HomeMy WebLinkAbout07060297 Application
\ City of Carmel/Clay Township Permit #: 07(Jv,r-:{){17
f.... 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:
N~
, ot-l\.J
STREET ADDRESS:
~ tlS
FAX:
813 -k,
CITY: SlATE: ZIp.
2(~\lIu..e ..-oj, b~ .
1,.-... ___
BEST METHOD OR I CONTAcr"r' i7'~,' n ';:-,\ .::-.-. --~q
I! I) L!..,," \,0'7 I:;:; , \,': c-: -; :'
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!lr)1 FAX'
f UE~-':'_
"_ PHONE:
'-.) . ~C\\ olJ e \ \::W.L <.:(("]: u c. ESf:) - f.,z Z-
W~~T
BUILDER'S EMAIL ADDRESS:
18h.
NAME:
STREET ADDRESS,
~
SAfv\-:-
SUBDIVISION NAME:
Jt-!,:::LoO\JI2.t-.\G
ADDRESS OF CONSTRUCTION:
vo\-.\Tf"LL
lOT #:
SEWER UTlUTY
PROVIDER:
WATER lJT1LITY
PROVIDER, tAt.M c:: L
o
PHONE:
I,;
iii I.
I'lL/I;
,~,
I
I
I
CITY:
S
QN'
ZONING:
LiST.
--
~L
SQUARE . _ l?1
FOOTAGE, 554.2 f-'
ESTIMATED COST OF CONSfRUcnON:
(EXCLUDING LAND VALUE) ~ /
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE), 6J..A 4.\.S
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~GLE 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:
For Single Family and Two Family dwellings, additions, remodels, and/or accessCR'~~ttQ ~. iS~i ~\\b.0~~~9:Pn. commences within 180
days of the da~e of issuance of the building pe~t: and ~ust be completed (Cern.~~'of O~~~a ~~.hS .of the issuance da~e. ~lass I
structure pernuts are subject to the General Adrrumstranve.Rules of the State of ~~i5(S?~\313.W ~ lra..u~~es for be~g and
~ -.............wrnpletingconstruction.01 t ,11\ \N\ St:. .....L1'a
t, the undersigned, agree that any construction, reconstruction, enlargerri t, relocatio~~~f~l'"e,"t:rr'.a.f\y ~g'fe'lt#~O:ClM:d or structures
requested by this application will comply with,.abd conform to, all applicab laws of thU~ at rticj~j, ~RAE+~inance of Cannel Indiana - 1993n (Z~
289) and amendments, adopted underauthor'cY of r.c. 36~7 et seq, General A embly ()frr\dtAM:'\l~~ a s ndatory thereto. I further certify that only
kitchen, bath, and floor drains are connecte to the sanitary sewer. I further c rtify ~onstruction wi sed or occupied until a Certificate of
Occupancy has been issued by the Dep ent of ol,llffiurnty Services~' C el, Indiana.
L--
/ I
/
Lot Split:
.,
_Y 1N
_ Y ...-1f
**~*********************~*t*~********************
FIling Fees: -). .0
Base Inspections: :J J/? <0
Cert. of Occupan y: S 5. '50
G. 10
x
TYPE OF IMPROVEMENT:
0"'"'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
Manufactured
Trusses:
Sump Pump:
_Yv;;'
0"_N
Site
6CO.().)
TAX MAP PARCEL #:
25.6/- Do
PLUMBING CONTRACTOR:
~ML. E- >..SM tn-\- q,.,G
.
Plumber's Indiana State License #:
\ 'O( 11'1
Whic~bing codes will be applied to the construction:
l0'"Intemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0
o SLAB ~BASE
POST & _ BEAM PIER
:\"\'OWUT:_Y ~)
M S-6.e~f\L-
~
Dare
# Charged Re-
ReVIews
- 3 -0'7
(Date)
Fee Received by:
Additional Fees
H~d:)C;(~~
.
Date