HomeMy WebLinkAbout07060133 Application
City of Carmel/Clay Township permit#:070~135
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME.:
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STREET ADDRESS: .
1."(,,,L,,lP E- ,'f'Si:h ~ ,#-Yotl
PHONE:
SY d ' \ <;$'7'5
FAX: ~
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NAME:'
~,\"e.~c<-"e.. t\:'""",es
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
CITY:
~ \S
STATE:
=0
ZIP:
L/ (, 'd"SD
BEST METHOD OF CQNTACT:
e\Ml:\..
BUILDER'S EMAIl ADDRESS: ,
d{'<'lcc.c\,;\- tUs.\"<....*'<:w-nlL""''''''-'S ,cc.,.."
STREET ADDRESS:
L.\oltl. i2 ,'7s~ 'S\-LlOC"
LOg~
t.."'~
FAX:
5<.'-id'~~
PHONE:
Lf' , \~'7\S'"
CITY:
STATE:
ZIP:
t.I&><;;)5
IS.
:=V
SEmON:
ZON.s~
SQUARE
FOOTAGE:
~\"8
Qo-...--vvd
ADDRESS OF CONSTRUCTlON:
\'~'1lt'5 '\ ''('''ow'''' '--"'''''-It.
~VS'\)
L/GC,?::>'d.,
ESTIMATED COST OF CO, NSTRUcnON: ~C"\ S "-
(EXCLUDING LAJ'D YALUE) , __ - c/.(J ICC>'-'
i "I .. -
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET . " \'. l I "-. ~ . . ,- "",' - .
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): W \ \ ";;DV"\ "I ~J' I" ~ '" Jf:..wf!JC:, '
" l ,II
I' " 1'1 ,"
TAX MAP1PARCEl #: J ','j
/11111 JUN 1 5 2007 Ii ill
PLUMBING CONlTRACrOR: ~ 10/
;jjj:;:: Jml O:,"'''\~Cd
Plumber's Indiana StatlfUcense'#:
'6\ ctotlS L/D
SEWER UTILTIY
PROVIDER:
TYPE OF CONSTRUCTION:
Il>l'" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
ManufacU:lnld
Trusses:iS'C:LE:)\~____N
Sump pu,;;pleCI 1~'1, FO(q CON
; nipt .,
For Single Family and Two Family dwellings, "'~~r{~le~l,..~'iI@t~so(J.j/;ktJ:#.t;J!~, 7fJN.it is valid only if construction commences within 180
days of the da~e of issu~ce of the building p~t~~~~, b~pJr/! ltT'iJ:li~ If'OiMJ, . sued) wi,thin 18 .mo?ths ,of the issuance da~e. ~lass I
structure penruts are subject to the General Admimstrarlve\SJI\~~fJh.e i(l QVJpQ.iaJi:?(5$e 67ml'~) regardmg expIratiOn tnne frames for begmnmg and
'tl\II,!>!.,~~s~~I//""" ~
I, the undersigned, agree that any construction, reconstruction, enlargf.N,M,,r~lbe~r{ll'fI~~trdr1.Q~~ture, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicablY. . the St"a~ ,d the "Zoning Ordmance of Carmel Indiana - 1993" (2-
289) and amendments, adopted under authority of j,e 36-7 et seq, General AS~~of the State of n~d all Acts amendatory thereto. 1 further certify t~at only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc as been iSr)d .by t partment of Community Services" Carmel, Indiana.
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Print
Lot Split:
____v /' N
---- Y ....LN
WATER UTILITY n_ \
PROVIDER: \.....-0-...... ~e..,.
TYPE OF IMPROVEMENT:
IYl"NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
OFFICE USE ONLY: ********* *************** **************************'*.ri:t:*** * ****************** *****
Filing Fees: L..1J.d.)....., ;1 t)
SPECnONS RE UIRED: ,I '/17 ->0
Under Slab Base Inspections: ~ --' -
Cert, of Occupancy: SJ, )'0
"'"" P,R.I:,/ , /2 & i~l
-;/fJ---#; TOTM :/,,&2 0,30
(Date) ~RecC:::~ u'~
S:Permlts/FormsjIlP RESIDENTIAL
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
CRAWLSPACE 0 POST & BEAM PIER
SLAB "lfBASEMENT (WALKOUT:____Y_N)
b -1$ 07
Date "
# Charged Re-
Reviews
Additional Fees
Date