HomeMy WebLinkAbout07030007 Application
BUILDER
OF
RECORD:
C't iff' llf" 'T' h' Permit #. ~ 03Ceo"'1
t Y 0 ~arme ~,ay.L owns tp .&1 FAm:.r..V=.Q.B co'- It;;JRI1-:UQ
RESIDENTIAL IMPROVEMENT LOCAT~W~~~~J;~~.ltC~':H,~,
For Single Family, Town Home, & Two Family: New Structures, Addition~'IR~~!!jI~~dll!.JI,~~'Y...~trulctures
NAME: PHONE: r- L I'Jn\i,~AX~ I .:) .- ti V ,'\../1.....;:)
~C!r/ q:ARf.;iEL / etA Y TOWNSHI
OTY~eL STATE,J";A,\i~0CJ ~ L
OF CO";1CTtJ-DM BS.. CD vVl
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5~- f822
BUILDER'S EMAIl ADDRESS:
PROPERTY
OWNER:
FAX:
CITY:
STA;J
L/{/;o3 L
iL~D~T(
LOCATION LO
& PROJECT
INFO:
SE
SEWER UTILITY A..A..,# I A A r:l WATER UTI
PROVIDER: V 1 VV vvl:; L--- PROVIDER:
NAME OF UTILITY EXCAVATION COI'ITRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEF':)lC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREADESjGNATION(Sj:;; r\ : 'ie.', '. i \ ' TAX MAP PARCEL #:
FOR THIS PROPERTY' \ :'.~ \\..--17 i .:--" '- _:: .~, j
.. . \ ~~:_~.:.:=-- Tll\. \1 \1
"I III
N T UCTION: TYPE OF. I PROVEMENT:
SINGLE F1MiL~ MAR - 1 2 N~fi~UCTURE
TOWN HO~E\ \ \ 0 RoeWAI?DITION(S) Plumber's Indiana Sta e License #:
TWO FAMILYGI __-C)-POK DmON(S)
# of units being 0 KAD~' ON(~ ~
constructed at this REMODE N 1'\.- tl\JA;
time', \ ...----:;; - - -4 W~ t;.U1 ~ . plumbing codes will be applied to the construction:
_ Basement Flnl on y
o RESIDENTIAL (For 0 ACCESSORY BUILDING 0 International Residential Code w/Indiana Amendments
Additions, Remodels. Etc.) 0 DETACHED GARAGE 0
o ATTACHED GARAGE Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATI%N: 0 DEMOUTION ~ FOUNDATION TYPE: (Check all that apply for the new
Early Release ~ ~anufactured /" construction area)
Permit: _y -% :~sses: _y ~N~ 0 CRAWLSPACE Y POST& BEAM PIER
Lot Split: _Y _N Sump Pump: _Y -LN 0 SLAB ~EMENT (WALKOUT:_Y~
SQUARE
FOOTAGE:?-fD
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING lAND VALUE) 2S
-
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit 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 beginning 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 raws of the State of Indiana, and the UZoning Ordinance of Carmel Indiana - 1993'[ (Z~
289) and amendments, adopted under authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitche , ath, 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
Dcc an y has been ued.2Y the Department of Community Service'fanne!, Indi",.. \).. "'"7 .f >L 7
[....~flL"'~1:1J8S ~I).?'(()
ign tu of OWner or Authorized Agent Print Date
OFFICE USE ONLY: ***********************************************************70******************
INSPECTIONS REQUIRED: Filing Fees: ! 'b 3,
. . Base Inspections: J / /. f U
Upper Footing Lower Footing Under Slab ,. ()
,"" 3. <'C
Cert. of Occupancy: 2 . J '
# Charged Re-
ReViews
P.R.I.F.:
Additional Fees
pt. of Community Services
S/IlP RESIDENTIAL