HomeMy WebLinkAbout07100070 ApplicationPermit #: O`71 r?`1O
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
.?Na1PMP`?• For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME PHONE:
?ne c lade L 0 4« -773-1343 FAX:
-773 •. 73"Zl
RECORD: STREET ADDRESS: CITY: STATE:
ZOIUZ _AMEd AlO&ESVILL-C hy, ZIP:
44,mz
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
olir%el^hDrnees a0l, CoM 43Z
-73C-4
PROPERTY
OWNER: "AME: I PHONE:
23)-397 FAX:
-
MEET ADDRESS: I-? CITY: STATE:
I .
j?-e2 t'-, Q21W Flo s I I- LC - ZLP:
4<o077
LOCATION - LOT #. SUBDIVISION NAME: SECTION:
_
1 ZONING:
5 -1
& PROJECT 7-1 E L Al OA LS T
INFO: ADDRESS OFFCONSTRUMON: / // 460741
i
I3L-74 tWI?1 Lem me ry l lw.
16?Z l
SQUARE
FOOTAGE: 01fc07
SEWER UTILITY
PROVIDER n WATER UTILITYrA ESTIMATED COST OF CONSTRUCg'TION:
(EXCLUDING LAND VALUE) " 6
PROVIDER:
0
:
?.l=a
,G0(7IUaL
IL
4TR-
CAeMM L
0 col'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA j BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): pA s rA C J31 11
, EL-
FLOOD ZONE AREA DESIGNATION(S) O`, I O d 6 ?1
-4 1
TAX MAP PARCEL w: U ???
LT L LY
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR UL I 1 1 ZUU/ UI
SINGLE FAMILY NEW STRUCTURE 00 --Q? tpWnlb ( (I 4?7 ?
O TOWN HOME =) ROOM ADDITION(S) Plumber's Indiana State Licr I
O TWO FAMILY O PORCH ADDITION(S) ^a
# of units being ? DECK ADDIrION(S) T? Q1 Z? f_It?
constructed at this ? REMODEL Which plumbing codes will be applied to the construction:
time: _ Basement Finish only
O RESIDENTIAL (For O ACCESSORY BUILDING 211ntemational Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) O DETACHED GARAGE /D Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured construction area)
Permit: _Y -"'-N Trusses: _y _?Nl O CRAWLSPACE O Po5T&_BEAM -PIER
Lot Split: _Y /N Sump Pump: y/Y _N D SLAB ENT (WALKOUT: Y ?N )
For Single Family and Two Family dwellings, additions, remodels, a1:91. rest 'lUSDQidIF'n??yl constructon touunences within 180
?,(' ?IB@fL?n cy gjthin 1R months of the issuance date. Class 1
days of the date of issuance of the building permit, and must be co te'i
structure Permits are subject to the General Administrative Rules o t 1, o a( fe(?I?If l r?rcli% i%ion time frames for beginning and
completing ctig NI 5?-CC II"'?t ?? o
1, the undersigned, agree that any construction, reconstvction, enlargettLlafa? )Yti,sF:yFt7er4®k`nen5?the use of land or structures
recuested by ms application will comply with, and conform to, all appiic JH&tl w t _ e "_onmg (Jrdinanee o(Carmel Indiana -1993" (Z-
289)and anendnents, adopted under authority oil G 36-7 et seq. Gene d.. .e tateI Ad all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitarysewer. 1 further certifv that the cor<s_ SSo`n-•wI ill not be LLsed or occupied until a Cerd&l to of
Occu oyhas been i?u??i?` t -0epartrnent of Community Services, Ca/rmel, Indiana
/
?' ,/1lei/9EL Lo«ryE2 q-lP -07
signature of owner or Authorized Agent Print Date
OFFICE USE ONLY: ***********s****x**************.***************************** *_ ***************
Ito /I INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: Charged Re-
Upper Footing ower Footing Under Slab Reviews
Cert. of Occupancy: J S. SO
Rough n eter Base Final Si
P.R.I.F.: 47"00 0 0 Additional Fees
CeH Lp ISPX 10' 1Z b1 /TATAt /7 D2 O
ReviewedjAppr ved: Dept. of Community Services (Date)
s: PennktfFwms(ILP RESIDENTIAL
Fee Received by:
Date
FAA
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