HomeMy WebLinkAbout07050082 Receipts/Permits
ICity of Carmel/Clay Township Permit #: 070fjj~
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:
Nr\~\JCl
ClV""tl::, LLL
PHO~~9_1'6'75
FAX:
8<1 ;)-75:J(P~
ZIP:
'-ILD'd.S
STREET ADDRESS:
LL.lPlo S. 'lSib S,-\, ~L{DO
CITY:
~ is
STATE:
.J....N.
BUILDER'S EMAll ADDRESS:
e\ 12-c.\oe'\\.,s Q c.."'\xx\'-cV>-,c:, \\c.,.
NA~....."oC>r \-\C>VV\<'S LlC.
STREET ADDRESS:
G(;l.J. E.., 1b ~\._ </00
LOT#:
D
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPER1Y:
TYPE OF CONSTRUCTION:
ISl""SINGlE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.l
BEST METHOD OF CONTACT:
eVV\Q.\
PHONE:
94'01' ?'IS-
CITY:
STATE~
J:rV
ZIP:
4l,-;;>SD
\s,
SECTION:
ZONING:
s-
SQUARE t.!'-::l Q Cy
FOOTAGE: --, U I I
c"
,
'\\"
ADDRESS OF CONSTRUc;rrON:
3"d1oC-J W\,;\~
c..T\<- \.0 D
SEWER UTILITY
PROVIOER:
L",,-t
W(~,,"11\c:.\d..-.u ' Lic:-O 'c
, .
, '
:,r-
-\~(~
littI1APPtlA~#i 0 2007 III ;//
PLUM~ING CONTRACTOR:_ ' j l!.3/
W~~ \u"",,\aw",
Plumber's Indiana State License-#:
~ \ O::'CCk;),
NAME OF UTILITY EXCAVATION COr-ITRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND(OR SEPTIC PERMIT #'S (IF APPLICABlE):
-iil
TYPE OF IMPROVEMENT:
rs/' NEW STRUCTURE
o ROOM AODITION(S)
o PORCH AODmON(S)
o DECK AODmON(S)
o REMODEL Which plumbing codes will be applied to the construction:
_ Basement Finish only .
o ACCESSORY BUILDING g/!ntemational Residential Code w/Indiana Amendments
o DETACHED GARAGE ....o<:>N.
o ATTACH EO GARAGE 0 Uniform Plumbing Code W/~,: Amendments
. a..'\FJ 4'"
PROJECT INFORMATION: 0 OEMOLITION FOUNDA ON TY :\((..l1~~that apply for the new
Early Release Manufactured constructio;{l~ "';'\'(\ '1>\\ ~:;_~ll...CJ:..S <>
Permit: Y ./ N Trusses: / Y _N Cj;;J'(~~A8}. GO~'\'U!>T~BEAM_PIER
Lot Split: Y -/ N Sump Pump: Ly _N "'~~~~~,,~o o~. ~LKOUT:_y.LN)
For Single Family and Two Family dwellings. additions, remodels, and/or accesso~~ures,Q .~~' i~ ~X \t construction commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of O~~cy i ,..~~onths of the issuance date. Class 1
structure permits are subject to the General Administrative Rules of the St.ate of Indi~<c..'Q ~7~1\S re~ expiration time frames for beginning and
completing conscrucM.!)....J 0'(
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or lh:;\I\1tlon 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 Sta~ of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, <lnd all Acts amendatory thereto. I further certify that only
kitchen, bath, a 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 n issued b t epar of Community Services., Cannel, Indiana.
S~na of
Date
OFFICE USE ONLY: ******************************~~****** .******* *******~ ~?";**a* * ********* *********
INSPECTIONS REQUIRED: FIling Fees. '::-~2' /(::)
:'~, Base Inspections: J 82 sd
pper Foot'" ~er'foot~ Under Slab 0 c''/ 11
- Cert, of Occupancy: S.::> ' ) v
~gh ~ Final Site / /d
P .R.LF.: /;::1 d (,/ t' Addlnonal Fees 'J.
~~~?A{'71J""N~ u
Fee Recel a by. Date
S -/O-Dj
# Charged Re-
ReViews
Reviewed/Ap roved: Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL