HomeMy WebLinkAbout07090042 Application
City of Carmel/Clay Township
BUILDER NAME: c.,sti PHONE: ?(e9_235?
? srtLD6C A.? FAX: B15-2512_
OF
RECORD: STREET ADDRESS: CITY: CAexc-t_ STATE: ZIP: 4`J
14 3-o c«.v -tew_ , F_ diva.
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
0' to P 0 C. s'('..: c) -n1 ¢T a-e t I
PROPERTY NAME: PHONE: FAX:
5`^` AS A60JG
OWNER:
57REET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT ` SUBDIVISION NAME:
/
t-I cry
432
C SECTION: ZONING:
IOU Z?
of N
VILIAZ
E
&PROJECT
INFO: ADDRESS OF CONSTRUCTION:
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FOOTAGE:
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/3: 3 I 407090040 -
SEWER UTILITY WATER UTILITY
-
1 ESTIMATED COST OF CONSTRUCTION: 2_9
7?
1
L
PROVIDER: GAR/AC
PROVIDER: e- LA-/
(EXCLUDING LAND VALUE) ,
G
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
PERMIT *5
IF APPLICABLE
T
2_T 1.4»L{= (/
UU
):
IC
(
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEP )
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL SEP Q tr 9/?,.??
FOR THIS PROPERTY: 17 - J 9 -Z 8 -F *d -o c. I • aWA(
TYPE 6CONST U ON:
SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit. Y
Lot Split: _Y _N
J
OFIMP ME : PLUMBING CONTRA 0
(r Mwl','-
NEW 5T AAAA
ROOM ADDIIQf?Sy'CQ Plumber's Indiana State License
PORC?AADDDIT12p- t'
noF4l jQwn[tt'r9% ?r,_ /DO 52.0
? ACCESSORY ERfIK}?plG'/1'
DETACHED CARA
O ATTACHED CARAQ?
D DEMOLITION /,
lv?"!y
Manufactured
Trusses: Y -N
Sump Pump: Y -N
Permit #: V / 0q004P"
(Check all that apply for the new
QY43pWLSPACE O POST St _ BEAM _PJER
D SLAB ASEMENT (WALKOLT:_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 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.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change m the use of land or structures
requested by this application will comply with, and conf=to, all applicable law's of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993' (2-
269) and amendments, adopted under authority of I.C. 35.7 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 coineered to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cerd5cate of
Occupanc hags been issued by the Department of Community Services, Carmel, Indiana. r
Signature of Dwnw or Auew imd Agent Print Date
OFFICE USE ONLY: *****************s************************************ **: ********************:*
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: 51-? ST 50 # Charged Re-
er Footi L wer Footi Und b r Reviews
Cert. of Occupancy: J Jam.
F?a
ough I Meter a naI Site y _
A / t P.R.I.F.: I D' L(7 t 0 Additional Fees
Review€d/Approved: Dept
5:Pe WFOrmy11LP ResmD riAL
(Date)
I
codes will be applied to the construction:
r?i ??R??esidential Code w/Indiana Amendments
yrrTDing Code w/Indiana Amendments
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
as (09 0. W /5,12-