HomeMy WebLinkAbout07010180 Application
ADDRESS OF CONSTRUCTION: SQUARE , 17. V>J
43 4We-v6 U,ue C-A:/2.M€L- r:tJ 4-LZ-3Z. FOOTAGE::.:1, 1 '~'P
SEWER UTILITY WATER UTIUTY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: tll-t'lWl.6t....- PROVIDER: Cftt-Ma (EXCLUDING lAND VALUE) 4/~ ODe:>
NAME OF lJTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW OOCKET ~ 1'.\..5 G'l<:CA"'""''''''''f ro ~ ~.,JC o.:c:<;T ~
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): Dvs. #< 0 'l-01l.\? 0 . 00 '( $'2-
FLOODZONEAREADESIGNATIDN(S) ,'\/_. 5~ TAX MAP PARCEL #: Ib-c'l-2'f)-UZ-oC;-0'2t>.O"'"
FOR THIS PROPERTY: '7.J"IG;<.. 0 0 0 Ii." "'l-~>;-o2-u:J -02-/, <-",p
TYPE OF CONSTRUCTION: TYPE OF IMPROVE J. B r, lOM ING CON RACTOR:
o SINGLE FAMILY ~ NEW STRUCTURE ~~ jL PL-v,...!3/,J'l
~ TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana State License #:
o TWO FAMILY 0 PORCH ADDmON(S) p
#ofunit5being 0 DECKADDITION(S) 0. r;-.:f't?OO/S~
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
,.]
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: 07 e I 0 I~()
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME:
0. PHONE:
U/tvc.e tI"Iol'iTYl4 BviiA>{;~, Tole. Ji7-5'1S--'1oqS-
FAX:
317-S"Ir- ~61
STREET ADDRESS:
?3?3 e~Adt< <.iI. tt:/GD
CITY:
:r;u})i'\-"'~PovlS
ZIP;
lfb20
STATE:
J,:'t--I
BUILDER'S EMAIl ADDRESS:
'MOS h e.. I .;-k.z..lw,(.J.-;. IN"^-
BEST METHOO OF CONTACT:
. ~ au 3n-7'4--riJ':Z-
NAME:
PHONE:
JII-S'q"--1D(~
FAX:
~il-S<?S-- '2-lb/
M01J,,~ 1 MAW, j,l..t!-
STREET ADDRESS:
~3~~
LOT#: Ifc.
CITY:
r,.,1:IHAlAl'oL-IS
STATE:
:r,-J
ZIP:
Lf6, 2,rp
CIZ.f.I~ 91. 7f;coo
SECTION:
.. J)A Vl..u", d
ZONING:
SUBDIVISION NAME:
;.-rCPHS ~ MI\;IN
pub
Which plumbing codes will be applied to the construction:
~ International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
_Y~N
_Y -4N
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 0 POST & _ BEAM _PIER
~SLAB 0 BASEMENT (WAlKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels. andlor accessory structures, this pennit is valid only if construction commen~s within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 man ths~thff,. ""aOc. c.e .~te. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardinm' ot\O~.' ~ ~ i?f'beginning and
completingconstrUl:tion. ~~ l\ ' ~!J~'''''
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration 0 s u - \1 e use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indian , ing 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, bath and floot drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan e SSUeXY:heDa;~conunUnieyServiCeS,carm~;;;a hl, M<>Stt..,-{L 1/2."-/,0/
Signature 0 wner or uthorized Agent Print Date
OFFICE USE ONLY: ********* ********************************************5C:.**~********************
INSPECTIONS REQUIRED: Filing Fees: W. t:: 6
~r ~ lower Footing Under SlaB Base Inspections: .:J ~ . ~
~. .~. Cert.ofOccupancy: J ..,)
Roug Meter Bas Final Site .LJ (-Vdu v. \ J
~~.I .. ~ L8, Cl AddItional Fees
T~ ;;t/~~
Fee Received bv: ~ Date
# Charged Re.
ReViews