HomeMy WebLinkAbout06030143 Application
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City ofC~rmel/Clay Township M;tJ Permit #f)h/)soJf3.
RESIDENTIAL IMPROVEMENT LOCA~~N PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
CITY
VV'P- $ rr//.I ,/
BUILDER of
RECORD:
NAME
Tt eN /,to -9 te
Cv, ,r~c
STREET ADDRESS
1;0, IS,Jr SiC
BUILDER'S EMAIL ADDRESS
/6 JIll.
/P,!, c On.,
PROPERTY
OWNER:
NAME
/?f-', ("'''f rl."'r-
STREET ADDRESS
/O>b
p.-". /(~ c. r If,e 1\ C.~,
SUBDIVISION NAME
LOCATION
& PROJECT
INFO:
LOT #
~ "L-
K "/I;t,e ~.. elf'
.41, 'II '"
()
C/'r
SEWER lJTIlITY
PROVIDER:
C~u.)
WATER UTILITY
PROVIDER;
NAME OF UTILlTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
[Z).---RESIDENTIAL (For
Additions. Remodels, Etc.)
TYPE OF IMPROVEMENT:
Wi\~
~
".
o NEW STRUCTURE
cg..---ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release ___
Permit: _Y-":::.N
Manufactured
Trusses:
_ Y z.-.-N
PHONE
JI?"-~'7'>I>:;
FAX
5/)-39~- S6'?
STATE
:;::'..4'"
ZIP
7tl'o?
BEST METHOD OF CONTACT:
Ul-P6?"->/~j>
PHONE
)/ ->>1- 9fl./..J
FAX
CITY
CArn,l"C~
STATE
r:-;4/
ZIP
,~Y!.b d :J 2-
ZONING: S-_/V
SECTION
c.-'1-Y'1-'11 IE L
'7'("'.$
SQUARE
FOOTAGE: .3 ;;> 9
~".1-
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) Lf 0 d &
I -5
Which plumbing codes wJ ... 'ppl'.. tn tho ~n"",~;nn'
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0
Lot Split: _Y t-N Sump Pump: _Y "'1if ~LAB 0
Does any part of the property lie within a special Flood designation area: _ Y L.--J<r
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 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 \vill comply with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Cannel
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 Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
-:4~/ 70'/t!I.I~/f~.C;"~;:~1"1~r ~/:u/06
Signature of OW~thori2ed Agent Print l.' Y , Date
OFFICE USE ONLY: *********** . *
,. Filing Fees:
INSPECTIONS REQUIRED:
per Footin Lower Footing ~~D Fo~a~~B~ITb'lON
._- Subject 10 compli~"jiI.(j~~\lIjl!Ula'liions
~ SitiO' State (mj k1~:' CO::l~S, .
DEPT OF cO;'vIK10NITY SfiRVICES
CITY OF Ct\RMEL / C!/.Av TO'
IND!ANA
~
Fee Received
(Date)
Reviewed/ Approv d.
S:Pefmits{Farms{lLP RE
***********************************
/7,/07-'3
/("o,~o
,
S- /. jO
# Charged Re-
Reviews
Addibonal Fees
'3