HomeMy WebLinkAbout07050268 Application
City of Carmel/Clay Township Permit #: 07050Ci).f[)g
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, I!r. Two Family: New Structures, Additions, Remodels, I!r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
I!r. PROJECT
INFO:
NA~..-\oO"- \-\o"",,-C5 \..LL
STREET ADDRESS:
\,""\,~ -.'1 Seth
8UILDE~'S EMAIl ADDRESS:, \ ~
~ \l ~c.~ \-""-SU)Cl..-u:.N- \.,,<>'VVtSl
NA~""\oD'i"' \k
STREET ADDRESS:
lolDl"
LOT #:
(,
.$-4Ci::J
LLL
. s~ "2>-1 _'i* 1..j.~o
SUBDIVISION NAME:
-c"\.'(.K
PHON~ t...{d - \ ~I S"
FAX:
'8'-/'d .<ldL.~
01Y:
-::r=-",
STATE:
ZIP:
{.>;;)$D
ts.
BEST METHOD OF CONT4.CT:
. C'o"" e.-C\.I
PHONE:
~Yd- -i ~IS
FAX:
.~a6~
cm:
"I
ZIP:
k-
Lib
ZONING:
s.-
ADDRESS OF CONSTRUCTION:
L"~
C:T~W9
c.: --\-\0.
Cc \.(k;~al-~:tJ-
~v-~
SEWER lITlLITY
PROVIDER:
WATER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE):
MAY 3 1 2007
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE F CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
-y Lr
_Y~N
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
"
PLUMBING CO :
\l)' \\ vV\O:L ~\u ""-\o\~
Plumber's Indiana State License #:
\>\D3cx:d;
Whi~mbing codes will be applied to the construction:
gIntemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
Sump Pump:
o POST & _ BEAM _PIER
;J;~~ALKOUT: Y N )
For Single Family and Two Family dwellings. additions, remodels, and/or accessory C~. rinQ>ba:htakGdIdeSly if construction commences within 180
days of the date of issuance of the building pennit, and must be complet~~~9l'{:r;o~l\.meH' ;m~\~~~Of the issuance date. class I
structure permits are subject to the General Administrative Rules of the sM~ Ihd'tida (~~'t5' IA'C1 .rJ~~d1H e?,p'.it~5"'n "tune frames for beginning and
comp@liii'(o@fU<@ARMEL / LAY T vvNSHIP
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteratioMn"f,Pf\.r,4\e, 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 IncAh)l~~1\€"Zonmg 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 amendatory thereto. I further certify that only
kitchen, bath, and floor drai are co eeted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dc ancy has n issue b he artment of Co unity Services, Cannel, ndiana.
Sign ure of
5-Jo-tY
Date
OFFICE USE ONLY: ****** *** ** * ************ *** * * *************************************************** *
INSPECTIONS REQUIRED: Filing Fees: ~//J, 70
F t L F t" Base Inspections: c-.J <f'7. SO
pper 00 In ower 00 In -'
s-S-: :)1)
J;( 6 / pO Additional Fees
, ~~f/~! 0
Cert. of Occupancy:
# Charged Re-
ReViews
C~~ hl~ t-,-'5-01
Reviewed/Appc ved: Dept. of Community Services (Date)
~S:Pe.mi~/F<mn'/ILP RESIOENllAL
Fee Received by:
Date