HomeMy WebLinkAbout07030014 Application
City of Carmel/Clay Township Permit #: 07o'S)oefl1
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:
SEWER UTILITY
PROVIDER:
FAX:
NAME: PHONE:
G~EG SP-frrH #>SOC-IIITE:i F~C.
CITY:
,c/. CI'MIl CL-L-Yi.:'IA..' .rri.lE ftvl>IVP~S.
BEST METHOD OF CONTACT:
Soc.;t;rrE S. c.c:>P1
PHONE:
NAME:
:.J;;,:r:- -1- blJiVll
C- lit S r t::/:.~
:z 5"r - 7t!J2-5'"
STATE:
:;Z/i/
ZIP:
'1c,:t.:J..O
FAX:
STATE:
.$: IU
ZIP:
t{t.o'J'L
_STREET ADDRESS:
I D (, t>2.. '5 P(21tU C.
CITY:
J'/I{..f.. p.t> Cfl~Ne'L
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
LOT #: SUBDIVISION NAME:
:ih1l1E Jr,
tvO
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
:i- Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
~ ..-.:~;-jl~
.... -- .
L. _. .J
.- =tl- .j._ /..::-:~ SQuA.R~_'Jn.~~--=~>
(,1"1' p....--' ~_FOOTA~/V'
I r ......._'". ~ - .
SECTlON:
ESTIMATED COST OF CONSTJ)UCTION:
(EXCLUDINGLANDVALUE).f' (,,0 I>C'O, C'c:>
-'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'5 (IF APPLICABLE):
F CONSTRUCTI N:
INGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL(For
I Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
~ Manufactured
Y N Trusses:
Y ~ump Pump:
~
_Y_N
Y AN
-~
';1
,
,
TAX MAP PARCEL It:
'I!
.'
MAR - 2 2007
,.Iii
PLUMBING CONTRACTOR: ____________.1 c.~' !
,
~ . k ;1:5' Ll5-Y--+- 5 ('J}....$ _ _____ j
Plumber's Indiana State License #:
Co P if I ~C, '1 JOin
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~niform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o SLAB
o POST &
BEAM _PIER
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if con. . 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) withfQ!' I ' s " e date. Class I
structure pennits are subject to the General Administrative Rules of t~e State of Indiana (See 675 lAC 12) reg, . . ames for beginning and
completing construction.
I, the undersigned, agree that any conmuction, reconstruction. enlargement. relocation. or alteration of a mucturC!y ,nge in th, 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
Occupancy h en iss ed by the Department of Community Seryices, Carmel, Indiana.
. e. i ' .
. '} /;//) ')
b /III
,/ \ i: It c-. 171M.
/ ;,\
OFFICE USE ON L Y: * * * ** * * * * ** * * ** * * * * * * ** * * ** * * j tic *7* * ** * * *** * * ** * ** * g * * * ~~* * ** * * * * * * * ** * * ** * * *
INSPECTIONS REQUIR'~D: /7/y:1 )1' Filing Fees: 1_'3- -> ,
. . l Base Inspections: II/.o (] # Charged Re-
Upper Footing Lower Footing \ Under Slab , "--3 .5tl ReViews
C7- Cert. of Occupancy: ,'J - -
-R..o.ug.n., ~n." Meter Base inal Site
l.. P.R.LF.: Additional Fees
,
~~ HI s.....-I . -7-0
ReviewedlA proved: Dept. of Community Services (Date)
S:PermitsjFOI'TI\sjILP RESIDENTIAL
Date