HomeMy WebLinkAbout06080112 Application
RELEASED FOR CONST T .'
City of Carmel/Clay Towlidi'lJ;Cllo Compllance W'lh~tl ~~? '.'?N Permit #: IfY.r,O'K O( ('d--
RE~IDE~TIAL IMPR6\:W~~.~tW.e,~.IJ!I~~ltMIT APPLICATION
For Single Family, Town Home, erW i1f'i!!A~~etu1~,'Aa~I.!-iPmf:~mOdels, &. Accessory Structures
~~ILDER NAME:~ rNrnWIfA:) do FAX: YJ-4~<f:Ja
RECORD: STREET ~D ST3l\.l
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT #:
/)J.
ADDRESS OF CONSTRUcrrON: 3 4 7
(\ WATER UTILITY
o T~D PROVIDER:
SEWER LfTILITY
PROVIDER:
PHONE::
FAX:
STATE:
ZIP:
SECTION:
ZONING:
SQUARE
FOOTAGE:
sSW
ESTIMATED COST OF CONSTRUCTION: "" --7 .
(EXCLUDING lAND VALUE) d ;:;;>
NAME OF UTILffi EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
1\ \ SU-{}~ Ore:.-
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
V SINGLE FAMILY
-1J 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:
_ylLN
_Y~N
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured \/
Trusses: $,......., Y _N
Sump Pump: XY_N
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
Lovr \ (?" {?/'J
Plumbers Indiana State License :
L:D6s LA
Which plumbing codes will be applied to the construction: I
o International Residential Code w /Indiana Amendments
,CS(Uniform Plumbing Code wflndiana Amendments I
FOUNDATION TYPE: (Check all that apply for the new
construction area) I
o CRAWLSPACE 0 POST & BEAM PIER
.
o SLAB ~BASEMENT (WALKOUT:_Y N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 will comply with, 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 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
Gecu ancyhas been iss hy the Department of COIm?unity Services, ~~ana~ x-c:r:e ctf d\ IdtJ
Signature of 'n r or Authorized Agent Print ~ Date
OFFICE USE ONLY: ********************************************************* ************************
SPECTION UIRED: Filing Fees: , rJ-L/1. ~O
pper Footi Lower Footi Under Slab Base Inspections: c2 '7 7.) g
Cert. of Occupancy: (.,.-3 - SO
~P'W" ~/~/ 00 M",,"_
,/ TOTAL:. ?d-33 'l60
( r
Fee Received by:
Final
Site
ept. of Community Services
S:PermltsjFOrmS/IlP RESIDENTIAL
S2Z~6
(Date)
# Charged Re-
ReViews
Date