HomeMy WebLinkAbout06100127 Application
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CityofCarmeI/Clay Township Permit#: IjtpID() 1::7..1-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIlITY
PROVIDER: C i.-A
NAME:
<:'L
:l.(, I - 3.7 4-Z...-
STREET ADDRESS:
3Sc;.& 0 1-11").0
BUILDER'S EMAIL ADDRESS:
NAME:
Ct..A S !";1C- I-Io"'-e-S Inc..
STREET ADDRESS:
'35b
FAX:
mY:
STATE: ZIP:
bo;1 :z....
BEST METHOD OF CONTACT:
PHONE:
311> S7I- 92.9
CITY:
FAX:
2..(, I -1'7q. 2-
STATE:
ZIP:
c
"'L
Co
e, "u;.
ZONING:
FLOOO ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
LOT #: SUBDIVISION NAME:
.s:.dd
SECTION:
01\<1.
SQUARE
FOOTAGE: 79 14-
ADDRESS OF CONSTRUCTION:
,35& 1+o.",..sh"Qki., '"])-,..il/"-
TW f ~~';I~~lITY B~~~'). y
~
TYPE OF CONSTRUcnON:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Manufactured
Trusses:
_Y jN
_Y -LN
Sump Pump:
c...."....., ,1,-). +(..os;z...
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) ~ 4ZS,ooo
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): &6/ <..
Early Release
Permit:
Lot Split:
IW Y
TY ROVEM NT: PLUMBING CONTRACTOR:'
0^()~ NR..oRNE(s) >>-0 O( j vy '1T~k-P-lv':>h~ ~
, r- 't;)>- '" Plumber's Indiana State Ucense #:
roB N(S)
-6 ~ P 022 'i{bOl.
~O ~~ (Y~~~~~/. WOhiCh plumbing codes will be applied to the construction:
.~~~'Y~ International Residential Code wI Indiana Amendments
g A ~1f~~;'?9"h(l~& Uniform Plumbing Code wI Indiana Amendments
o OEM 0 (...,~.c.' ~t,.o ~FOUNDATION TYPE' (Check all that apply for the new
/,'r~ ~ '
~~~/O~Q> cons~on area)
Lv ~-? : 0 SLAB
E-,..c",ve>,-\-''':5
%\- os-04oiS3
,
TAX MAP PARCE:l~:
;
I
J
POST
PIER
EAM
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid onl 'f construction comm 'thin IBO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IB man e ISSuance date, Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expirati~ ~uyfr s for beginning and
completing construction, _~_
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure!.-or,anfChange in the use d or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and t ....Zoning Ordinance of Carmel In a - 1993~ (Z'
289) and amendments, adopted under authority of l.c. 36,7 et seq, General Assembly of the State of Indian nd all Acts amend~tory therc;..to."1 further ertify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construe' n will n07b!\used or cUBied until a Cerd Ocate of
Occupancy has been issued by the Department of Community Services, Carmel, Indiana, V... o..J
~ p. (?.J:Z..R lo/l.ilD/. ;I..;.,.,-Gl,... . .. 'J'
Signa re of OWn or Authorized Agent' Print
OFFICE USE ONLY: **************************************************** *
Filing Fees:
*******************
INSPECTIONS REQUIRED:
diPper FO~~ ~~~naer~
~l(:iJjj:~:
S:Permtts/FormS/lLP RESIDEmlAL
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Lp4fL:
# Charged Re'
Reviews
Additional Fees
Fee Received by:
Date