HomeMy WebLinkAbout07080034 Application
City of Carmel/Clay Township Permit #: 07 OB 0034-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
;.,.
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
t:> 8.r>-'-I=
D~.LLc....
STREET ADDRESS:
bi.o (p it b "( S-\::; &* l(S::;
LOCATION
& PROJECT
INFO:
LOT #:
&D
SUBDIVISION NAME:
PHONE:
FAX:
- ~(.,:?
SECT10N:
ZONIN.G:
SQUARE i::..'~ Ll Cl
FOOTAGE: -....) I \ 1
ADDRESS OF CONSTRUCTION:
31G .-
C:.-'K\'>'::' '9
SEWER UTIlITY
PROVIDER:
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) ?j:) ()C(:)
.j\:::M i\"'" 610CDDQ J ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT ,'S (IF APPUCABLE):
FOUNDATION TYPE: (Check all that apply for the new
construction area) ~
o CRAWLSPACE 0 ..~~M _PIER
o SLAB ~:'e\~J'r'~~,*'gUT: y 7N)
For Single Family and Two FamilydweIlings, additions, remodels, and/or accessory structures, this per~jGQ~ oe}Y'!P~ I~~'l~.~ 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occu~a.ijl~~dl~EIllii'~~.t.b.1i:dbhE is ate. Class I
structure permits ar.e subject to the General Administr~tive Rules of the St.ate of lndian~ (se~~F~~~di~~' ~h ~~~ s for beginning and
completmgconstructlo~~,,": C\ \0 c;".:3-\e ",!,\ .', \ ~
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altera~~ stre\~e We n~~C~e use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of ii?Jiana, an . a rmel Indiana ~ 1991''' (Z'
2~9) and amendments, adopted under authority of r.c. 36~7 et seq, General Assem.bly of the State of In..2.~~ al~~ ~ t . ereto. .r further .c:ttify that only
kItchen, bath, and floor drams are connected to the sanitary sewer. I further certify that the const~~ot1:)e used,*~ccupled until a Certificate of
cy been issu d by t e Department of Co unity Services, ~armeI, Indiana. , . C\ \ ,. -
Co 9}o'\:)/
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE
F CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_YVN
_y-V
Lot Split:
TYPE OF IMPROVEMENT:
~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:
~_N
..:LY _N
Sump Pump:
Sign
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
\)0'\\....,-1;"2. \>\""''---''\)'V'b
Plumber's Indiana State License #:
\> \11 ~D-;) '7
Wh~IUmbing codes ~i11 be applied to the construction:
rn International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
c.RAJ~ "t1\se:~ 8-10-07
ReviewedjApprov : Dept. of Community Services (Date)
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ,97f 9;!
oi'i: in<] J _. Base Inspections: .;;J J 7 J 0
~per Foot~ ower Footmg Under Slab -" ~O
~nh .oJ Cert. of Occupancy: --> J- .)
~ Site )I,A'
P.R.I.F.: /' c.L LJ VI
~~
S;PermltsfFormsfILP RESIDENTIAL
Fee Received by:
# Charged Re-
ReViews
Additional Fees
Date