HomeMy WebLinkAbout07050046 Application
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City of Carmel/Clay Township Permit #: o 70 6 (X)I-/(p
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 UTIUTY \
PROVIDER: t Oc
NAME: Je.~F fec.lY-~DY)
STREET ADDRESS:
I V
BUILDER'S EMAIL ADDRESS:
\..lel=i='. "Pea.. Son 6) Ii 11
NAME:
J41~ ?~so,u
PHONE: 733- 072/
STATE: r N
FAX:
CITY wed/1e.lcj
ZIP:4
BEST METHOD OF CONTACT:
elWllL,
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM AODITION(S)
o PORCH ADDmON(S)
o ...-DECK ADDITION(S)
(!( REMODEL
V"'Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
Sump Pump:
Y VN
Y """"'-N
STREET ADDRESS:
130"37 AOf#/w:r
LOT #:
fJJ.-VD.
3
SUBDIVISION NAME:
'5HfJ...!3ovrW{.
PHONE:
FAX:
317 -733 -on..\
CITY:
u.)~~/eI.-D
STATE:
IIJ
ZIP:
,<f"bo 7"1-
SEmON:
ZONING:
€s nrTlS
+Fr"eld
SQUARE '
FOOTAGE:CJ,350
ADDRESS OF CONSTRUCTION:
13031 t\iy d 8111
WATER UTlUTY . .
\DlOn<;;:hW PROVIDER CAr-rnel-U\1ldi
FLOOD ZONE AREA DESlGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
M'" RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Y vN
Y VN
C'
Upper Footing Lower Footing Under Slab
E;h~ Meter Base CFi:a1 ~
..J..-N 4
074-
ESTIMATED COST OF CONSTRUCTION: ~
(EXCLUDING LANO VAL~E)-u~----::-.;$~~9;,OPP ,
, \'1 Lr~. I,' /. ;.:.:-:~ lJ \/ L:-.
, r-----u------- 'I
: ,1/1 iil
TAX MAP PARCE~:F\! I ':, I!I
Iii ili MAY - 7 2007 ,,' i/i
ILJI
i
NAME OF lITILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
Early Release
Permit:
Lot Split:
';1 Iii
PLUMBING CONTRACTOR: L_____
I
Sha h-al"\ . TNC-.
Plumber's Indiana state License #:
~P~IO(p44lq
Which plumbing codes will be applied to the construction:.
o International Residential Code w!Indiana Amendments
o Uniform Plumbing Code w!Indiana Amendments
FOUNDATION TYPE: (Check all that apPI,~.r foor, the new
construction area) ... "\ ~~
o CRAWLSPACE 0 ~~BEAM _PIER
o SLAB Gl"E r~KoUT:_Y ...-- N )
For Single Family and Two Family dwellings, additions, remodels. and/or accessory structures, th~' s pe . . - i construction commences within 180
days of the da~e of issu~ce of the building pennit: and ~ust be completed (Certifi~ate of Occup , . ,e' ',t In 18 .mo~ths ,of the issuance da~e. ~lass I
structure penmts are subject to the General Administrative Rules of the State of IndIana (See 675 I,C , dmg eXplratIon tune frames for. begmrung 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 - 1993n (Z-
289) and amendments, adopted under authority of l.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 Certihcate of
Occupancy has been issued by the Deparnnent of Community Setvices, Carmel, Indiana.
Si~2:";;;<A""'';;''A.ent P'i~t# ft".,eSa.<J
U-t-V ", UD7
.
Date
OFFICEUSEONLY:******************************~*****************************~*O*****************
INSPECTIONS REQUIRED: FIling Fees: / 3 ~'
Base Inspections: 11,) , (J ()
Cert, of Occupancy: " <;<5 '\.t<J
# Charged Re-
Reviews
Additional Fees
P,R.I.F.:
('7~pJ~d 30)'
Fee Received by; ,
ept. of Community Services
S:PermitsjFormS/ILP RESIDENTIAL
(Date)
GO
Date