HomeMy WebLinkAbout07100221 Application•.\ZtW Cqy\ 1 II L i I ?' 1 Lux
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r°``'•' City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
??Np?Rp ?'' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME' -- PHONE: FAX:
/ •375 ff 77
gSt?rNPn? f9ish fn ??e3? - 570(6-072
RECORD' STREET ADDRES : CITY: STATE:
S" S ZIP:
y&-2! l
- n on
7
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
G P -P n'f t 0L ' L-`H- _
PROPERTY
NER NAME:---? PHONE: FAX:
R• 3?? SFr/_9yy7
?J mY1 Z 4 rf
OW
:
STREET ADDRESS: / C?T?': STATE:
, /o jL1) 4!'?4'/?/ r- CgrNle ZIP:
?f(?o3Z
LOCATION
PROJECT LOT 1: MSION NAME: /I SECTION:
39 SUB? 5u-Ov - C Yep Z0rVNG: ?'/ I
Q J
&
INFO: ADDRESS OF CONSTRUCTION:
M'/J o ol K so M'L_ ?? ' Crf(C/r16Z -
SQURE
FOOTAGE:
5 -7
SEVlER
UTILITY /]
PROVIDER: / q "J WATER UTILITY
PROVIDER: ?Y L
.
ESTIMATED COST OF CONSTRUCTION'
(EXCLUDING LAND VALUE) r D ?(]
NAME OF UTILITY IXCAVA ON CONTRACTOR; PLAN COMMISSION/ BZA i BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT S'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGN TION(S)? TAX MAP PARCEL x:
FOR THIS PROPERTY:
0T
O SINGLE ILY
0 TOWN Hl!'
OF 7 OCT 3 1 2007
? TWO FA
# of u its being
con at this
time:
1 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y _)?_N
Lot Split: _Y _-;L'N
STRUCTURE
N ADDITION(S)
;H ADDITION(S)
ADDITION(S)
=J_ Basement Finish only
O ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses: _Y _?KN
Sump Pump: AY _N
PLUMBING CONTRACTOR: HooSrs/t 7RAP S F?uwbi'
C - f - 3sz- o7S
Plumber's Indiana State License #: 2 \
C P 15C oL?a T??t??c/ I?US ff I
Which plumbing codes will be applied to the construction:
91 International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM -PIER
O SLAB 'so BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, andfor accessoy structures, this permit is valid only if construction commences within IRO
days of the date of issuance of the building permit, and most be completed (Certificate of Occupancy issued) within IB months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration r es for beginning and
completing construction.
1, the undersigned, agree that any construcion, reconstruction, enlargement, relocation, or alte t or structures
requested by this application •.?:Ii comply with. and conform m, all applicable laws o1 the S', a tgfClmt ee of Ca-Carmel Indiana -1993' (?-
ae St ctsamendatorythcm-o. I further certify that only
239) and amendments, adopted under auteonryof l.C.36-7 or see, General Assembly of _
kitchen, , and floor drains are connected to thesmi-- er_ 1 further certify that the construction will not be used or occupied until a Cerufi'cam cf
Occupan? issuedissued by the oE?nity ices, Carmel, Indiana'. ?-
/i/ i ) ? T_ o?{ h!'I (Y WY/ pe'//k5 TLII'( o ? - ? 1 -07
USE ONLY:
INSPECTIONS REQLIIRR`-
Upper Footing Lower Footing Under Slab
Rough I Meter Base Final Site
CrYaAo t5 44 11-1-O7
Reviewed/App ved: Dept. of Community Services (Date)
5: PermiWFO SIU-PRESIDENTIAL
**xx*******xxx***x*******x ** xx*x*xxxx**x**********x
Filing Fees:
/'SU
Base Inspections: ?/) r !?l) # Charged Re-
Cert. of Occupancy: Reviews
?s
Additional Fees