HomeMy WebLinkAbout07090081 Application?_ •,, City of Carmel/Clay Township Permit #:077020081
RESIDENTIAL EAFROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
NAM='
PHONE:
/?`i?3Q F
?3'
V
yI y
OF ' C O
RECORD: STREET ADIAR:
f .0
,?p ( CITY: STATE:
Z?onSJt J_n- ZIP:
N1,677
BUILDER'S EMAIL ADDRESS:
?OL
G BEST METHOD OF CONTACT:
co
R( `-
83
UJ
H YVl vi tr ,
yy? 2-,,
:
. Ce
PROPERTY NAME.
Tc,
tmea
?e
} Cr??au ? PHONE:
9 6 - (70 D FAX: /
g l @ -(7 CI
OWNER - h
n
:
STREET ADDRESS:
1 9 CM: STATE:
?(, C -,(,Vi,eI ?v ZIP:
y(0-63 2
LOCATION LOT #: SUBDIVISION NAM : SECTION: ZONING:
PROJECT
&
INFO: ADDRES F ONSTRUCTION:
b w- )4i SQUARE
SEWER UTILITY
PROVIDER: CIS
Y WATER UTILITY
PROVIDER: L r.PrY?t?
oa r ESTIMATED COST OF CONSTRUCTION: /J?(?
(EXCLUDING LAND VALUE r?O OUO V
bb
1
EN&VATI64 CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET _
NAME OF UTILIT
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ?I I f C4lI GHQ( 6 "? C 8 ,
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAX MAP PARCEL x:
'_7 - np-IM r2 az) rE! m
TYPE OF CONSTRUCTION:
gO SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release /
Permit: _Y ! N}
Lot Split ? _Y N
TYPE OF IMPROVEMENT:
W NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECK ADDITION(S)
? REMODEL
Basement Finish only
= ACCESSORY BUILDING
O DETACHED GARAGE
E. ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: Y N
Sump Pump: VYN
PLUMBING CONTRACl,.T`OR SEP 19 2007 U
a A.CUV o
Plumber's India a State Lic se #:
C.?, 890 --
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
® Uniform Plumbing Code w/ Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O
O SLAB 0 B
& _ BEAM -PPIER
(KO(1T:_Y____? N )
For Single Family and Two Family dwellings, additions, remodels, andor accessory structures, t i f?onstmction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of I8 months of the issuance date. Class I
structure peanuts are subject to the General Administrative Rules of the Slate of In i regarding expiration time frames for beginning and
completing cans
1, the undersigned, agree that any construction, reconstrur-ion, enlargement, relocation, or ration of a structure, or any change in the use of land a, structures
requested by this application will comply with, and conform to, all appkable laws of the State of Indiana, and the "Zoning Ordinar,ce of Carmel indiara -199Y (2-
289) and amendments, adopted under authority of I.C. 36-7 et see, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only
kitchen, bath, and flo drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas beep sped by the Depgrtment of ComRtunity Servi s, C nel, Indiana.
OFFICE USE ONLY:
INSPECTIONS REQUIRED: I/d
Up ootm Lower Footi Under Slla'.
Rough In Meter Base =FinalSite
Gv ruj? 9-17-o7
Print 'I I Date
/ Filing Fees:
Charged
l7 Base Inspections: ??7 SG # Review Re-
?Cert. of Occupancy: J S 5?
P.R.I.F.: 64 Additional Fees
0Ye,in l LL q-2t-G7
Reviewed/AP oved: Dept. of Community Services (Date)
S:Pe ,tgFor.O P RESIDEN L