HomeMy WebLinkAbout07060229 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township Permit #: 0 70002")1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME: PLtl TE: I-{OMw
STREr 5~RESS N rYI ((j I AtJ
BUILDE~'S EMAIL ADDf.ESS: r () (\ 0.
....JQAN NE-, S H EPt-I\:..I'UJ ~
FAX:
;( cJ()b
ZIP:
CL 41003;)-
P BEST METHOD OF CONTACT:
ULrE, CQ)yY) Efn A I G
PHONE:
5..;)350
CITY:
T
NAME:
PHONE:
FAX:
Sf11Y'E,
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOT (505
SUBDIVISION NAME:
N rlDrY\ES AT
LtJ
ZONING:
6 W LFdfoON 3 &,
SQUARE
FOOTAGE:
SEWER UTILITY ESTIMATED COST OF CONSTRUcrrON:
PRDVIDER: / l<)v( Q CAR-A-l f:, G (EXCLUDING LAND VALUE) .$ I?>q.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET t\ /\ (\. P
NUMB~RS; TAC DA~(S); ANDiOR COUNTY WELL ANDiOR SEmc PERMIT #'5 (IF APPUCABLE): t\ - J- ~ CL e-QJOQ. E X~
Ll~Ji T
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
Ii) /.lINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels, Etc.)
TAX MAP PARCEL #:
I - -3b'()3-03-D7&;.()()(J
TYPE OF IMPROVEMENT:
CIVIIIEW STRUCTURE
PLUMBING CONTRACTOR:
H-ArY\ vn "L-S,OtJg, ItJ~
o ROOM ADDITION{S) 'umber's Indiana State License #:
o PORCH AODITION(S) \ oJL (\ n I nli\ (!) I 0 J
o DECKADOITION(S) A,<{" L.:L"'lLl ~
o REMODEL F' , h nich plumbing codes will be applied to the construction:
Basement InIS on. .
o ACCESSORY BUILOING' ~emational Residential Code wi Indiana Amendments
o DETACHED GARAGE " ,
o ATTACHED GARAGE 0 Umform Plumbing Code w/lnd,ana Amendments
o DEMOLITION
_Y ./N
-y~
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
I..---"'Y_N
-y ~
o CRAWLSPACE
CDAAB
BEAM
, PIER
--.--
o POST &
o BASEMENT (WALKOUT:_Y~N)
,
For Single Family and Two Family dwellings. additions, remodels. and/or accessory structures, this permit is valid only if construction commences wi~hin 180
days of the date of Issuance of the buddmg permIt, and must be ~Je:~'!. (~e!tlflcate of Occupancy Issued) WIthin 18 months of the Issuance date Class I
structure penruts are subject to the General Administrative Rules,~~~a (See 675 lAC 12) regardir01\..~TI~~
I, the underSigned, agree that any construction, reconstruction, enlar-;;;;;l3'tlt~=~tgQN.srp~~r:,e~:nge l!t;!lu~fPan~ or s~u'e"l-\.
requested by thiS apphcatlOn will comply WIth, and conform to, all ~ble 1.Q/s$f~~st)J;.~te'oPtildiltith~ij tlie ~di~mance of Carmel Indiana - 1993" (2-
289) and amendments, adopted under authonty of I C 36-7 et se'J.".,cfl.f{<<lrrl"s~l:r9 P5lg~~1a~~ f0~t8JaPij1w..e.tldatory thereto I further certIfy that only
kitchen, bath, and floor drams are connected to the samtary sewil;;/l1fiyt~crfify'tt ,.bflt\,~~~a9.ot be ust!lf{,r occupIed until a Certificate of
Occup c h" been .ssued he Department of Conunuruty semce~~'VI~..ff51-Y.IQERl (J ltJ /;).f) I 0 7
O;,nato",o' ne,o, Autbori,ed A,eot .,Int '~A ~ Date
,
OFFICE USE ONLY: ******************************************** * *******~**,****~******** * **********
F'I' F /' 0 2 DC 0
INSPECTIONS REQUIRED: I mg ees: J, '
CU;;p~g Lower Footing ~~ Base Inspections: c:/ 0' 7 ~~
...--.....~ Cert, of Occupancy: , c;-~- .J
~terBa Final~ P,R.LF,: lex! C;/itJ Additional Fees
~~TOTt' It.;;/3~/. ~~/3-ft7
Fee Received bv: ~ Date
# Charged Re-
ReVIews
S:Permits/FormslILP RESIDENTIAL