HomeMy WebLinkAbout07030100 Application
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City of Carmel/Clay To;lnship Permit #:07()3 0 [00
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory StrJctures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
Ou.e..1tJ't'-l LllN\'JINbl-tA-11
STREET ADDRES~
\ \ 'lea s l.:1l'<lrN~ \'( LD IZ.\)
BUILDER'S EMAIL ADDRESS:
\<OJ S-"L 3 @
0-1.,00 . lu K
NAME:
,Uoo <, ~u..XZ.\'" I.. ~I
STREET ADDRESS:
\ IqtlS (,tZ.Ht-l~I~L-\J
LOT #i ~ SUBDA~;'Nt~:
ADDRESS OF CONSTRUCTION:
311S
CUNN INb l+Ar1
\20
GL~N
)1\\;;]\-\LI'\-", D
PHONE:g'OS-132.._Io'l1 S-
FAX:
:)Il-Y 15-0'4\.0 ~
ZIP:
40011
CITY: STATE:
2Iul-J':>V\ L.-L-<t. \;...1
BEST MITt;lOD.OF.CONTACT:
L ',. 8Q5-'l~'2.~v,-r-S-:l
PHONE: l.-
3i1-133-llo<'Cj
FAX:
CITY:
2JON~V\LLt
STATE:
IN
ZIP:
'1(00 II
sEmi ZONING: s- L
2 \<.l"" $01<:::1.o.'t:-'-. A.E_... ' 00
\ N ALf\q~J;-'-C;: FooTAGE:'~ () {.
r ,i ~ I! - '--"-~"'-
ESTIMATED COST OF CONSTRUmON: fl/\ -, ,
(EXCLUOlNG LAND1"i4-oe) ''-100 000'
I! ,tl I'
! 1111 iLl
/U ..I!
P<<-IV l
SEWER UTIUTY
PROVIDER: Cl R- \-J a
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) -
FOR THIS PROPERlY: . - " ,
TYPE OF IMPROVEMENT:
"i> NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
Which plumbing codes will be applied to the construction: I
_ Basement Finish only
o ACCESSORY BUILDING 0 International Residential Code w/Indiana Amendments
o DETACHED GARAGE
o ATTACHED GARAGE 0 Uniform Plumbing Code w/I~dianaAmendments
o DEMOUTION ~
PROJECT INFORMATIOJ':!.:/, FOUNDATION TYPE: (CheG\,~hllt apply for the new
Early Release ,/ Manufactured construction area),"", ...~\) ''<>~O~S ,
LH-=~S\,,'J'
::;::~;t: ~ ~';::~mp: L~ -~ 0 .-~~t.:0\)~ ~~~~~~M ~PIER
. .~ ~~f\(~~~ ,~~\\\"" ~~Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accesso . e;~am~~fS~~~~}' ,~ofi\"'ction commences within 180
days of the date of issuance of the building permit, and must be completed (Cert" ~l!P~l.J.e!!j~\.fuip-~ths of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of IndSiM.'iSee 675\I4\O~~S;al"i..mg ~Ri~tion time frames for beginning and
completingconstrucrion. :\ 0'_ ,,<.;:\\-..1\'C- .- ~~\"\
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or a.l.k6t?on o~ ~ure, ~~ change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the Stat~tindQ.a, and the "Zoning Ordinance of Carmel Indiana - 1993n (Z~
289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the SG'~f'ndiana, and all Acts amendatory thereto. I further certify that only
kitchen, ba h'Eflo' rdrams are co .' ted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificateo!
Occupanc . been issue by the. ep ment of Community Services, Cannel, Indiana. .
, ~WL\",l,,\ C.W'(NIY'!(o\-\-'\'t\ 311,-\10'
Signature of Owner or Authorized Agent Print Date
TYPE OF CONSTRUCTION:
--r6- SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
~
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" '-/ ,
: ;
,
()7IJJOtJ
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PL MBING C
R.~ ~ ~Lvr1I3IN t:,
Plumber's Indiana State License #:
&'8"80 1'3 S
tier
******************
OFFICE USE ONLY: *********************************************************
Filing Fees:
Base Inspections:
INSPECTIONS REQUIRED:
,60
fJ3'
! '). . fJ.o
TOTAL: 11 drt;zg. 70
~ d~'J.
~ . ...3 ~::1at, 01
Upper Footin
~eter.B~
Under Slab
# Charged Re'
Reviews
P.R.I.F.:
Cert of Occupancy:
Additional Fees
Site
r 3-1.. I ~ 0
Reviewed Approved ept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL