HomeMy WebLinkAbout07040141 Application
NAME OF UTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA / BPW DOCKET --1
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): A - J.. .s Llt:t:I2J Oe- E: ~ c..
TAX MAP PARCEL #:
-ICj-O-OI-O 0,000
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
IYNEW STRUCTURE HJ1TV\ VY) 't- ~ntJ S, I tJ (' _
o ROOM ADDITION(S) Plumber's Indiana State License #:
o PORCH ADDITION(S) /'P 1'\ t
o DECKADDITION(S) L...- (uO 00 0 \
o REMODEL ~I'=f ~~ ^ ^ED ~iCh lumbing codes will be a~Plied to the construction:
Basemen Il'I1~ F;
g ~~~~~~~~YG~RA~to cornp)iq'~;:~t&7"~r,e~~;;ti:: COde,W/Indiana Amendments
o ATTACHED G.4lRAG6.- of State MdT rIIi 1\\lI~IWaf,c)de"w/Indlana Amendments
o DEMOLITIO!li.""1::I"" OF CO oC~\fttf ons
l.iITY OF M~~J~ofjlfTYPE: (Check all that apply for the new
Manufactured ../. CARMELc~nCl[Ll^~y !iJijaJ/CES UJJ~l~lS...HeD
Trusses: ~_N JNDJAN'1~LliWAII!JI~'Sf,l/pD POST&_BEAM_PIER
Sump Pump: _Y _N '-:\ 1\ ;' {,~, 'c;:) i~l{~ ~SEMENT(WAlKOUT:_Y~)
. -- .. - ,.~. ,
For Single Family and Two Family dwellings, additions, remodels, and/or acce~orystructures, this permit is valid:oh1y~if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (<3ertifitate of Occupancy issued) withID H~ ;,rionths of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the St.at~ 'pt I~\d!an~ (~<<~751A~I22~fWu-ding ~xpfation time frames for beginning and
compleung constr:Ucuoli\r n I 0 Ill.) / \
I, the undersigned, agree that any construction, reconstruction, enlargement, relodtion! "r 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' M the'State.of Indiana, and the "Zoning Ordin~nce 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 amendatbry thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the consrructi()J1.,will not be used'or occupied until a Certificate of
~;:J:\t~:h~~~'Z~tcommurntysm"J[O;~~a{;S HEPHE:QfJ
Silf'atu pwner or AUthOriz~ Print
I
OFFIC~
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIlITY
PROVIDER: CLA
City of Carmel/Clay Township Permit #: 070lfDltfl
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
N7ltLt
S75~"J350XdOb ~:-11ql.
CAt2fll ST?J
ZIP:
l/-100 3 'L
BEST METHOD OF CONTACT:
E. mAl L-
FAX:
NAME:
PHONE:
.s
~E:
STATE:
ZIP:
CITY:
STREET ADDRESS:
LOT #: SUBDIVIS,llilN NAME:
o - Kl 06 E c$11\-TES
ADDJl.ESS Of, CONSTR){t;T19!"= f) a!\
~ (.14 ~ Lu f\Lj K-l C6 E uL V 1-->
Re.G
SECTION:
ZONIN3' _ :1-
SQUARE h
FOOTAGE: J
ESTIMATED COST OF CONSTRUCTION: I I ()I'
(EXClUDING LAND VALUE) 7 q '-+ 36
D70
WATER UTlUTY
PROVIDER: CA-R.tvlf:; L
140
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
..
TYPE OF CONSTRUCTION:
(3""SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
[] RESIDENTIAl(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
lot Split:
/
_Y_N
_Y '-'1'f"
411110'1
,
Date
EONLY:*********************************************************~~* **~*****************
INSPECTIONS REQUIRED: Filing Fees: c...) . :7 (J
Base Inspections: d of? sO
Cert, of Occupancy: c;)" jd
/,,)(,/60
I ){ 51}, 9~
Lower Foo
Under Slab
# Charged Re'
Reviews
Site
Additional fees
P.R,LF,:
(Date)
ReViewed/Approved: Oept. of Community Services
S:PermitsjForms!ILP RESIDENTIAL
Fee Received by: