HomeMy WebLinkAbout07030150 Application
\ City of Carmel/Clay Township permit#:D?6?JJ/fi50
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:
NAME: PUGl!:;
159DOss:f\l Lj
575 -Jq
l/0P'oP
FAX:
d00
PULIE .
BEST METHOD OF CONTACT:
; _ Y11 E I-IAtL-
NAME:
PHONE:
FAX:
STREET ADDRESS:
CITY:
ZIP:
STATE:
ZONIN~' -J..
SQUARE r, I (A/
FOOTAGE:..n '-T (\0
AjDl'fO:.rl:UCTl013/2A LOS
CAf-MC-L
ESTIMATED COST DF CONSTRU, ON:
(EXCLUDING LAND VALUE) I Cj g' I -
A -lJJJp&{2JoR.. EJ(
*070301+2-
NAME OF umLITY EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
F~~~~~~~p~~~:G:O~S!, n ~-r;'Ir~:i':-~"'i
i,l \\tl__.'.\.J}I~='1 \j '"-.,..,1; \~,
TYPE OF CONSIRUCTION:::-'--'-TYPE OFIIMPROVEMENT:
~NGJEli~JILY ~~ ~RUCTURE
o TOW~ ff'O!\1E , MAR 2 1 20070 ! ~OO":IADDITION(S)
o TWO F,AMILY gJPORCH ADDITION(S)
# c1L~nl~ being 0 DEczKjADDITION(S)
constructed'at'this REMODEL
ti~: Basement Finish only
o RESIDEN:rJAL,(For. '''-B-A€CESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
TAX MAP PARCEL #: '1 2S 0' f.... /l
- I D- 2-u-Ci) - - "T'..L-.'U
PLUMBING CONTRACTOR:
H1\1v1 tvt <I-- .:s.D-AJ51
Plumber's Indiana State License #:
cY-.1 ODD () J 0 I
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
_Y _<.4'
_y~4
Manufactured
Trusses:
Sump Pump:
~OUNDATION TYPE: (Check all that apply for the new
,.truction area) PuLLUI\l F f /IJ
o CRAWLSPACE 0 POST & BEAM ---,-PIER
o SLAB Ikr'BASEMENT (WALKOUT:_Y vN)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
~_N
./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 of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class 1
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
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 sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been iss ed by the Department of Community Services, Carmel, Indiana.
\J[)A-tJ Ai (:; S~HFPHFPlJ
EUSEONLY:*************************************************************~******************
INSPECTIONS REQUIRED: Filing Fees:.. '31- :5%
~ B I ct ' /~ 7 -\i # Charged Re-
~pper F~ <!Ower F~ Under Slab ase nspe Ions. f7" / ' Reviews
___./ Cert, of Occupancy: S3, :)0
~ ~Ba__ ~ ~ !.J-r;/ 0'0 Add;"o"al Fees
~- P.R.!.F.:
\~ 3'-?S</7 I), ~ /~c:2'5'&t. F
'~lP RESIDEN':t. of Community Services (Dale) ~l,;i~~~~~ttt2#~ ,") ~~~ID
3/2LJ /07
.
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