HomeMy WebLinkAbout06090023 Application
City of Carmel/Clay Township f?0~ Permit #:~
RESIDENTIAL IMPROve; , 'l'-ibQ&1A TION PERMIT APPLICATION
For Single Family, Town Home, lIr. Two f,,~f,. New Structur~Additions, Remodels, lIr. Accessory Structures
J . t./ 11/;:::";;:',_
BUILDER NAME: J' J.. ~p PHONE: ~"1~"
OF CJ fll') ... n' 'o,-0fl
RECORD: CITY: ItitIt'
BUlLOER'S EMAIL ADDRESS:
t.t1.JO h
Jchll
PROPERTY
OWNER:
NAME: Ld
3/ 2So-5'f!94
CITY: /nd/curafD /'5
3 -1)2-
/11/ tl-btK 7
e.fl1.a;'/ or fhOhe.
FAA:,i7 3~-i3l5
/N ZIP: 4/>';278
STREET ADDRESS: tf/t7 ~ffr,&e uJ~y
SECTION: J '~?~IN.~Jf~'f
'Ie SQUARE . ~
FOOTAGE: '4'274-
SEWER UTILITY day Ot>>l1sJu'P WATER UTILmI."O:II.D~q,q~fr-7'''' ESTIMATED COST OF CONSTRUCTION:
PROVIDER:;cl ,{~ PROVIDER: ~Q v<J m e., _ (EXCLUDING LAND VALUE) Z 7 3'JC? 00
-
NAME OF UTI EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
STATE:
LOCATION
lIr. PROJECT
INFO:
LOT #: 34 SUBDIVISIDN NAME:SaJd/e.hfbofG,
ADDRESS OF CONSTRUCTION: 3/ 71 wlu'spe/'i':!j tilleS
.;!{1
Early Release Manufactured
Permit: _Y.1L.N Tru~~UCTI^",-Y-X-N
~r.:n r:: " r N~ VI"
LotSplit: RElEA0,y~Q:=1~gump IUWDLlati~Y_N
. set to cornp\lanCO wltll a r 9
For Single Family and~~tpJfihW 1~~~~ i~i~..r~ and/or accessory structures, this permit is valid o'~y if construction commences within 180
days of ~p1i~ii1ct)[J:ll.ft, MlJ9.ihg pelm1i,taRa~~orrl.pleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure ar<<:!iul1jec~-tq tht:.l3-er~~~p,fhe State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
ITY Or GArll\'lt:L cornpletingconstruction.
I, the undersigned, agre~ ~~at any fr~$erpA{Q~econstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this applicatioriwill compry'with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel Indiana - 1993n (Z~
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, 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
Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
\, fohn Lu
Print
I
lFFICEUSEONLY:******************************~~***************************~*******************
\ INSPECTIONS REQUIRED: ;;1'" FIling Fees: " II 3 q, ~
-, P B I ct ... t'f'7 rd'l # Charged Re'
I U ' Fd t U d SI b ase nspe Ions: J.. '-"l..I ,
\ P er er 0 In n er a _ K "7., "'-;0 ReViews
\ Cert, of Occupancy: ;~.:J 0 L
.Rough In Site J r'J f -l ' A 0
P.R.I.F.: ~ P'vL(j_ U Additional Fees
~ ^ 73/. AfO
- (Date) - /1- f}G.
FLOOD ZONE AREA DESIGNATION(S)
FORTHISJ~K\;Jt'....c~hT:.
~'j;"'~~~Yii1A~i., .<
TYPE OF CONSTRUCTION:
IilI'
o
o
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
~
Signature 0 W
Anen'rarz Res. Serv.
"
/I1.C.
TAA MAP PARCEL #:/7 oCJ 3 Z OcJoSO 11000
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
IilI' NEW STRUCTURE f" ..... ,',i".l.jR''i4fi''';' ',. .' . . ~
o ROOM ADDITION(S) /I, \/1~~1,1,-._. ."':I,,'Ji:..~~~~,bicense. . #: ~
g ~~~~~~g~~~~~\S) Ii~ :~(Y"j;''''. ',o,"'li}
o REMODEL F" "h let ) j:~;ch plumbing codes will be applied to the construction:
_ Basement InIS on Y LeY:
o ACCESSORY BUILDING { 0 International Residential Code w{Indiana Amendments
o DETACHED GARAGE 0 Uniform Plumbing Code w{Indiana Amendments
o ATTACHED GARAGE
o DEMOUTION
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o SLAB
ct/6/ b.-of:,
Date
Date