HomeMy WebLinkAbout07050253 Application
1!JOJ,CLh -+ ~a~ 7 ~a~1-. 1fLtU{L-hOI) A _
City of Cannel/Clay TownshiJ~' (). Permit #:0 7tlSOJ...S3
~~~~~~~-~~_~;w~t?u~u~;~~~~~~~~~~!~~:l~~
BUILDER of
RECORD:
NAME
STREET ADDRESS
8440 Allison Polnte Blvd. #26'(r
Indianapolls, IN 46250 cm
FAX
STATE
ZIP
PROPERTY
OWNER:
NAME
STREET ADDRESS
PHONE
FAX
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
1/
A1vJ (}OJurui IN. 4& o3~
6vuTuL
ZONING:
SEWER UTILITY f) -
PROVIDER: LM.rr2JJ-
SQUARE
FOOTAGE:
/),145"
WATER UTILITY
PROVIDER:
NAME OF LmLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
~ ~J~UCTURE ~T t.-rrjJ.tJJLL
tJ ~8SElmS) Plum er's Indiana State License #:
25 REMOI Corn ~R CON." /Od ()iJ()j; 7
o ~ ~~atl" e W;'t~rJllJ@?r'ftj'J.~ es wm be applied to the construction:
r:IJ1 OCal ~~~~YResidential Code wI Indiana Amendments
o J.&f> UN/hr>.. eS. nS '
o '''''6 ~L ' l"-C)'A'Piform Plu"1bing Code wI Indiana A!'1endments
DEMOUTT 'J""" ~ CI . \, .,.. '1r%\(lQImw Cpnstruction Code) "
PROJECT INFORMATION: IvDIAf./;;; r F~~~_\YPE: (Check all that ap~iy for the new
Early Release X Manufactured X'
Permit: _Y _N Trusses: Y N construction area)
.J 0 CRAWLSPACE
Lot Split: _ Y -2lN Sump Pump: Y ~N i2l- SLAB
Does any part of the property lie within a special Flood designation area: _ Y IN
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
;@ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
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 mllst be completed (Certificate of Occupancy issued) within 18 months of the
issuance clate. Class I structure permits are subject to the General Administrative Rules of the Scate 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 apphcation will comply \vith, 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 r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
us or occupied until a C tificace f Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
tJIIl)A/A!()/J JlrNJIlf-llAl 5 -J:}. --07
Print Date
OFFICE USE ONLY: *********************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIR
Upper Footing Lower Footing Under Slab
e;';;-~ ~ase Final Sit
W~)~
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
~ ,.s;
:s; SO
5 'd1, 00 Additional Fees
TOTAL: 4j ~.5'1'6& ..50
3Cff't'r'1~
Fee Received bv:
# Charged Re-
Reviews
P.R.I.F,: