HomeMy WebLinkAbout06080057 Application
cityofC""",I/Gay TOwns~~~'" ,~
RESIDENTIAL IMPRO NT J 0 ON PE PLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
c) PHONE
(,J(. ,]tJ<::. 317-57 "-07 S
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BUILDER of
RECORD:
NAME; n '
Me (' ) '- fl N n,,-\-, ~
STREET ADDRESS ~
'61155 A'.je v->",,,,d
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
FAX
}11- :>79 - 07.(,2-
STATE
TtJ.
ZIP
L({, 2..5 b
ZIP
'516 2. 6'0
Z NING: $ f2..
JUL 2 7 2006
e...
13~lh'
SEWER UTILITY
PROVIDER: 0 tl
NAME OF lJTILfTY EXCAV nON co RACTOR; PLAN COMMISSION BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: 3 .,JL TYPE OF IMPROVEMENT:
o SINGLE FAMILY ':JlA.N"('f)CN'b NEW STRUCTURE
o TOWN HOME ~ 0 ROOM ADDITION(S)
o TWO FAMILY ~ Jli(f PORCH ADDITION(S)
# of Units: Df' , 0 REMODEL
o MULTI-FAMILY ~eO\I~.O ACCESSORY BUILDING
r # of Units: 0 OETACHED GARAGE
RESIDENTIAL (For 0 ATIACHED GARAGE
Additions, Remodels, Etc,) 0 DEMOLITION
N:
/& 000
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wi Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release '-'1 Manufactured FOUNDATION TYPE: (Check all that apply for the new 7!lJ/}/
Permit: Y I'-'N Trusses: _Y V N construction area) "Bv Oil/VleY ~ ~ ' .+'
./ 0 CRAWLSPACE C)!! POST & BEAM C-)(.IS /I n..:!
Lot Split: ~ Y ~N Sump Pump: _Y ./ N 0 SLAB / 0 BASEMENT ;...
Does any part of the property lie within a special Flood designation area: _Y ~N 1AlR 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 struc~. e permi.~s are ,Sub~e~t. to:the ~eneral.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
,a. DErRe n n ndcompletmgconstructlon.
I, the undersigned, agree th :.. " - . - 0 .. ~, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this app .catlOn . - .~'ll.pplicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z- 289) and amendments, adopted under authority of I.e. 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.
,. t. ~v jOMe.$' 1... Sck (r'o..eh_ 7-2-6-06
S nature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: **************************.~*****************'*~H*~,~****************
FIling Fees: L ~ ~ 'to
INSPECTIONS REQUIRED: j' I I, .50' # Cha,rged Reo'
Base Inspections: _ !:2 l;') _
Lower Footing Under Slab SiD ReViews
~ Cert. of Occupancy: ~-S-.:3 ,
.Fin..al) Si~
__ _ :Y Additional Fees
Cy-t:L;~t f1.1~ B-q~c.f.,
Reviewed/App Dved: Dept. of Commumty Services (Date)
S;Permits!For-ms!ILP RESIDENTIAL
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Fee Received by:
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