HomeMy WebLinkAbout06120055 Application
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CALL A-1 E;:::lEDlTORS
City of Carmel/Clay Township 69 !1i-lt'B!O Permit #:Obi::2LJD5:S
",RESIDENTIAL IMPROVEMENf~'b~1tY6NrpERMIT APPLICATION
. For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER
OF
RECORD:~
NAME: PHONE:
/LC ;.fOil.t ":'.5 '3/7 &,1 f' C. '190
STREET ADDRESS: 'If? 3D CITY: STATE:
r'I {.IE {>.. l) 'I ' vI; flVt>A/IU,5 1'-.)
BUILDER'S EMAIl ADDR~: BEST METHOD OF CONTACT:
S $(( i fJ.LE''Y EV 1::>11 ytl-1J11'lC /fOMEf'- t::t!J"-
FAX:
317 :,--7.J &l/.
ZIP:
"It. Z 8- 0
PROPERTY
OWNER:
NAME:
SperL
PHONE:
'317 81ft't..lf9o
FAX:
317 S7S' /lofct(,
LOCATION
& PROJECT
INFO:
lOT #:
'-10
(. i5PeAttJC:
SUBDIVISION NAME:
CITY:
ptNe5
STATE:
cAa~eL.
ZONING:
ZIP:
STREET ADDRESS:
32.13
SECTION:
J
ADDRESS OF CONSTRUCTION:
:3 2.. 7 J W Hi!i(JE'h. 1M
SQUARE
FOOTAGE:
;
6"c, r I
SEWER UTILITY WATER UTILITY
PROVIDER: c- r t. 4.-' t> PROVIDER: c- ~ ~ M '" '-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIDN I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR~EPTlC PERMIT #'S (IF APPLICABLE):
,~-~. ~-, -'.
FLOOD ZONE AREA DESIGNA N(S) ~_' I(~i:;';'~<"\\ \ ~,j
FOR THIS PROPERTY: .... -:'>.1 Wt~,. \ t.IIv
~. ,"'~ \
/;;..;.;;>\0~ \, \
TYPE 0 O~~!~ ,; _:;;::::- TYPE OF\\.~fIROVEMENT:
. SINGLE'FAMILY~.. ^~EW,ST ~CTURE
o TOWN H<1M.... ,EI\ \ (' \ t>. '1(3'"ROO AD'imION(S)
o TWO FAMILY' ~ \l't." 0 CH ADDlTlON(S)
# of Uni~<D~ DECK A mON(S)
construd~'d this R El
time: \ \ _ Basement Finish only
o RESIDENTlA (For 0 ACCESSORY BUILDING
Additions, Re odels, 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
L. D MtFCHAA//c.A- <-
Plumber's Indiana State License #:
p~ C-
f? I 0 '-If)' Y 6
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
~iform Plumbing Code wI Indiana Amendments
PROJECT INFORMATION:
::~%i~:elease Y 'l~f ~r:":~~red ~~
Lot Split: Y N Sump pU15~e~r ~e.\\O~
FOUNDATION TYPE: (Check all that apply for the new
construction area) .
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB 0 BASEMENT (WALKOUT:_Y /~ N)
For Single Family and Two F~ilY~~ s'~~;;'~A~ ~~~~~~~ structures, this permit is valid only if construction commences wit~.' in 180
days of the date of issu . ~'%u. . . i . ,~Wi ~~l .ficate of Occupancy issued) within 18 months of the issuance date. Class 1
structure permits are SU~%~~0 "i.\t\~~ute~~ t te of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
Su'Q\".".'O~~~f"\~~\"'" _, ~'< ~etingconstruction.
I, the undersi~ed, ag.ree ~ha.ii!an.' 'y co ~iG.'tt.c~F~ 'i('largement, "location, or altmtio~ 01 a structure, or ~ny change in the use of land or structu;'s
requested by thiS apphcatlOn.. ..' pIy'W)J;~~~..~~pphcable laws of the State of Indiana, and the "Zomng Ordmance of Carmel Indiana - 1993 (Z~
289) and amendments, adop~e,.. ,~~fY"of L~~'\!t seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only
kitchen, bath and floor drai.' c nb-i2ted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy been' sued the:nepartment of ommunity Services. Cannel, Indiana. -
')./ ( ~ /1-//7-)0!.
OFFICE USE ON L y. * * *** * * * *** ** * * * * * * ** * * * ** * * * * ** * * **** * * * * * * * ** * * * *** * *"f1 * ~,. * * * * ** * * * * * * * * * * * ** * * *
. F'I" F . cd ;y.L/. /0
INSPECTIONS RE U ED: ling ees. , / , .;tJ
F t" U d SI b Base Inspections: ,:7 17.
ng ower 00 I n er a___. '-'..... _/ 'l
.. ~~~ Cert. of Occupancy: 5 3 ' J t
Rough "In ~ / /j 1 ()
P,R.I.F.: ,:) 0. ' i/
y I '
25'7,; )-
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# Charged Re-
ReViews
Addit;onal Fees
ept. of Community Services
S:PermitsfFormsfILP RESIDENTIAL
/1/20- 6'
(Date)
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