HomeMy WebLinkAbout07100089 Application\ ?/h01PhP-?-
City of Carmel/Clay Township
Permit #:o71 ooo%9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAM ' PHONE: FAX:
¢ s -8 G-Nclo3 5 AI r-
RECORD: STREET ADDRESS: CTIY:
L. Fo Ca.r STATE:
ZJ ZIP:
9k 3 2
BUILDER'S EMAIL ADDRESS. BEST METHOD OF CONTACT:
t?s InonAesQ Coµ 30-9I(6-yy03
PROPERTY NAME' PHONE: FAX:
OWNER: *M?
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION
& PROJECT LOT #: SUBDIVISION NAME:
(alk WD1?9 ?? 'kwAS SECTION:
ree ZONING:
INFO:
I ADDRESS OF CONSTR{Jl1I1CTION:
i 3 I ?/ Ct CC?Q tJ0?tt7 nP1 J`I
SQUARE
FOOTAGE: /
7
SEWER UTILITY
PROVIDER: / G WATER UTILITY
PROVIDER: C ESTIMATED COST OF CONSTR N:
(EXCLUDING LAND VALUE) l?
O WeD
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):
Ic
E
tT
AtP FLOOD ZONE AREA DESIGNATION(S) tW- O 710 O? PARCEL #:
r O T I?
C
FOR THIS PROPERTY: Z? Lf
TYPE OF CONSTRUCTION:
fBe'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:
f'NEw STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
-3 DEMOLITION
Manufactured
Trusses: ; xY ? N
Sump Pump: t! Y N
For Single Family and Two Family dwellings, additions, remodels, and/or acre ??j??t11
days of the date of issuance of the building permit, and must be completed (Cef tlCcatc
structure permits are subject to the General Administrative Rules of the State oa"
commences within IBD
jssuance date. ClassI
lines for beginning and
I, the undersigned, agree that any construction, reconstruction, enlargement, relocatiqr Ltd,`e?{t'ITZ[i,ief,IT}ttVIE'tlsfbCland or structures
requested by this application will comply with, and conforn to, all applicable laws of 10011T FC #o . rdirance of Carmel Indiana - 1993' (Z•
239) and amendmenes, adopted underauthoncy of I.C. 36.7 et seq, General.4sx •{Sf)1`e ['?bt hfdianandaroy [hereto. I further terrify that only
kitchen, bats, and floor drains neaed to the sartnar,• sewer. 1 further certify t at the construction t used or occupied until a Certificate of
Occuponcyhas bee issue y the eportment of Community Services, Carmel, Indiana.
? ?, ?4s J
Si wre of Owner or Aubiorrred Agent Print Da
OFFICE USE'9Mt7:****s********************************:******************? ***? a*****************
INSPECTIONS REQUIRE Filing Fees: J D
Base Inspections: ?o # Charged Re
pper Footing - wer Footin Under Slab 5-0 Reviews
f SS•
F?TIn Meter Bas Final Site
Ira-* t r- 1o-Ib-a7
Reviewed/App ved: Dept. of Community Services (Date)
5:1eoodWFo.WILP RESIDEnIIAL
Celt. o Occupancy.
P.R.I.F.: jnl6l 0. ® Additional Fees
/TO L:
v/%
Receive[ by:
PLUMBING CONTRACTOR: ocl 12 2007
c P Tec?i 0- Plumbers Indiana State Licens
i cl Smce)n By
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 POST &•_ BEAM PIEF
O SLAB Ls MSAj4W Tn(*oUT--- N )