HomeMy WebLinkAbout07060293 Application
City of Carmel/Clay Township Permit #:D 7()(d)J/13
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME: PUL
E Hom
STREET ADDRESS:
80 I\l m
BUILDER'S EMAIL ADDRESS:
-Jo tJNS, SHEPHeRD
PROPERTY
OWNER:
NAM~b
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
TYPE OF CONSTRUCTION:
cYSINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y v" N
_Y L-N'
s
SUBDIVISION NAME:
FAX:
CITY:
003J-
BEST METHOD OF CONTACT:
ELEi\S .<. . a", !S,;::~ !~TI
PHONE:Subject to cornpiianC8 wittrAXI fe~Julations
of State and Loca! Codes.
CITY: ....OJ\frf'SfA~n Y' SERWeES
CITY OF CARMEL / CLAY TeV
SE~IlJDIANA ZONI3 -.1-
SQUARE I" \ -
FOOTAGE: l{Id 7 ~
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
Basement Finis.
o ACCESSORY BUILDII\.
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
.........--
_Y_N
~_N
DDRES5 OF CONSTRpcr;ON: 11/\ I .
/1 nU}.1~
SEWER lJT1lITY WATER lJT1lITY 0 ^ --0. J 1 ESTIMATED COST OF CONSTRumON: ., f .. 3 '/3
PROVIDER: PROVIDER: L,.A-r fGVI C L-- (EXCLUDING LAND VALUE) ~ f.t; I '+
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET A /1 " 1 I (Y fl" I). OAt'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE), - .J.- 0CU~ Ou L '" C- .
FLOOD ZONE AREA DESIGNAll0N(S) " Ii
FOR THIS PROPERTY:
TAX MAP PARCEL #: { {o-
1-CA -:18'-00 --To -017.
PLUM~N~C:~~rJ <\ './j,l(1~-hu'~;1
Plumber's Indiana State License #: J UN ' 2 ; / i I III
cPl 0095 I(!O I 9 2007 I!I ;jl
fhich plumbing codes will "e applied to the construction: J tS/
~mational ResidJntiaLCOde wi Indiana AmendmEmts
o Uniform Plumbing Code wI Indiana Ame-;;dments
o
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 PO~ iji;AM PIER
o SLAB IY"BASEMENT (WALK6Of:~~
,
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. dass I
structure pennits ace subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regacding expiration time frames for beginning and
completing construction.
t, 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 -1993n (Z'
289) and amendments, adopted under authority of I.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 used or occupied until a Certificate of
Occupanc hosbeeni"ued t eDepattmontofCo UnitYServim'C~i;JN6 .st-lEPHEQf) 01J.'if07
EONLY:************************************************************~*******************
INSPECTIONS REQUIRED: Filing Fees: //6 J/ 'J.. '0
C F t'!P'g' U d SI b Base Inspections: ~;( 7.,~ 0
rool. nera -/../)
Cert. of Occupancy: G:'\ . ~ V
P.R.I.F.: / /01 C/ () 0 Additional Fees
~l'OTAL: /;:7,,.$/2,(, 3D-SO
W~~~
Fee Received by: -
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