HomeMy WebLinkAbout06100068 Application
. . \~~7 ~\1 /)
CttyofCarmel/Clay TownshIp '"'Vj...~ ,,0 O\.tlut\ Permit#: U 01060raf5
RESIDENTIAL IMPROVEMENT LOCA: ION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: . New Structures, Additions, Remodels, &. Accessory Structures
LOT #: .. GB~711:^;':J k i? r SEmON ZONiJ c.( ])
DRESS OF CONSTRUCTION: SQUARE J 1_ <l
~ferl1/c IN'; /r.. <. FOOTAGE: /VIIJ 00
WATER UTI ~~~; " ESTIMATED COST OF CONSTRumON:
PROVIDER: '~~" "" ~~(EZClUDING LAND VALUE)
NAME OF UTILTIY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA.I'BP.W~OCKET -..,~~) ')
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT;/I;s'(iF"APPUCABlf): ~
/ ,v//)/ A.,)~ /
FLOOD ZONE AREA DESIGNATION(S) / ((j) /' <:l) v
FOR THIS PROPERTY: /iZJ~ '
TYPE OF CONSTRUCTION: TYPE OF,.Ii "'EME % PL MBING CONTRACTOR:
o SINGLEFAMILY ~NEW~~~ E /97 ~067S-
:Ji'k TOWN HOME 0 ROOM ADltq~) Plumber's Indi;jl1a State License #:
o TWO FAMILY 0 PORCH ADDn)Q.N{S . / (j' I.
# of units being 0 DECK ADDmm.' ) l<../ /11' 77~
constructed at this 0 REMODEL
tl'me'. B' . I Which plumbing codes will be applied to the construction: I
asement FiniS n y
o RESIDENTIAL (For 0 ACCESSORY BUILDING ~temational Residential Code w/Indiana Amendm~nts
Additions. Remodels. Etc.) 0 DETACHED GARAGE .' . '
~ f\.rrt-~ ~&.. . . Ot\gl\r" Plumbmg Code w/Indlana Amendments !
I1Eb~F1l.m ""ONSiRUQ :
Subject to compliance wl\h 1l\llegl~CJIitH1!IA:nON TYPE: (Check all that apply for the new
Manufactu~\at nd Local Codes. constructIon area) ,
Tr'tjf;~ OF C~~TY SERVICES CRAWLSPACE 0 POST & _ BEAM ....-lPIER
'e\W~:CARMEl ~y TOWNSjlltPSLAB 0 BASEMENT (WALKOUT:_Y~N)
For Single Family and Two Family dwellings, additions, remodel, r ac essory structures, this permit is valid only if construction commences wit~ ISO
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. qass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginni?g 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 ame ,adopted under authority of r.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, b ,and oor 1 are connected to the sanitary s er. I further certify that the construction will not be used or occupied until a Certificate of
07 c he., nbytheD ar Olcotyservice';e't~rl 6v~ rt,tJ ~F-(]~
er or Authorized gent Print Date ;
I
OFFICEUSEONLY:*********************************************************************************
F.I' F . b 5 ;7. rJtJ
PECTIONS REQUIR . I mg ees. .
Base Inspections: dJ '7 7.:) () # Charged Re-
Cerl. of Occupancy: ,5 3/ J d ReViews
P.R.LF.: I ;2.. 6/. ()() Additional Fees
~ /10TAL: /;2;;~ t! () .
{j -UJti;b~_ /o/tilo~
Fee Received . / Da
BUILDER
OF
RECORD:
NAME:
^ ;,?,v G N€I.l
PROPERTY
OWNER:
.$cc A
j2
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
PROJECT INFORMATION:
Early Release
Permit:
_YXN
_Y -X.N
Lot Split:
STATE:
J::.../
BEST METHOD OF CONTACT:
.3 -.7
PHONE: FAX:
cm:
STATE:
ZIP:
/
/TAX MAP PARCEL #: