HomeMy WebLinkAbout07080124 Application
City of Carmel/Clay Township Permit #: 07Obb/dJ~
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAfION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER'S EMAlL ADDRESS BEST METHOD OF CONTACT:
Z".7;l @ .e.TKLe//V,cPJe/ktpte.5 ~ COtYl
NAME, / _" ". _ PHONE
.:Yreve <i cS" y:.,4~t:./I ~LL.>A7.<1V
STREET~RES ~- j//d># U.<.l2J,e: &~eL
LOT # ~ SUBDIVISION NAME
~ $" A-NC/ A-
AODRE.SSOFC~NSTRUCTlON ///7tJ E:;/;I//Vc/A-
WATER UTIUTY IS; _ N
PROVIDER: iU~(.L
Manufactured \ ,
_Y _N Trusses: _Y ~N
"V X Y _N 0 CRAWLSPACE 0 ~,O ' BEAM
Lot Split: _Y ~N Sump Pump: 0 SLAB ~ T
Does any part of the property lie within a specia od designation area: Y S ' ,e9WAf,' lIT: Y iN
For Single Family and Two Family dWellingS"~' "s, and/or acces_"o~ ~'o~~\' \'jlIi<i%,1.,ll(. ~(9iZ~ction commences
within 180 days of the date of issuance ~ e Ot, and must be~~~~atT\ ~:~VBmonths of the
issuance date. Class I structure pe' .' the General Administraa of ~~ ee~-e~~.regarding expiration
~ I me frames for beginning and clS'mp etin~}p.s . r.\Y'- '<
I, the undersigned, agre .' on, reconstruction, enlargement, rdOCatiOJ;l..K1ldi;imiO.?.li~~Ih!" 0 any change in the use of land or
strucntres requested by . s . on will comply with, and conform to, all appli~~wAQi: t\3PtID: " the "Zoning Ordinance of Carmel
Indiana - 1993" (Z; 289 'enclmems, adopted under authority of I.C 36-7 et seg,.~^ssembly 0 tate of Indiana, and all Acts amendatory
thereto. I fu I at 0 kitehen, bath, and floor drains are connected to ~anitary sewer. I further certify that the construction will not be
used or occu ie u a 1 teofOccupancyhas been issued by th _ e~Z~~ty s2?@el.ln7~~? t!J y
Signature of OWn r 0 Authorized Agent Print Date '
OFFICEUSEONLY:**************************~******************1~~~***~******************
Filing Fees: L1,:) . /,?
INSPECTIONS REQUIRED:~~ d K) -;> ~/,
~ ~ ' . r ::::----""'" Base Inspections: /J ~ r J v # Charged Re-
~per Foo~ ower Footi ~nder ~ _<;, ::;-0 ReVlews
~ ~ CertofOccupancy: O.
Rough In M al P R Additional Fees
" .LF.:
~_~"~;tf?
BUILDER of
RECORD:
NAMEk?_ j. Z k /// $-
STREET ADDRESS 1/, ,,/
/;;2 ~cS ~Q}I'L.:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SEWER UTIUTY
PROVIDER:
NAME OF UTIUTY EXCAVATION COI'ITRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
.-e- RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
-8 REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
-'
CR.6.ly HI~~l<' <i$'-ll- 01
Reviewed/Approved: Dept. of Community Services (Date)
S:Pef"mlts/FormsjILP RESIDENTIAL
FAX8t;!&.-7/7Z-
~3G
FAX
.?/h :3 ~IP
SECTION ZONING: ~ L t,)
11
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er'
PLUMBING CONTRA
i~i I
Plumber's Indiana State License #:
8\008/00
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
;cJ Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)