HomeMy WebLinkAbout07050251 Application
City of Carmel/Clay Township Permit #: 07D5Dd.!21
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
,
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME H PHONE yr (, - ( 2 ,J (J FAX
RECORD: P'l6 -
STREET ADDR~~ !Pi Vt 1< If?X:' -j STATE
cZi- A/ " (/. Z. V6
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
1M ID,
PROPERTY NAME PHONE FAX
OWNER:
STREET ADDRESS cm STATE ZIP
48 !i~~-~:::&-;-, ~~ J ~'~~~I
IIL.))r=_2' ~u ':j '~g~~~~\lll/ u /
I < Ii) !? (-0
.. ESTl~~mq COS1,Qf\CONfT~U~ III}.I ' "0
(o<~~e/. (Ex~LpD'rfLAr-fflV'A\.u~ 2fr!o Qd <.1-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET 0'"11- I r I
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE). q~
TYPE OF CONSTRUCTION: F IMPROVEMENT: PLUMBING CONTRA OR: ~~'>),'4t
c::vS"INGLEFAMILY NEW STRUCTURE 1:,^- I Ct/i{..-" e~~
o TOWN HOME 0 ROOM ADDITION(S) Plum'ber's Indiana State qtense #: ~ ~
o TWO FAMILY D. PORCH ADDITION(S) //{ -. ,-~I'>
# of units; ,/ V )-'1 0 'J /. I
o REMODEL
o MULTI -FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction: I
# of Units: ~ ./ ,
O 0 DETACHED GARAGE I!.YIntemationa' ReSide~tia' Code w/lndiana Amendments
RESIDENTIAL (For 0 ATTACHED GARAGE ' '
Additions, Remodels, Etc.) 0 DEMOUTlON 0 Uniform Plumbing Code w/lndia~mendments I
(Multi-Family Construction Code.l~\O <Eo
PROJECT INFORMATION: ~0~,\fi#!f.' I
Early Release Manufactured. /' . N FOUNDATION TY!; , ~that '!I1ply for th1e new
Permit: _ Y _N Trusses: '--"Y construction are~ G ~'{\ ~~ p1f.':) 1?
--< 0 C~ll(~'C~C'<3"'\~{Q~., .
o ~ R\\~ 6\-0(,
't.~ ~ (,o~~ ~f.' ~~ ~ LKOUT: Y.........-rii
LOCATION
&. PROJECT
INFO:
LOT #
66
SUBDIVISION NAM~ /
~ r~"-"
j:d --I
ADDRESS OF CONSTRUCTION
SEWER UTIUTY
PROVIDER:
CI j( UL>
Lot Split: _ Y _N Sump Pump: N
Does any part of the property lie within a special Flood designatio
For Single Family and Two Family dwellings, additions, remodels. and/or access~~~tJte~lG er~ ~~~ly if construction commences
within ISO days of the date of issuance of the building permit, and must be cornP1~~led GJl~~~~lj~"t~\~ issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative R t~!.tl! of Inch'i1ta (See 675 lAC 12) regarding expiration
time fcarnes for beginning and camplerJ ~n' uc~i9n,'
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, c()~ration 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 LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendat~:lIY
thereto. I 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 DC pled until a ertilicate of Occupancy has been Issued by t~partment of Community SerVices, Carmel, Indiana
~ f;/(. L ?~rJ(6 r-J/~07
51g PrintV' Date
OFFICEUSEONLY:***********************************************~*!*~*********************
Filing Fees: '2 ,r. cf 0
~N~PECTIO~ REQUIRED: _ >. [Jr]. . <'()
- ,,:_~ . ,_~ Base Inspections: cz:: ~ ".1
~r Foo~~wer Footi~ Under Slab ~
-. ~n.;j ~ Cert, of Occupancy: 5 ')". $V
~U9h 19 ~rBase~ Site P.R.I.F.: /.;1....6 /.0 Additional Fees
~54~:5~'o
# Charged Re-
Reviews
C'("7Li~/'1I~ (0-1-01
ReviewedjAppr ect: Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL