HomeMy WebLinkAbout07100082 ApplicationCity of Carmel/Clay Township Permit #:
' RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
ao RNp j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
OF C0 1-11_4?I 4140 "-zJ( - 347-S1 r ??.?$ I'aB?T
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RECORD: STREET ADDRESS:
605
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_" STATE: ZFJ} la"'?13fIU19
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BUILDER'S EMAIL ADDRESS: ?+
BEST McTHOFI OF CONT0.E ,:-%
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PROPERTY NAME: PHONE: SAX' r.
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OWNER;
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STREET ADDRESS: CITY: STATE: ZIP:
9s-cl c /1N?,s) 1 4? CARegZ.G "W 4 GG035
LOCATION - LOT irl SUBDIVISION NAME: SECTION: ZONING: ??
/
& PROJECT r
INFO: ADDRESS OF CONSTRUCTION:
9 S 1b A-J?
4A C
cAi[ia9 ? L /n/. ?p 11 SQUARE
FCO7ArE: GOO ? L
SEWER UTf
I
AW ER UTILITY
ESTIMATED COST OF CONSTRUCTION: - f r
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) Q 3 2
NAME OF LTILrrY EXCAVATION CONTRACTOR; PLAN COMMISSION / 87A i BPW DOCKET
NUMBERS; TAC DATECS); ANWOR COUNTY WELL AND/OR SEPTIC PERMIT w'S {IF APPLICA BLE):
FLOOD ZONE AREA DESIGNATIONS} TAXMAP FARCE ?{ rlcl n `((]
FOR THIS PROPERTY: LC LL fr lJ 1J
TYPE OF CONSTRUCTION:
W SINGLE FAMILY
O TOWN HOME
0 TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y N
Y N
TYPE OF IMPROVEMENT:
\
d
O NEW STRUCTURE
_'i.4
i/
0
?
ROOMADDITION(
PORCH ADDrnON
?
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
? DETACHED GARAGE
0 ATTACHED GARAGE
0 DEMOLITION
Manufactured
Trusses: Y X N
Sump Pump: _-I?Y N
PLUMBING CONTRA
OCT 12 2007 U
A vt Hf?-Oi 10. Y
Plumber's IrrdianaState i e
???doa y
Which plumbing codes will be applied to the construction:
0 International Residential Code w/Indiana Amendments
0 Uniform Plumbing CDde W/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
0 CRAWLSPACE p POST&-BEAM-PIER
0 SLAB Y7A64Fky( (WALKOUT: Y W'N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessary structures, this permit is valid only if construn commences witlim 180
days of the date of issuance of the hnildmg permit, and must be eompleted (Certificate of occupancy issued) within 18 months o .he issuance date. Cass I
structure permits are subject to the General Administrative Ruim of the State of Indiana (See 675 WC 12) regrading expiration tune frames fox' beginning and
completing construction.
I, the undersigned, Agee this! anv tnnstricnoc, reconstruction, enlargement, relocarion, or atteration of a strucmrc, or any charge m the use of lane orstrucrutes
requested by this apphcation wiL cornply with, and wnf= to, all applicable laws of the State of Indiana, and tie "Zoning Ordinance of Cannel Indiana - IW3° (Z-
239)And amencments, adopted underaurhonty of I.C. 36-7et seq. General Assemblyofthe Sw, of Indiana, a no all Acts amendatory thereto. ifurthercemtih,thatortly
kitchen, bath, and iloordrzins are conrected co the sanitary sewer. I fuzther'cer a construction will not he used or occupied until ,t Certificate of
Occupancyhas bcen issued 1e epatrrent of Communiry,Se ices,CarmelInduma-
Signatureof Owner or Authoriaetl Agent
(OFFICE USE ONLY: *************
y ECTIONS REQUIRE
Upper Footing ewer Footing Und
t
ough In Meter Base al Site
; -
Services
fa-0-G-?
Bate
Additional Fees
r?**** .****xxxx*xxxx ::********x?xx****a***xx**
Fifin es:
se Inspections: 7;7r2. ?Q # Charged Re-
S J? Reviews
Cert, of Occupancy: t 7