HomeMy WebLinkAbout07040208 Application
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BlA / BPW DDCKET j.',,,,"S e)<cAI/AoTt->1t fvl> (l.;;Zo,0(6 Do<-l!G"I
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): hp ^"b< .ttO<tOI 00; . DLj.o1oo3<;2-
FLOOD ZONE AREA DESIGNATION(S) 'Plf!jJ,~ l&V\&~ TAX MAP PARCEL #: I!- -0')- 2<;-07--03 -o;zo. 0=
FOR THIS PROPERTY: Vl>~:6 "~As,eo CY1DlfD/.- \1. -""1_t.,>-o2.-o:z,-o"7l.oD<~
TYPE OF CONSTRUCTION: TYPE OF IMPji" . EM~T: o.~ C""VUMBING CONTRACTOR:
o SINGLE FAMILY ~ !i{JfitfqJdf ~11~'~~J~nC() ~i;&;1lJ'~lJ (2 i fL P /" ~~ ~~
~ TOWN HOME 0 ,Ft . (OC"l 11~. I Q;V State License #:
o TWO FAMILY 0 POR "l1U^, 00: -UUTEilio PC8(). /7 ,.-
# of units being 0 DECK ADD '!1t:l..' vfly S es. f/rf!., 0 0 00 :> 2>
constructed at this 0 REMODEL / CI A '1:.J:)I~
time: _ Basement Fi~J!f ~ }W~Cla'P:I.~e:J~es win be applied to the construction:
o RESIDENTIAL (For 0 ACCESSORY BUILDING Yv4 ~'1Jl.!l1 Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) 0 DETACHED GARAGE "--:"r:J'FVp . .
o ATTACHED GARAGE 0 Umform Plumbing Code w/Ind,ana Amendments
o DEMOUTION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER lITllITY
PROVIDER:
City of Carmel/Clay Township Permit #: 07 rJf..{ozor:,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME: 5a.\lC€ 4U>";'f(l" 13vi I.-b~ 'I,Jt.
PHONE:
311- S-CfS>
iJC(S
FAX:
-3/7 - .rqS- - 2/,1,. (
STREET ADDRESS:
B~3
CITY:
T '-'6' ^",,,,f"'-l<;
STATE:
:j:,..l
ZIP:
<-f.r.2.<;?>
c.tl..Alc, 91. :t:t'(oo
BUILDER'S EMAIL A.pDRESS:
'SlI1o~hev e
V1fhe, &v; {l~v< . CVIAA
BEST METHOD OF CONTACT:
fC lVIoshrw <~I{ 31'1'71-1: -$;782-
NAME:
PHONE:
FAX:
~. fVI0I-JD0 i MA,,.ltU(....
)"i{ ""-L
STREET ADDRESS:
CITY:
STATE:
ZIP:
~",.e..
LOT#: 11 C.
SUBDIVISION NAME:
f4ot->O,J i htA-l,.l
SECTION:
ZONING:
Pub
ADDRESS OF CONSTRumON:
3D v\'<>~,.,ce-sr,
SQUARE
FOOTAGE:
Z, z..3c
c-l\-fUv1~1- T ,.
L\-b~2-
ESTlMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
Cl\ilM-e\...
WATER UTILITY
PROVIDER:
tp,~L
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
Lot Split:
y K N
V 2(N
Manufactured
Trusses:
Sump Pump:
o BASEMENT (WALKOUT:_V_N )
\Y_N
_V..xN
o CRAWLSPACE
~ SLAB
o POST &
BEAM _PIER
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 permit, and must be completed (Certificate of Occupancy issued) within 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 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 float drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy be n i, ued oy the De~=,me;1of Community Semee" Carmel. Indiana. !
: ,l.U! ci::L. .; [uti M. _ MO'iS ttaL if ( z.s "7
Signature of r Au orized Agent Print Date
# Charged Re-
ReViews
P.R.LF.:
Additional Fees
ervices (Date)
[07
Reviewedj Approved:
S;Permits/FormsfIlP RESIDENTIAL
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