HomeMy WebLinkAbout07010013 Application
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NAME OF UTIlITY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA I BPW DOCKET lM1 1,,1> fll;;u.>fJ' I>>~T;:/If
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICAB ): bf' At.-1><; D '1 Ot> ?
FLOOD ZONE AREA DESIGNATION(S) "1 _ TAX MAP PARCEL #: ["-0'\-02.,-02-0 J--o-u:> _ CO""
FORTHISPROPER1Y: ~}l8 )( 0 th-o<t--Z)""-0'2---o~- ..21.00
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: LUMBING CONTRACTOR:
o SINGLE FAMILY D .fii:\.I'tEmtimlUf f{~ fl."; f2- PiA)I"IPJl~
6J) TOWN HOME RELEASE ~RO. ~rl!i \ Plumber's Indiana State License #:
~ TWO FAMILY Subject to comp!jJ:lf"P'Ej~ lI'fib ()__
# of units being of Staterat1c1iEllllCi\\ N(S) c,r~g- DO 13::>
constructed at this "' RI;M:; SERVICES. _ .
time: DEPT OF COWlt'ttJ1" a . . \ WhIch plumbing codes wIll be applied to the construction:
o RESIDENTIAL ~ nF CARMEIA(:€f ~~~~~~ P @ntemational Residential Code w/Indiana Amendments
Additions. Rem'tfcl.!I~. &c.l "', ~ETA(:HED GARAGE
rr'jRA~HED GARAGE 0 Uniform Plumbing Code w/Indiana Amendments
o DEMOLITION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
City of Carmel/Clay Township Permit #: 07010013
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME:
PHONE:
WJGd 4'OJ)~ 5u1~ /1=,-)(...
FAX:
71 '7- -:;C(~ ..Lf0't.5 311- S"15 -I '2/t.,
STREET ADDRESS:
fg8~ au. (t; '7r. ~ (00
STATE:
']:,J
ZIP:
*-2~
CITY:
-- t>tM.APovl~
BUILDER'S EMAIL ADDRESS:
$il1t>.;;ker ~
BEST METHOD OF CONTACT:
~~
hI); rA<<'; . (.pM..
2-
NAME:
PHONE:
::rP/)IVAf\>L--\~
FAX:
3T(-"4S"-'fV'f~ 311~9fS- "2-('"
MotJo:-l i /I1AI,.) u,.:,..
STREET ADDRESS:
&-391
LOT #:
3=6
CITY:
J;':' t> IIwAPo '" Ie;
STATE:
'j;,.)
ZIP:
ifbzSl>
ZONING: p V h
../2.A tt(
c;r. -;tb ItA>
SUBDIVISION NAME:
/V!O/OO,,) -7 /Vl,(,(,.)
SEmON:
,sA
ADDRESS OF CQNSTRUCTlON:
320 i.O MAl"'> <,ir'.
ifhZ'3 ~
tAMGl.-,
6A~M6L.
WATER UTILITY
PROVIDER:
~Y_N
_Y@
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
@Y_N
_y~
o CRAWLSPACE
o POST &
BEAM _PIER
SLAB
o BASEMENT (WALKOUT:_ Y _N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for heginni!tg and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested 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"~(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, ,nd floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu cyhas issue by the D partIn t f Conununity Services, Cannel, Indiana.
0wTl M.
M~tWv
1/'2-/'>/
Oa..
Print
# Charged Re-
Reviews
Site
Additional Fees
I
I
I
Date
P:FU.f..
Reviewed/Approved: ept. of Community erviees (Date)
S:Permlts/FormsjIlP RESIDENTIAL
Fee Recelv