HomeMy WebLinkAbout07080002 Application
City of Carmel/Clay Township Permit #: 07rfRCCDd)
. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX: office
5/7- S<1lj'- 3'1~
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:MAeK.. /::'rT~HfN
STREET ADDRESS:
10150 I,.ifs/o/J ()1l1 vE
BUILDER'S EMAIl ADDRESS:
Mki+c~e"'~I'"d . rr. coM
NAME:
MlK. K,TCHEN
STREET ADDRESS:
10750 WiSroN blllVE
lOT #:
5'-
SUBDIVISION NAME:
I-lE WES/; AlS
CITY:
CU-I'JEL
STATE:
IN
ZIP:
4{,~3Z.
ADDRESS OF CONSTRUCTlON:
107~O WEsroN belVE CAR~f.L. IN
SEWER lfTIlITY WATER UTILITY
PROVIDER: CArI!.I'JEL R.W.~, PROVIDER: CA.eMEL VA,Eoe.
BEST METHOD OF CONTACT:
,--&t"~lj?.'!Jk~
PHONE: '3r;.:t7F/C<7(r"'U FAX"317--5l{g'V3<764-
317.l.o3-bUI c.
/
CITY:
CA~oI-lE.L
STATE:
II'I
ZIP:
4{,032-
SECTION:
ZONING:
i~'"
'i11
4'032.
SQUARE
FOOTAGE:.:t IlO
ESITMATEO COST OF CONSTRumON:
(EXCLUDING LAND VALUE)
,UtS-DO
/1\ I
1- 1" I
NIAii'\\, n i;i In
'I) III \'L'"
TAX MAP PARCEL #: i ',' I
'U \\1 ,--"
17 - /3'--.Q--OO--O --0&8.000
PLUMBING 'CONTRACTOR: I
~/A
Plumber's Indiana State License #:.
NAME OF lJTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(s); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DEsIGNATION(s)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
Jil RESIDENTIAL (For
Additions. Remodels. Etc.l
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
Jil ROOM AODmON(S)
o PORCH ADDmON(S)
o OECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Which plumbing codes will be applied to the construction:
o International Residential Code wjIndiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
I
FOUNDATION TYPE: (Check all that ~~ply for the new
construction area) C,,\\O'" '
o CRAWLSPACC~S"S~&IiOf\. BEAM .JPIER
~ ~C ~ LK S-Y_N)
0..
For Single Family and Two Family dwellings, additions, remodels, and/or accessory st .. sK~\J?i'y,~~!( e ceswithin ISO
days of the date of issuance of the building pennit, and must be completed (Certificat 0 ~ '!.1;Y~. :PIl J:~vJ~'oRq11Wfi issuance date. Class I
structure pennits are subject to the General Administrative Rules of the St.ate of lndian~ee 675 I~ ~~~ er~ time frames for beginni~g and
completmg constructlOn. ~ O~~\. I t>.
I. the undersigned, agree that any construction, reconstruction, en ement, relocation, or alte\!\~ot'!. ~r, fno the use of land or structures
requested by this application will comply with, and conform to, all app 'cable laws of the State oM'Il.liUrOIi e "Zon roinance of Cannel Indiana -1993~ (Z'
289) and amendments, adopted underautho9rY of r.c. 36-7 et seq, Gene 1 Assembly of the Sta()i'\nlHana, and all Acts amendatory thereto. r further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. 19t her certify that the construction will not be used or occupied until a Cera/kate of
Occupancy has been issued by the Dep tment of C mmunity Scf-'i: es, Carmel, Indiana.
1YIad. I ' <.\ Mr1re~ /(rrCHEN ~/, /07
Signature of Owner or Authorized Agent Print Date
Earty Release
Permit:
PROJECT INFORMATION:
Lot Split:
Y VN
Y VN
Manufactured
Trusses:
_Y /N
_Y ./ N
Sump Pump:
INSPECTIONS REQUIRED:
cIeper 'j:o~Lower F:ooting Under Slab
CRough ~ Meter Base (:!inal ~
***********************************************************
j))....., '7/J
/7',2, 5'0
s:S- 5'0
OFFICE USE ONLY: *********
Filing Fees:
# Charged Re-
Reviews
Base Inspections:
Cert, of Occupancy:
~~. 3ft], ~-""-
Fee Received by: Date
~
I
Reviewed/Appr ved: Dept. of Community Services
S:Permits/FotmS/ILP RESIDEtnlAl
-01
(Date)