HomeMy WebLinkAbout07050096 Application
City of Carmel/ Clay Township Permit #: 07 f)5 (;)CR ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
OF t> f+/Ji5 I-l- oJU. e 5 311 ')9 !r-- Z- ~ S' '1- 5/r14t=
RECORD: STREET ADDRESS: OTY: $TATE: ZIP:
37S"S E. :? 2IVD S"1, sTe 120 ::r: tJ bJJ t_ /J5 I/V <,It" ~'1()
- -- -- BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
5MlhL-el! (8. DAVIS l+ol-1e5 <:'0,4 3 1 '7 ~9S- 2-8S-Z
PROPERTY NAME: PHONE: FAX:
OWNER: :J A-<J b iv AU bj) S- 2- 2-- ?YFi:J
STREET ADDRESS: OTY: STATE: ZIP:
'3 5ll'o coILS H ^" M CI(JLL-b GIlt1.,,,, J7L-- ;JU yt,o 3"L--
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
& PROJECT 3g L frKE'5 It; 7CJ/.tJVE' ~ D . 2- S--I
INFO: ADDRESS OF CONSTRUCTION; .- 1. . ~ -. SQUARE 'i 9.r- s-
1~4S2-. LOST C f< E {f f< t Ii ItiC U {. FOOTAGE:
I ; --
SEWER lITlUTY WATER UTILITY ESTIMATED COSTI'O~ CONSTRUCTlON:
PROVIDER: C 71{ "'-' () PROVIDER: ctJ/U-1 E i- {EXCLUDING LAND,VACUEF-, 2"9.s~ (JCl (J ,
jii !Ir- . -
NAME OF UTILITY EXCAVATION CONTRACTOR: PLAN COMMISSION I BZA I BPW DOCKET Illjll
NUMBERS: TAC DATE(S): ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE): R.r. M DOI~\M MAY 1 4 ?nm
FlooD ZONEAAEA DESiGNATION(SJI TAX MAP PARCEd It: .
IFdRTHIS PRciPERTY;-- 1\ f) 1.)5 fin, ty':--" 'w 1..\1 , --
I ,
i
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
,
PLUMBING CONTRACTOR:
o NEW5TRUCT~'-- <g~ PAUL- F. 5MlrlJ. Lie
o ROOM ADD ~, ~ Plumber's Indiana State License #:'
o PORCH ADD ~ "7-
o DECK ADDmo~~ 0 ~ iJl ::tt' 101 77'7
o REM~~:;ment F~~~ '6 ~hiCh plumbing codes will be applied to the construction: :
o ACCESSORY BUIL~c() '% % diIntemational Residential Code w/Indiana Amendments
o DETACHED GARAG~ 0 '" ~ ' , , I
o ATTACHED GARJ\~~ ~ ~ y~nlform Plumbmg Code w/Ind.ana Amendments I
o DEMOLITION 7-. ip. ~ .-:: G_ - ~\
I:') _ e- 0 , NDATION TYPE: (Check all that apply fo, the'new
"9: () 1:,. ~ ~ ruetion area)
~Y ~~::>. <6 ~ 1>D CRAWLSPACE
:.t.(IlO---e-
~mpPumpq ~y _N .A ~ ~ ~ <g;} SLAB
I
#/0;-;77
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y~N
_Y~N
Manufactured
Trusses:
o POST &
BEAM PIER
Y~NJ
BASEMENT (WALKOUT:
For Single Family and Two Family dwellings, additions, remodels, and/or access ~~t~re~lCaennit is valid ~nly if construct~S>E...cQmmences within 180
days of the date of issuance of the building pennit, and must be completed (Cer' ~~,9C~~Y1~u~~};~filifp'~~ Il}O~0-,s if_~~ issuance date. qass I
structure pennits are subject to the General Administrative Rules of the State of In ~ef6~ l~12) .!-egarding,exp'irati.Qp.-:t~e ~es for beginnip.g and
completing cons ,iO~'!I, )J~-'---~"--l)1 \\! I
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, 0 alferation,o{ a structure, or any change in th~:use of:land or structur~s
requested by this application will comply with, and conform to, all applicable laws of the State of. ~ndt~~a, and the "Zo,pin~ Omtwwce o(C,arrri~J Indiana - 1993", (Z~
289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State: 9~ If}qi:ma, ~~)f Acts a'll1crtillirl0ry th~I:~to.:! ~ further certify that only
kitchen, bath, anM drains are connected to the sanitary sewer. I further certify that the COi;1~truction will not be used or occupied until a Certificate of
Occupancy has ~t-ssued by the Deparunent of Community Services, Cannel, Indiana. 1 U Li I ~ l~ I
~I.... ;>-<..o-e " j}; -::Sr!>t:..4 c. c./fi-/I--CY -S;Jt/o)
Date
NeVieWe<:!/ADProved: Dept of CDmmu~ty Services
.. Qecmi~IF"m'IILP RESIDENTIAL
Under Slab
# Charged Re-
ReVIews
(Date)
Date