HomeMy WebLinkAbout07080134 Application
City of Carmel/Clay Township Permit #:D?08D) 3Lf.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
DAUl5
H'c>~ E5
PHONE:
FAX:
SI1Nc
ZIP:
<{("2'1o
ZfiS-z..
S1REET ADDRESS:
3"7!:5 E. 8'2 j..)1) Sf.
CITY: STATE:
S7tf". 12.0, ::r:AJI}/JPt..S', J /J
BEST METHOD OF CONTAcr:
BUILDER'S EMAIl ADDRESS:
M((,.(..1:01l.
L)15 (+0M t3:S' ':"C-,l..1
FAX:
PROPERTY
OWNER:
NAME:
C/J.f}2 4-IJIDif./-
1E5C.O 7:
STREET ADDRESS:
HI ,\l/e/..j0l-ItS bR.
ADDRESS OF CONSTRUCTION:
13L/gs P.OCK c-tU'e/!. D~lue
WATI'RUTILITY O?Ofi'OI ~ /
PROVIDER: ,-I!/ /.I /-f fj' '-
LOCATION
& PROJECT
INFO:
LOT #:
5'1
SEWER UTILITY
PROVIDER: <::.. '1l~ hi I)
SUBDIVISION NAME:
Alo<;ES
R-T
OWilJb
PHONE:
31" 5t...t. 0713
cm:
l.t) l?'5I 1=-1 If L
STATE: ZIP:
ItJ. L{ C.07
f<.OAD
SECTION:
2-
ZONING:
SQUARE
FOOTAGE:
'-/953
ESTIMATED COST OF CONSTamON:
(EXCLUDING LAND VALUE) h' 3 2. 7, t> 00.
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
R, \. ~CJC))~-
TAX MAP PARCEL #: D
-# 070gOJ.3/:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TY~PE OF CONSTRUCTION:
SINGLE FAMILY
"0 OWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o OECK ADOmON(S)
o REMOOEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACH EO GARAGE
o OEMOLITION
PLUMBING CONTRACTO
N\VL C Si-\l
Plumber's Indiana State Li
Ie:>! "!
AUG f It 2007
-1
#:
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)
Early Release Manufactured v "-
Permit: _Y _N Trusses: ~Y ~N 0 CRAWLSPACE 0 POST&_ BEAfi_PIER
Lot Split: _Y _N Sump Pump: _Y XN 9(' SLAB 0 BASEMENT (WALKOUT:_"~N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid o~i '~~'n~fHiP.nen~ 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issue_t9_~~Gl6'~tHs. qf~lik~umpe.. I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) ~~ir\2:~at~an~Jp~&.~; g and
. completing construction. ,s:..\X co~'.:<:l)~\"\:'\ ~O
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration~~f&lrf,>o~~n ,us"eN'bnM or structures
requested by this application will comply with, and conform to, all applicable laws of the State of India~~~Jie ~~;;?~;.m ce qf~'k&"l-lndiana -1993~ (z-
289) and amendments, adopted under authority of I.e. 36-7 et seq, General Assembly of the State of lnd~';;:~ and aU ~ :R4a~~{N:urther certify that only
kitchen, bath and floor drains are connected to the sanitary sewer. I further certify that the construction ~l?-1tt ~ ~~~~\I ~htil a Certificate of
Occupancy been. ued by the Deparunent of Community Services, Carmel, Indiana. ~-;("{. O~ \: ~ / . f
p ~,~GfA.Jr' - i) '-l lYe- ;.;. C(p I AJ[J..'c;Y , .' 8/1'1/ tY)
~~ ~ ~~ ~
OFFICEUSEONlY:***************************************************~*****************************
F'I' F . {)07 70
INSPECTIONS REQUIRED: ling ees. oj l'; . .:/ - '
~ _ ~. Base Inspections: ~-;7 ,,0 # Charged Re.
\..:pper Foot.n Lower Footing nde _' Reviews
_ _' ~ Celt, of Occupancy: ~ S. <)0
~ Meter Base Final /) /( 01', .,
~ P.R.I.F.:?-'{;7'f- ~ (/ Additional Fees
C'RAJ61:t/<~ '6-15~o7 TOTAL:' ~SO 3, ~O
Reviewed/Approved: ept. of Community Services (Date) 8 1
S:Permits/FormS/ILP RESIDENTIAL