HomeMy WebLinkAbout07050064 Application
City of Carmel/Clay Township Permit #:.t21..O...5Jl.Q
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
NAME
Smith Brother's Builders
STREET ADDRESS
5202 S.Hardinr Street
BUILDER'S EMAIL ADDRESS
PHONE
788-0369
CITY
Indr.ls.
FAX
782-4522
STATE ZIP
In. 46217
BEST METHOD OF CONTACT':
Judv Racklev 431 3794 (cell)
LOCATION
8< PROJECT
INFO:
NAME
Chris Koch
STREET ADDRESS
4477 Haven Court
LOT # SUBDIVISION NAME
7 Woodhaven
PHONE
250-4906
FAX
none
PROPERTY
OWNER:
CITY
Zionsville
STATE
ZIP
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
IXJ DITACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
In. 46077
S~~ON ~t! S I
-,=>, '1-:--.-..-'=.."'- /,~-- o4.SQUARE
, r- \ fpo, T,-A.,G...E:/ ..~i:;0'
; \ I '-._. .'....r, ., ~..;
~ _; 'I. -. _'_ - -..' ~I L.... , '
ESTlMATED coS}; Qf,l~9NSTRUCTION:------=-i II' ,
(EXCLUDING LA~Pr\'r~E) $18, 150.0.0 :!:
/U III MAY - 9 2007 IIUJI
PLUMBING CO~TRACTO~,4 j
Plumber's Indiana State License #:
I
ADDRESS OF CONSTRUCTION
~'lffiUTY
PROVIDER:
4477 Haven Court
I~TER:UllLfTY
I PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACfOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABlE):
TYPE OF CONSTRUCTION:
f;<J SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
j FOUNDATION TYPE: (Check all that apply for the new
~~elj,s~ _Y _N ~r~~~~~~ured -x--Y _N construction area)
. . /. 0 CRAWLSPACE
Lot Split: _ Y ..LLN !i.~If~p,um~ _ Y ~N 4iI SLAB
Does any part of the property lie within a sp'.kial Flood designation area: _ Y..;;;..-N
PO EAM
~
(;V#~OlJr:
For Single Family and Two Family dwellings. additions, remodels, and/or accessor>:,srructures, this Kn ~n:~~~c;t commences
within 180 days of the date of issuance of the building permit, and must be completed (Certific ~l b' ~a '. "'~ months of the
issuance date. Class I structure permits arc subject to the General Administrative Rules of t~.~~'!P9 ~*~~g",ding expiration
timeframeSfOrbCginningandCOmrle~in. ~~e.0 f;;~.'~
I, the undersigned, agree that any construction, reconstruction, enlargement, rdocatioh'( r~ 9i.~~~f}ttt~ 0 <Cb~ange in the use of land or
structures requested by this application will comply with, and conform to, aU applicabl~ ~~"Yf;eQ\Re . . "a d t~~oning Ordinance of Carmel
Indiana - I99]~ (2-289) and amendments, adopted under authority of LC. 36~7 et seq, Ge~'r Assem f t iJ't.);a. and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitaf)':"SG~-..q~U('t, ce~at the construction will nor be
used 0 'upiedunt" tj{jc;w: {Occun c.yhasbec issuedbytheDepartmcntof~ ~{~~crviccs,Carmcl,lndiana. .-- J.
-~ ~". J/ ~
/ Ju I"~ ., ~ )-
Print Date ~
Y_N
OFFICE USE ONLY: **********t***~*t)******
INSPECTIONS REQUIRED: fl{)o
fPper Foo~ Lower Foo~ng ~ab1'
QOU9h~~~al ~
*******************!******~******************
i1ingFees: /38'. ()
I
Base Inspections: 02 '30 00
S ~ )'0
# Charged Re-
ReViews
Cert. of Occupancy:
5' - 14--
ReviewedjAp oved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
'~;1~79~ ;;;00""_
Fee Received by: