HomeMy WebLinkAbout07030191 Application
City of Carmel/Clay Township Permit #:oj7() i:?~ I f/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Str~ctures
BUILDER NAME: PHONE: Sil\'i'-\'-i 5'-19'1 F"; It hL\~ ~ "i'.'ll
OF "'Ii I ( ~ri,\r.-i Eo", i lei; ()" CO<:--p
RECORD: STREET ADDRESS: , OTY: STATE: ZIP:
,-\,'-1 G t""l\d le.. t::>t""\v<<:" c.c:v-~ I -=t:n 0..1 G.~ ~ -
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT: ~jl 25€hWX:J7
..:s ....... i \ \ -er- ~ ",,', \I "" r-i" 'r>+ \:,v, ;Id II)" c.or-f'. COrn p~ Or.- eln"l j I
PROPERTY NAME: ~HONE: FAX:
OWNER: Bob ... ::r- e. <.l " DLI"1e..
STREET ADDRESS: CITY: STATE: ZIP:
\ 1,::l.O ",-/', I'\d p.o', "'+1<:- PQ <':>.:3 Go.rl'n€.-I -::C-n '-/G>O~
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
8< PROJECT ""il "" I (\ cI f> 0 ~ ,,+ e..
INFO: ADDRESS OF CONSTRUdN: C. "J'"rN6 \ SQUARE
I\.,~C """-r> f>O^\("~ P"ISS '-\ "()~ FOOTAGE: ;b'!)
SEWER UTIliTY WATER UTIUTY I ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (EXCLUDING LAND V~~Ul'L___jS..,O,OO_ '" '
~ ~ - -- ,
NAME OF UTILITY EXCAVATION CONTRAO'OR; PLAN COMMISSION / BZA / BPW DOCKET ;.f'j\j u:;:~~ (:~'-~~ !:.~-l :.: " ,._.~ 1:--\'\!
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE): i ,i j I j-- .. ..-'.--.--.---.--1 i I \! i
,
FlOOD ZONE AREA DESIGNATION(S) TAX MAP PARcELr..:\ I II II
FOR THIS PROPERTY: 111\, MAR 27 2007 II
, olll j~1
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRA
':3< SINGLE FA~~Y 0 NEW STRUCTURE
TOWN HO LEA ED
Ceil
S FOR eolllijr('~Ql'fiGlN;) Plumber's Indiana State License...
o TWO FAMlelJbject to comPlia~wlffi~~S)- roe:vv F'rOr-+ po.-.::.\-' coll.4"nn.s ~ R 00+ ."...,
# of units being of State and p, ~ mON(S) ex ,,,,,4.. "" Four.,.! ,,4. r ''''' .. "" 1'1.
construc;t.e.d aUhrs t::fC'ft. Wh' h I b' cod' 'II be I' d to th str ct' ,
time: LJEPT OF COMMUNITY Iiase7t\l,l(i;!ii@shonly IC pum 109 eswl apple econ u Ion: I
o RES~~E~IJbr<~ ~8 M E L ft ll',!;J:~~V~i\11UrG 0 International Residential Code w/lndiana Amendments
Additions. Remo els. c.) Ii'! U !g~gTT:CHED GARAGE 0 Uniform Plumbing Code w/lndiana Amendments
PROJECT INFORMATION: 0 DEMOUTION t! FOUNDATION TYPE: (Check all that apply for the new
j construction area)
Early Release Manufactured
Permit: _Y -d Trusses: _Y _N 0 POST& BEAM_PIER
Lot Split: _Y _N Sump Pump: _Y _N
o CRAWLSPACE
~ SLAB
o BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance ~f the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time &ames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the 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 sa. ry wer. I further certify that the construction will not be used or occupied until a Certificate of
Dee ey has been . d ~y the Depar ent of nity Services, Carmel, Indiana.
c.""'111i"l",", .....r-..~h+ ~\~l.IIOI
Print Date
OFFICE USE ONLY: ******************************~~******.*************** B**'I(j*******************
.' INSPECTIONS REQUIRED: Filing Fees. . ~
EXIST/W&. . Base Inspections: '1.::> 0
Upper Footmg Lower Footmg Under Slab ~3 ---0
~ Cert. of Occupancy: 5 ':)
Rough In Meter Base ~ Site
# Charged Re-
ReViews
~-J.'7.01
ept of CommuniIy Services. (Date)
Additional Fees
70
Date