HomeMy WebLinkAbout07020108 Application
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City of Carmel/Clay Township Permit #:0'70 ~D IDS>
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:.A'ra,..-
rdJpftO Lc;C.
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PHONE:
8(/.;2-/?7S
FAX:
'8't./;l-?'.;!.GY
BUILDER'S EMAIL ADDRESS: /' ~ BEST METHOD OF CONTACT: .- \
C/IZ<F Ste Ar6or;f0/1t~ LLc I...O~. <2.w.c~.
PHONE:
ADDRESS OF CONSTRUcrrON:
/~~ 9 0/> Ao,.,.,
SEWER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIOER: 772 W 0 c!." 0. .........t- (EXCLUDING LAND VALUE) / as, 00 0
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET ptt ~ l (g...l. L-.,J", rrf
NUMBERS; TAC DATE(S); ANDIOR COUNlYWELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE): G:~I ~ I~qqrr /' - -4=-1J '7 ()J-O/v J
FLOOD ZONE AREA DESIGNATION(S ')/,._ \ i~ TAX MAP PARCEL #:
FOR THIS PROPERTY: N, :14 - ~ If> f 7<- , [aJ1
STREET ADDRESS:
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PROPERTY
OWNER:
NAME:
t11~
STREET ADDRESS:
I(
LOCATION
8r. PROJECT
INFO:
LOT#:
0;'1
SUBDIVISION NAME:
rOJ'/S @
CITY:
1'I\/CJ~~>
STATE:
.z;J
ZIP:
41~ (;'0
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FAX:
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CITY:
STATE:
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ZIP:
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SECTION:
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ZONIN. G: /
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SQUARE
FOOTAGE: 5/,;; cJ
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TYPE OF CONSTRUCTION: c_,TYPEOf"IMPROVEMENT: PLUMBING CONTRACTOR: fJer'J&,sfe.i1
.Ji!:- SINGLEFAMIL Y_____;?~ \.,;,' \':~NEW STRUCTURE ,It' . { '.-" <. LI ~k!1 79/ if 39 'J
o TOWN HO~r;: (F;, ~ Iw );--6\ \~' OO~ ADDITION(S) I ber' L" c-nt. /
o TWOlfA~IllY~~;;:::::-- 0 \ I ADDITION(S) P um s Indiana State lcense #: -Lal!i-
#~~~n,ifSbeing. ~ ~ C ~DITION(S) 'pc/03it6Q;1. 74~ThreJ<.s 'IJ;II~AAJ.s
~nW d at thiS "c'.lll\IO ~ EL
time,. , .. a ement Finish only Wh?-plumbing codes will be applied to the construction:
o RESIDE l (f -G--A CESS RY IlUILDING f;lJ International Residential Code w/lndiana Amendments
Additions /nodels. Etc.~--- 0 DETACH D GARAGE "" .
'\3 \. ,,--- c;J.-ArrAcHED GARAGE 0 Uniform Plumbong Code w/lndlana Amendments
\ ._______0 DEMOLITION
PROJECT INFORM~TION: ~ FOUNDA!lON TYPE: (Check all that apply for the new
Early Release L-- /' Manufactured construction area) ( j?:./"fiQ ( PS,...J + )
Permit: _Y ~N Trusses: R ~CRAWLSPACE 0 POST & BEAM PIER
Lot Split: _Y v'N Sump Pump: SU' t~ f:OA CO,,~M SLAB ASEMENT(WALKOUT: Y ~
~Orn r Iv3i'i::-1I1
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For Single Family and Two Family dwellings, additions, r CiD-pS~pr a~essatM1~turFS" I;IilSi~H~}j.~~ I only if construction commences within ISO
days of the date of issuance of the building permit, an01qstbK'2--mpfe'tG (9~"I)~ ~~p~. ,!f~yiss\'i~_hin 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rursg fJ th~~ jLt!'<<~V7~ Jb.E-12) reg. arding expiration time frames for beginning and
completittg'~1ftil'i~nJ., t')t:AVtcrr.
I, the undersigned, agree that any construction, reconstruction, enlargement, rel'1Ntffi-2r"rl~)6n~nJ-<l;. s,t9,{cttlre, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applIcable laws' dPtfU!lN~f Indiari'a: ~ria tliS'tZopYlg 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 aI1 Ndts 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, Carmel, Indiana.
/krs /1.).4r ~1t/>J1]5. ::l -';;0 -<.')7
OWner or Authoriz Agent Print J -- III Date
(Dale)
.1lP RESIDENTIAL
# Charged Re-
ReVIews
Fee Received by:
Date