HomeMy WebLinkAbout07050118 Application
-"'--City of Carmell Clay Township Permit #: 07 o60ll~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX f - Lf363
GI-, INZlP: Ltho"3"3
71& - 3'f3Cf
FAX: j ;3 -11'5
/tJ ifho3z.
BUILDER
OF
RECORD:
NAME: /v1f'rG-N eR. kSS oCI A-m Gf(DIAP :r;r.J C
STREET ADDRESS: /157-/ #/tVfi( S-n tI<.. (4JM
Sf ATE:
LOCATION LDT #~ SUBDIVISION NAME:, J'v.J~ (1 SEcnON: ZONING:
& PROJECT"' vn fJz:- 0
IN FO: ADDRESS OF CONSfRUcn'CAufLGi-- ~1r7tF ~ ~f W-' ~gg~~~E: / '7.;tO
~~~fo~~LITY (J/)l(l1 (h!G-, ~:6~I~~LITY OIJiM~5l.-- ~~~~:~Gc~Do:A~~~rrR~cnoN:;,t,~ f1CX:>O, ~
, , ,1___. l. ' ,
, 'J'I'__'._:'---'~:\\\\\i
,cd! Ii, Ii
TAX Mf''i''ARCEL #M A Y 1 4 Z007 Ii 'Ll II
Iii III \ .J
PLU~NG CO~~COO 'f ~t&dt<<.
Plumber's Indiana State License #: Ai) f11
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
'Hof'./E'
'733-00&'1
UJ-f2Mt/CTE:
, r-r-, CoM
NAME OF UTILITY EXCAVATION CONTRACfOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDjOR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
\or' SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
. / time:
'!zj RESIOENTlAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o pECK ADDmON(S)
"" REMI)&EL
~Basement Finish only
o ACCESSORY BUILDING
o DETACH EO GARAGE
o ATTACHED GARAGE
o OEMOLITION
Which plumbing codes will be applied to the construction:
o International Residential Code wjlndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
Sump Pump:
o CRAWLSPACE
o
o POST &
BEAM _PIER
_Y_N
_Y_N
SLAB
For Smgle Fanuly and Two Family dwellings, addrtlOlls, remodels. and/or accessory st~ IS. la 0 lY, ogw . nces WIthin 180
days of the date of Issuance of the bmldmg pemut, and must be completed (Certifica(~I~)d.9tirtp:j<Wil:~ yel W~hj 0 the Issuance date Class I
structure pennits are subject to the General AdnunIstratJ.ve Rules of the State of Indlanr(Se'l67S WSr~fi.S~c,ijhg.~a~ e fr~~ begmnmg and
completmgconstructlon (1 /lllt\.\\TY SERVllll:.t:i
I, th ndersigned, agree that any construction, reconstruction, enlargement, relocation, or al~~~fQ;'fiu~QJ\~tl~r\rCha~g~ ll1 t4e~,~p-uctures
uest by thiS apphcatlon WIll comply WIth, and conform to, all applicable laws of the St~e..1 ~ ~~ .~\Qg;:QlolM o~ tsd~e'i1~ran'a -1993" (Z~
9) and endments opted under authonry of Ie 36-7 et seq, General Assembly of the lUl rY.!lna':ig al HlflK~lPry thereto r further certify that only
tchen, b th, and f1 or d re connected to the samtary sewer I further certify that the construction Wlll not ~~il'62cupled until a Certihcate of
u been s edb eDe artmentolcommUnitysemc~A\ttDana L. MA-G-tJ"W- 6/1'1-101-
Print Da~ I
OFFICEUSEONLY:***********************************************************~or******************
INSPECTIONS REQUIRED: Filing Fees: ! 3 f'. I
" . Base Inspections: / J. ('. t)(J # Charged Re-
Upper Footing Lower Footing Under Slab ( " Reviews
~ ,.+~) Cert. of Occupancy: 5.s-- SZJ
<Rouqh I~ Meter Base ~al S~
P.R.I.F.: Additional Fees
JPTAL: ;/30;:' dO' ,
;J~ u UJ%i<;'r-' 5j~'l-