HomeMy WebLinkAbout07080158 Application?'r of Cg9y\ D7?
City of Carmel/Clay Township Permit:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
`.?xmapf--? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: PHONE: FAX:
?GSrRt - G510 9 Z -ayrZ
RECORD: STREET ADDRESS: QTY:
St
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I STATE: ZIP:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
h?Pide¢sR a5rflft)be Pier (,6?-85710
PROPERTY NAME: - PHONE: FAX:
OWNER: STRIOsE
STREET ADDRESS: CITY: STATE: • 1 ZIP:
L#rtVt7?II1?
LOCATION
&PROJECT LOT #: 5UBDIVISION NAME:
A ?sRAPJ0)f, 4A /I SECTION:
I ZONING:
INFO: ADDRESS OF CCeONSTRUCTIOON: _
?U3 612400'1I AW it A. SQUARE
FOOTAGE: 17-
SEWER UTILITY
PROVIDER: Cgkme' I WATER UTILITY / -
PROVIDER: ?}2frl:t I ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) Pia ?p
J
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION/ BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): w??
5/fr `? /}bPl9G?r
FLOOD ZONE AREA DESIGNATION(S) # u7 oll? TAX M 4 -
FOR THIS PROPERTY:
,
TYPE OF CONSTRUCTION:
SINGLE FAMILY
TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
X Permit: _Y N
Lot Split: Y ? N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
O DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: Y N
Sump Pump: ?Y_N
.1 4
PLUMBING GB- R' Z?UI f 8?8 1f /,q
t. /nOGRe @ Sa 4i
Plumber's Indi to License 7s
GPr'3 100
Which plumbing codes?will be applied to the construction:
X International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply f619e new
construction area) ``,??? ik\)??,L1??0
? CRAWLSPACCECt,o V*t_PIER
'ik ? sued} BA5F44 tY'N?
180
For Single Family and Two Family dwellings,additions,remodels, and/or accessorys[ructures, t3s'Y' 'as-
days of the date of issuance of the building permit, and must be completed (Certificate (Occu y rssued)r?hsTi[ UrtgLSpf? a date, Class
[h[ae of Indiana See 675 LAC 12 agGg,. o t ames for beginning and
structure permits are subject to the General Administrative Rules of e S [ s I
completing construction. D7r? ?(??SV'??
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a s ea`br?ad'y ohanuse of land or structures
requested by this application will comply vrit'm and conform to, all applicable laws of the Scam of indlanJ t -r.on" YOrdinarce of Carmel Indiana -1993" (7
239) and amendments, adopte under authority of I.C. 36.7 et sea, General Assembly o" he State of Indiana, and all Ac's amendatory thereto. 1 fu_-cher certify that only
kitchen, bath, NOw n are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occnpaneyhythe Department ofCommunity Services, Carmel, Indiana. 2f e,J signized Agent Print Date
OFFICE USE ONLY: xxxxxxxxx**x***xxx**x**x****xxx*xxxxxxx**xx**xx**x**r * x**xx*xx**x**xxxx*x*xxxx
?'-
INSPECTIONS REQUIRED: Filing Fees: i
Base Inspections: S (/ # Charged Re-
pporfoo ower Foot-h Under Slab Reviews
_ Cert. of Occupancy:
ough In M ter Base Final Site //
P.R.I.F.: Additional Fees
Cam' ( Z Z 07
Reviewed/ApprovLd: Dept, of Community services (Date)
s:PamhslFoonsInP RESIDErCHAL Fee Receh'ed bY: `/ v " I -' Date
/V/ d