HomeMy WebLinkAbout07060031 Application
City of Carmel/Clay Township Permit#: 0700dX~(
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:
SEWER lJTllTIY
PROVIDER:
NAME: PHONE:
!JfL,ou ~u~ 601t,.~ ;r..c. 111-~S--'1C><15'
FAX:
3il-~S--?-\6
STREET ADDRESS:
&,..<)8?, Ci2k(<:.~' iJ:;(,OO
BUILDER'S EMAIl ADDRESS:
S'M~h/2ve. uY6fv/l.I:>v;{J~j(;,t~""-
NAME:
M~~i)tJ :: MAr..> /..U..
STREET ADDRESS:
9i"'1- th abwe..
LOT #:
IlfB
SUBDIVISION NAME:
Mo,J~~ ~ MA-(,J
ADDRESS OF CONSTRUCTION:
'76 F\,o~r'~ .s;--,
C f\ (Z.wI {;L
WATER lJTILITY
PROVIDER: CA,fl.-WI1C''-
CITY:
r>J,.I.j;,JA;I'''L.-IS
STATE:
';i,J
ZIP:
bZ$'-
-r7l?2-
PHONE:
FAX:
$'tiw M tJb.v<.--
CITY:
STATE:
ZIP:
{ SE
DII VI,:i(A
ZONING:
fv ().
1,1"2- ~
ON:
OA-t-M;:;L--, r rJ
t{~z?'2-
SQUARE
fOOTAGE:
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERM '5 (IF PP CAB
f,V1~ Q<(AvATV'1(
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
.Il?" TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
'}vp.]t2 u'l<"VAl5~
TYPE OF IMPROVEMENT:
iJ( NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
f?- +./G P"'''''' e 1"4-
Plumber's Indiana State License #:
(J~ggoo /:35"
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release Manufactured \..
Permit: _Y ~ N Trusses: ~Y _N 0 CRAWLSP~\O~ POST&_BEAM_PIER
Lot Split: _Y Js:::N Sump Pump: _Y -kN to r:O? ~~l~~u\l/fl~NT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, ani:!l.i:n:i\~R\~est4.~e~.!. ~1fbl.t,i.li2.nstruction commences within 180
days of the date of issuance of the building permit, and must be co~p!~ied (Ce~,~ec@fd~R:vl~~e~~~1inbfJms of the issuance da~e. ~lass I
structure pennits are subject to the General Administrative Rules of the State o.~WtUAl!:\I!l)'re~diJw~W time frames for begmmng and
- oo~\il;1o, ,M;';;:'';', I CLA'< ,U\,,/I""'" ,
I, the undersigned, agree that any construction, reconstruction, enla~ger.nen~lo~F.n(]AQMJerl-tI a sI~ture, or any change in the use of land or structures
requested by this application will comply with, and conform to, aU ap,PJicGkUa"tvs'dr the State of ,W~RalO,e ~Zoning Ordinance of Carmel Indiana - 1993" (Z-
289) and amendments, adopted under authority of LC. 36,7 et seq, General Assembly of the State ot indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certifica.te of
Occupancy, as been sued by the Depar nt of Community Services, Cannel, Indiana.
, \ru ; VJ... '';cm M. Iv\ih ~
Signature of Ow or Authorized Agent
PROJECT INFORMATION:
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED' Filing Fees: -5 ? i ' ;zp)
~r Foot~ Lower Footing nder Slab Base Inspections: '^- Vi ,~~
Cert. of Occupancy:
~9h In ~er Bas0 Final Site re:;(,
9/7. ~
Print
S;Permlts!formS/ILP RESIDENTIAL
~
Date
# Charged Re-
ReViews
eceived by:
Additional. Fees