HomeMy WebLinkAbout07010181 Application
City of Carmel! Clay Township Permit #: 070 t 0 (~ I
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:
NAME: PHONE:
8{tvt& t;UN<;"jYl.A Wil--btws,r}.>C. 3t1~91..r- v<(S"
STREET ADDRESS:
g~6':: t/2-Ale. <;.y. .tJ;.lDO
STATE:
T,.J
FAX:
:1/7 -S4.5.- - ZII:./
ZIP:
*,29>
BUILDER'S EMAIL ADDRESS:
<jivl ~kev
BEST METHOD OF CONTACT:
~w
FAX:
3i7-sif- Z/t.(
WATER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCTION:
<;,;/
CA{U.1G.....
t'A(l.~L-
CITY:
:r.un/A.vlJ'ot.--1<:>
; lev.;. c.......
NAME:
PHONE:
'3/1-S-4,-"'!rAS:
- S"7 a-z.
ZIP:
~2S-o
ZONING:
Pub
f\1 01->0...1 1 MA'.J uc...
STREET ADDRESS:
~1&'3
LOT #: {~.b
CITY:
STATE:
T,J
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) f /70 eO!J
I
NAME OF lfTILTIY EXCAVATION CONTRACTOR; PLANCOMMIssION/BZA/BPWDOCKET .....i~ e)(CI\I/>\:TI,u<1 fub (?:e7.u..s- Do(.,~
NUMBERS; TAC DATE(s); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE): Op A.()~ :Jr o 1(O/bo>{.. I> '-\-0'1 c>o:'>Sz..
FLOODZONEAREADEsIGNATION(s) ..., __ .\-;::; "\/" wo.., 5~ TAXMAPPARCEL#: ',-o<} '-2S--02-0~'-''''.U>'
FOR THIS PROPERTY: ~,... '"" l<. () 0 D 15 ~ If.. - otl- 'Z5 -oz.-03 -uz.(-
TYPE OF CONSTRUCTION: TYPE OF IMPR EMENT:?.a. 170 PLUMBING CONTRACTOR:
o SINGLEFAMILY Js[ NEW STRUCTURE f2..1 fl PwtVll} l'u~
~TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana State License #:
o TWO FAMILY 0 PORCH ADDmON(S)
# of units being 0 DECK ADDmON(S) C. p~OO I ~ 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 DEMOUTION
SEWER UTIlITY
PROVIDER:
sr. -d:./O()
tfl-A(
APC>~-l~
SUBDIVISION NAME:
M O~6,j 4 filM..J
SECTION:
.. ,,- pA. ..
'~""'DI~.J,
~~
CA.e..tl~t- J:".u
fb 1- '3 z...
'0
DO
Which plumbing codes will be applied to the construction:
~ International Residential Code wi Indiana Amendments
o Uniform Plumbing Code wflndiana Amendments
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
Lot Split:
Y-\-N
Y ~N
Manufactured
Trusses:
Sump Pump:
kY_N
_YkN
o CRAWLSPACE 0 POST & _ BEAM _PIER
~ SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences within 180
days of the date of issuance of the building permit, 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
I, the undersigned, agree that any construction, reconstruction, enlarg~~.e~~~J~~t~~hange in the use of land or structures
requested by this application will comply with, and conform to, all appltBBlt1i"Df1ll1all~iU~l~fOidinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of I.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 Certificate of
Oeeupaneyh en i"u by tke Depit~ent f5Conununity semees, Carmel, Indiana,
1\ . fIlA Jt:.--- ")lorr ~. 1\1 os;;tf1;IL t/ 2. ~ I" 1
.zed Agent Print Date I
OFFICE USE ONLY: *********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 6 I ~. OJ,
. Base Inspections: '7 1- 'Z ;;) ()
oot,ng Lower Foot,n Under Slab r 3 .r/\
~ Cert. of Occupancy: v c..JU
,1;\eter Base Final Site ' I
"-- P.lU.r.: / Jfln?il~ ?~~ Additional Fees
-7./1-07 ;"'---dJAl;.~ f'/f/3. e!()
Revlewed/Ap oved: Dept. of Community Services (Date) ~
S;PerrnltsjFormS/IlP RESIDENTIAL Fee Received by:
# Charged Re-
ReVIews
Date