'ra~ro OkV.1'lf1fj)"kR1i~1tfl'I~~'3,; (Z'
289) and amendments, adopted under authonty,.ofLC 36-7 et seq, General-Assembly of the State of~a~arlt1' <iJ..l~A9aJ:di.y\.I.rel-e\o. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I furthe'\. ertify that the con~~ ~ se 9I\\'~~1hfl until a Certificate of
ancyhas been issued by the Dep~ent of Communiry Services, C eI, Indiana. \..1\" \ .U\
- ') / 1;' ~ II.;; hi J/irfl€5 ';;),;}(pjo7
Signature of Owner or Au orized Agent prin Date ' ,
,
OFFICE USE ONLY: *********** "'-';;;;*c1*1**'("**********~***************~**** *'(;;*0*****************
INSPECTIONS REQUIRED: Y Filing Fees. ) '/'
... Base Inspections: ;;Z'11 , 0
pper Footlng/ Lo er_Eootlng Under Slab - ........11
~ Cert. of Occupancy: ..s J. ..;> U
Fin:~ ;.R.I.F.: . /261. rJr) AddilionalFees
~\<.i MtSGf2.- ~ 6-0f L.IL/,.A~TA7J ~$,;zfo{ 60
"dfApproved: Dept. of Community Services (Date) ~~~
:.,mS/ILP RESIDENTIAL F R ' d b
ee ecelve y:
# Charged Re-
Reviews
Date