HomeMy WebLinkAbout07050163 Application
City of Carmel/Clay Township Permit #:_o7050l (p 3
RESIDENTIAL IMPROVEl\tIENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family:
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER lJT1UTY
PROVIDER;
NAME: -r., nO Y
f f'C- l3 viLT
PHONE:
W OcJ D btcld
BUILDER'S EMAIL ADDRESS:
NAME: :JeFF c..LEHBI'jS <l-
e. Rou:; 1.0 ~(,-N E.l2.
'311\-06 H-iu.. D~,
SUBDIVISION NAME:
j)(L
~/r
A/~
PHONE:
ZIP:
%0 ~:3,
SEmON:
ZONI~~:_.~
SQUARE J.I~;J..
FOOTAGE: b-
CA-.ey-nCL,1 --
ESTIMATED coSi Of CONsTRUcnON: ,', ,I
(EXCLUDINGlA~p;YALUE) I 0- 2='~D" t'~,1
rll'jrl'\I! MAY 1 ,ill i;I/,
: 8 2007 ,,,!,
TAX MAP P~ki:EL .: ! I L) ;!
I ---'- '~I
PLUMBING CONTRACTOR:-' -, ~-;j-_-;~
Plumber's Indiana State License #:f
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF IMPROVEMENT:
TYPE OF CONSTRUCTION:
~
o
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
[] RESIDENTIAL (For
Additions. Remodels. Etc.)
o NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH AODITION(S)
,)@l. DECK AODITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION: /' / FOUNDATION TYPE: (Check all that apply for the new
E I R I ~ uf ct d ~construction area) ,&
ar V e ease an a ure
Permit: _ Y _ Trusses: _yo CRAWLSPACE IS::. POST & BEAM _PIER
Lot Split: _Y VN Sump Pump: _Y _ 0 SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction conunences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. class I
structure pennits 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 :.sseq;GeneraJ Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary. sewer. I furth~r certify that the construction will not be used or occupied until a Certificate of
Occup:mcyhas been issued by the Department of co' unity Services, Carmel. Indiana.
~c.. ,J, /j ''1~~ C. Wi?GtVc7L
d .. tI rJ J' P,;n,
nil ,/
OFFICEUSEONLY:*********~*** * *~*tX***~*~*****************************************************
, I ^' v 10il Fl F '
INSPECTIONS REQUIREO!J / ling ees. n./
. . / Base Inspections: J / ,) <5 {J
Upper Footon Lower Footong Under Slab I /1
./~ Cert. of Occupancy: S :), :) U
~inal Site
P.R.I.F.:
5-22-tf7
Signature of Owner or Authorized Age
(Date)
A,I-t
Which plumbing c:odes will be applied to the construction:
o International Residential Code w {Indiana Amendments
o
Uniform Plumbing Code w{Indiana Amendments
---
.r....../7,0,7
Date
# Charged Re-
Reviews
Additional Fees
~
Date
F~e Received by: