HomeMy WebLinkAbout07050128 Application
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07D I~ ESTIMATED COSTQ~CO~5IRUrnON:-:,-:::- --:; c" ",' ,
~..-. (EXCLUDING LAND,vALUEE~ (r:;Ly..cO' : 0' ,,.:,;,,,.;, I :',' 'I '
- u".Itl-,lo;;:.."'--' 1,1 \\ I' 1 \.q,~_ " _,V\.;! '- . , :
NAME OF unLTIY EXCAVATION CONTRACTDR; PLAN COMMISSION I BZA I BPW DDCKET l-+e. P P 'j V" \ \ t.Jffi S';:;"~',1n 01,0
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE): i i ~ 4 1 no
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PA~dEJ ~\ V
FOR THIS PROPERTY: \ \J l\ i
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONT~CTOR: J
~O SINGLE FAMILY ilI1 NEW STRUCTURE Hco5i6!(.. ~'1>E"-PCdMB-'NI"-"
TOWN HOME 0 ROOM AOOmON(S) Plumber's Indiana State License #:
o TW~ ::~n~'t: being 1 t:l1/-j,~O ,;~~~~gg.IJ~~~\S) ("\ ('} 2.. 2 ~ he> '-
constructed at this I S~ '~ijEL bo'", Which plumbing codes will be applied to the construction:
time: '0~... t!1i~~h only
o RESIDENTIAL (For &~ O.~ B.u~G 0 International Residential Code w/Indiana Amendments
Additions. Remodels. Etc.l. O!IIJIM s.~ IW/J.!ARAG,E
IVOI '~& ~~/d.AM~6'''' '\iJ Uniform Plumbing Code wI Indiana Amendments
'..1.0 ~ ~Lffl' ',,", vo I
PROJECT INFORMATION: ~../.S ~,\j G lZl,fju/:> 00:i ~O.A ,FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufa~ ;)I.;/:>II<:/, G11J1; ')? ../.(j .. '-{k7'struction area)
Permit: y ->L..N Trusses: 6'0;4.t~~~ So 0 CRAWLSPACE 0 POST&_BEAM_PIER
Lot Split: =Y Z Sump Pump: .J2J~;~~I)S 0 SLAB ~SEMENT (WALKOUT:LY_N)
For Single Family an.d Two Family dw~l~ngs, add~tions, remodels, and/or acce~~ structures, this pe~mit is val~d ~nly if construction commences within 180
days of the date of Issuance of the bUlldmg pemur, and must be completed (CertifIcate of Occupancy Issued) Wlthm 18 months of the issuance date. Class I
structure permits 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 laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z'
289) and amendments, adopted under authority of r.c. 36'7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and Ooor 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, Cannel, Indiana. \
.~ fl-.' PcvkI. "J) (L I P P. P4-76l--
Signature 01 Owner or Au onzed Agent Print
f
tiMi
" '
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit#: t;705ol8J'3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Strubtures
NAME:
C/...A GS'/C H-oMe.;.Jnc.
PHONE:
( 3IV873-992'1
FAX:
C ?Il) nZ-t,4-b D
STREET ADDRESS:
?,'5{,g Co,zSH-4rIJ CiR..tLS
CITY:
CA-iUt1 EL
STATE:
IN
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
cetL '. C" I? ) q 4-(" - G"" Lf
I"~
NAME:
GL48S1C J+ofY/ES,; II?C ,
PHONE:
<.....:'11)<(,'17,492
CITY:
cAf'.m eL
, FAX:
. /3,75 87 6 ~b4b 0
ZIP:
STATE:
/lJ
STREET ADDRESS:
?,S-(,g, CQRS~>'Y1 o.t~c.LE'
?:,L
LOT#:
"':l5
SUBDIVISION NAME:
d'le..brtilk cd- R<.<llo<>l\..."e.
SECTION:
I
ZONING:
81
SEWER lJTlLITY
PROVIDER: C T I9J f.l..D
t.
%(rs/1)7
Oate
OFFICE USE ONLY: ***************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
~
Reviewed/Approved: Dept. of Community Services (Date)
~ S,P"m;t;jFocm0lP RESIDENTIAL
Final
Site
# Charged Re-
Reviews
Additjon~1 Fees
TOTAL:
Fee Received by:
Date