HomeMy WebLinkAbout07050086 Application
City of Carmel/Clay Township Permit #: {)70 5019&
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:
NAME:Zc-If<.r Con5frv.c.hon /hL.
I
STREET ADDRESS:
Sl/5U \t.JoodFie.JcJ ItJl.tA-j
BUILDER'S EMAIL ADDRESS: I
Fe..... Ze..11 u--S@.$/:'c.j/ObO.-!. h<.1'
NAME: .i PEC-
STREET ADDRESS:
LOT #:
PHONE: ( )\" FAX:
3 n 6lllBI:lfB!"ffI: 'C,,:p(3..a#t'1G~~~E3JN
CITY: U Joe trsrAl1UiphElnc'2- VV)~:'3.ji rGguia~;()m
c..o.n.,<-Ic. . of Stat/f::.hi lOCc.Lft?033
BESTM ~ ,'F.'caritA ~U:/;t,iit..F\!i't:'r ~~,;bi~; .'.....c.::;
qli@f ~~\fit:lRf;;Eh)!G8:~ylll4J.VVNSHI
'1_' I A II II .Ji
PHONE: !i[ili MAY 1 1 2007 Ii II
CITY: : U L\ STATE: ZIPt U
/0
SUBDIVISION NAME: b r-
b VLr ..- DO Ie. r().r /'J'U
'On<-
ADDRESS OF CONSTRUCTION:
SEWER UTILITY '" h.
PROVIOER: c... I K... ltJ .v
SQUARE
FOOTAGE: '15;). ("
DD,00u
/42.'13
o verlo..-uolL D.....nil-
WATER UTlLI'T"h
PROVIOER: L()rhoL.I Uh I.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
I\i' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions, Remodels, Etc,)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_v-4
_V..LN
Y (VhJA,Ulut)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
V VN
A'=N
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
Curl- /'Iu:J (rVuJs jc...VIC<d )
Plumber's Indiana State License #:
/q (.o.::>/oe
Which plumbing codes will be applied to the construction:
0lntemational Residential Code w IIndiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAr PIER
o SLAB ~ BASEMENT (WALKOUT:..:i.V--+N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences witpin 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. qass I
structure permits are subject to 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 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 - 1993" (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_ 1 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 Cercifjca.te of
Occupanc h en issued by the Department of Community Services, Carmel, Indiana.
kQJ-/...~ Zzilu- 5'-11-01-
r or Authorized Agent Print Date
OFFICEUSEONLY:*******************************************************;J************************
INSPECTIONS RE UIRED' Filing Fees: /~/:5 (. 60
Base Inspections: 17":{ tlf) # Charged Re-
ReViews
Cert. of Occupancy: S.r: J 0
/2 {j. 00
~r/S/ P. /0
,
P.R.I.F,:
~ ~'/
Revie..v€d/Approved: ept of Community Services
S:Permits/FormS/ILP RESIDENTIAL
(Date)
Additional Fees
TOTAL:
Fee Received by:
Date