HomeMy WebLinkAbout07030172 Application
BUILDER of
RECORD:
Permit #: 07 (J3{)/7~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
NAME 5<.077 1:1lC$ 'IK-II PHONE FAX
6a/Lrb/U) 'eAL E~r,<rllf /1t,er;.tE u C- Sd'/-:'-3S~
Sf'1 - S.39 <;
PROPERTY
OWNER:
STREET ADDRESS
::12€>(" e. r(,-6 sr.
BUILDER'S EMAlL ADDRESS
~ tJ y' @. ;t)al.. .c"t'Y!
NAME
6 "r;L>R
STREET ADDRESS
~ ~2>~ C.
CITY
IAfDPI...:5 .
STATE
.IN.
BEST METHOD OF CONTACT:
E- 11111/'-
ZIP
1'(.,,2 t(~
PHONE
U. C.
SIII-S3SS-
FAX
..581-5399
CITY STATE
-r/Vb 'L5 -r;N
-;:> -r:' I Dr. SECTION
/crlL Ire r .s. 3/c./. _ J
I n{.{ I k.'"IIL L<'1\.
ZIP
lIo
SEWER UTILITY
PROVIDER: C/.}R 1'1 E '-
LOT # SUBDMSION NAME
I~
DRESS OF CONSTRUCTION . lit; 7
ZONING:
tA?F
SQUARE
FOOTAGE: /'1 J.J~
LOCATION
8< PROJECT
INFO:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN_~~
NUMBERS; TAC DATE(S); AND/OR COU EU~~C
n . B
\'~~ii;n
E OF ON . c =0 corn? la,(\ ,"'IE P~~81T:
o SINGLE FA~~\e 01 s\a\B af1 WI~\ >k~~\P
o TOWN HOME 1'1 Of COWl i~M'.zd)i)mON(S)
o TWO FAMIL'1O'C f cP,Jo,WI'CL N'1QRCH ADDmON(S)
# of umtsr-\I'f 0 \N REMODEL
]gl MULTI-FAMIrY .. 0 ACCESSORY BUILDING
# of Units: <I 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON
DOCKET
IF APPUCABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) SD i:>OtJ
'S-rATC~ '3?.-'t 011
EL
00
PLUMBING CONTRACTOR:
Rc...r PL/.u'1'IB/rJ&
Plumber's Indiana State License #:
{" V Ie (j () () (') () (p
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indlana Amendments
ll[ Unlfonn Plumbing Code w/lndiana Amendments
(MUlti-Family COnstruction COde)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
Trusses: Ly _N construction area)
o CRAWLSPACE
Lot Split: _Y LN Sump Pump: _Y -XN ~ SLAB
Does any part of the property lie within a special Flood designation area: _Y ~N
_YXN
o POST & BEAM
o BASEMENT
WALKour:_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 I structure permits are subject [0 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
strucrures 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
:l. occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~ ~~l ScoT! /(r<./;SPAC.p 3-.21-07
Signature of OWner or A orized Agent Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees: / ~,'17. LJ 0
CTIONS REQUIRED: / - 00
. Base Inspections: Le () () , # Charged Re-
Lower Footing Under Slab //J LJ ~ 0 Reviews
Cert. of Occupancy: C~ . 7 ' u
P.R.I.F.: ?rr::...l!; I)~ 72,' c{. Additional Fees
-rpTAL: ::iP 1) 2.,'1/ . 00
~JJA 11, t: I 1/ a/Lo(
Fee Received by: 3/;z 1 / CJ 7
!:, - J-7-0
Approved: Dept. of COmmunity Services (Dale)
s{IlP RESIDENTIAL