HomeMy WebLinkAbout07110005 ApplicationPermit #: W0-5
a City of Carmel /Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
rxoiap?% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NMIE
NDEQ G c/ PHO E:
71 /7 - $G7 - O 0 FAX:SI-7- '36_2
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
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yy(U-I BUILDER'S EMAIL ADDRESS: BEST METHjj?1AF CON,TACi: C? S/? - q?G-
S ,f F -MAIL
PRdPERTIr
OWNER: NAM :
"STEWIV7- PHONE:
LLC 3l - - 0 FAX:
Si -SG7-
STREETADDRESS: Crry: STATE:
S
W ZIP:
U
yl
S61 AJIQA> E
77 p
LOCATION LOTS: SUBDIVISION NAME: V SECTION:
-7A
I ^ZONING.,
'?
& PROJECT
F / //ONOA
o?
-
INFO: ADDRESS OF CONSTRUCTION:
/
1)
-k SQUARE
TAG
-A/
e-olle
7q 6
SEWER UTILITY ' n WATER UTILITY ESTIMATED COST OF CONSTRUCTIO
EXCLUDING LAND VALUE)
PROVIDER:
l PROVIDER:
iy / (
- NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
'
S (IF APPLICABLE): 06
NUMBERS; TAC DATE(5); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #
AX
f
FLOOD ZONE AREA DE
SIGNA O v
AX MAP PARCEL C:
T
L t
4
FOR THIS PROPERTY:. '/L` ')I
TYPE OF CONSTRUCTION:
TYPE OF IMPROVEMENT:
PLUMBING CONTRACTOR:
PI?
-
X SINGLE FAMILY X NEW STRUCTURE K. V. M 17fTrJ/N /
O TOWN HOME O ROOM ADDITION(S) Q,}. Plumbers Indiana State License - - -- ---•
'
? TWO FAMILY O PORCH ADDITION(S) IF ^ ^?
# of units being O DECK ADDITION(S) ' ".;1 c? a( at)0
constructed at this O REMODEL , Which plumbing codes will be applied to the construction:
time: _ Basement Finish only
O RESIDENTIAL (For O ACCESSORY BUILDING O International Residential Code w/Indiana Amendments
Additions, Remodels. Etc.) O DETACHED GARAGE 09
O ATTACHED GARAGE Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
Early Release /?/ Manufactured / construction area)
Permit: Y -NN Trusses: ? YEN O CRAWLSPACE POST & _ BEAM -PIER
Lo[ Split: _Y ?N Sump Pump: ZY-N 0 Slp,g ,C qq? (WALKOUT:_Y?! n )
For Single Family and Two Family dwellings, additions, remodels, and/or accessary structures ts?'rge ndLTids i e ' n commences within I8o
days of the daze of issuance of the building permit, and must be completed (certificate o 0- ancyis3'?''tegqtf ?' , t n e issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of In a?75'Le J23A une frames for beginning and
coutpletin nornq (t " '(
1, the underrsigned, agree that any construction, reconstnrction, enlargement, r 99??pt?CCL -tra'roc a st r change ir, the use of land or structures
requested by this application till complywith, and con(ar:nto, all applicable lawF$[a®?ifia?}ioiiYSS[h1"ATn' gOrdinance o(Cztmel Indiana-I9i3'(Z-
289)and amendments, adopted under authority o: I.C. 36-7et seq, General Assem yofth,,e?S{ tyttnn??r'gf ttzrd fa`?M}_}t ndator}•the:eto. /further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify t C' ot,TgUtrDJ used cr occupied until a Certificate of
Occupancphas been issueol b the Department of Community Services, C armel f(
s"pure owneror Auth ed Agent Print Date
OFFICE USE ONLY: ***x***x***x**x*xxx*xxx**********x**xx***************************sxx**x******x*
INSPECTIONS REQUIRED: Filing Fees: pSry?' I
i - - Base Inspections: # Charged Re-
per FootT wer Footing Under Slab Reviews
Celt. of Occupancy: 5, S
Rough Meter Bas Final 'Site ' n
P.R.I.F.: a 6ir o" Additional Fees
? ?t,l rr1 tip
s
ReviewedJAp ro ed: Dept. of Community Services (Date)
S:Permits/FO sjhP FESIDENRAL Fee
by:
TOTAL: