HomeMy WebLinkAbout07110114 ApplicationCity of Carmel/Clay Township Permit #:?z7 !
-LN
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
+noipn.?. For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: PHONE'
FUUTE !?O? }DES 5-7 - FAX:
X j Olo
RECORD: STREET ADDRESS: M I ITY:
59 LA- M -I, STATE: ZIP:
P,mGL 4o3)--
?BUgDER AFADDRESS: BEST METHOD OF CONTACT: ?. M t
PROPERTY ? 2 PHONE: D ?Pryn. T
lJ
OWNER - D w -
: sr T Dl:rsS:
? jf V 22 1 2007 uP DJ
-
¢
LOCATION
& PROJECT C IBT- O Q SUBDIVISION NAME:
I? o N \ S@ G U L L E SE :
RM ZONING:
1-
INFO: ALE D2 FFOOOOTAGE:
PROVIDERLIi"Y C, o ' LL C5
/ l
-F UTILITY
WATER ROVID R C(Lf} ' I ?.I
T (IXQUOIINNG LANDOVALUEF , 5q C ?? T
11
NAME OF WAAgD OR; UTILITY lW, Tt-ON
?
- C r,,,LL PLAN COMMISSION /
*'S ((IF APPLICABLE):
NUMBERS: TAC DAtND! C_ YJE AND/OR SEPTIC PERMIT Y'S IF APPLICABLE): 2 C-R C
u-ac- 0
. n-1 + i Ol 'y
ROOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
ll / TAX MAP PARCEL S: ?^O - L40
+
7 -
/ 1
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
(/TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels, Etc.1
PROJECT INFORMATION:
Early Release
Permit: Y N
Lot Split: _Y %N?
PLUMBING CONTRACTOR:
?4wyn c - SD N S
Plumber's Indiana State License #:
U t00o ( D I
TYPE OF IMPROVEMENT:
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 -PIER
Ea- O BASEMENT (WALK0UT:__Y__N)
(YNEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECKADDITION(5)
O REMODEL
_ Basement Finish only
? ACCESSORY BUILT"-"-
O DETACHED GAR'
O ATTACHED GAP
O DEMOLITION
Manufactured
Trusses: P
Sump Pump: _Y _N
fJ IT,
For Single Family and Two Family dwellings, additions, remodels, andlor accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must 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 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any cons_cuction, reconst, scion, enlargement, relomtion. or alteration of a structure, or any change in the use of land or structures
.equested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (2-
289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify thar only
kitchen, both, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
OceN c ? u been issu by he Depart'ment of Cymmunity Services, Carmel, Indiana.
siumture erar Autiwri Agent % Print Dale
IFFT£f-tl5E ONLY:***************************************************:********************.********
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: Charged Re-
pp er Footi Lower Footing nder SI Reviews
Cert. of Occupancy: 55: 50
Rough In eter Base al _ Si 1'^ II nn
I W I • Additional Fees
P. R.I.F.: w
l/a-07
Revi pproved: Doff. of Community Services (Date)
S:PermiWFO WTU RESIDENTIAL