HomeMy WebLinkAbout07020116 Application
City of Carmel/Clay Township Permit #:()7D:;.p / /~
RESIDENTIAL IMPROVEMENT p.Qf~Tlql'8ff~~~~rr: 4J.fl1ICATION
For Single Family, Town Home, &. Two Family: New,S,trlf/;tllres,j,\ddjt\Qns, ~~.m' 01l<<l15; &. 'AcCessory Structures
"...H..H.lJ~"\". ID l_,~iTnp!J.:.nce \;'j'H 1 all t-.loqult1tlons
PHONE: 0 blate and Local Cod<'FAx:
o;7.fH'l DEPjl~Fr~ TV SE~1Cf'I!l>5 .'-15')
E / C1sl...'IE: TOWNSI~fP
INDlAN~N '-\ b:2"\ 1
BUI~~ER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
C
::Je\1.V\t.e
roA,,>re;z ~'1
l~vy).S
BEST METHOD OF CONTACT:
~)ih,.
Cl.
... ~AX:-=
STREET ADDRESS:
".., ..,..., - , '). ~
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BUILDER'S EMAIL ADDRESS: .
TOI",)D AA~yoL-i) e smtx;>KAt-l, COM
NAME:
Ro0~1 I C.....o
SE"\e~
PHONE:
5O<q. <31 1'1
CITY:
i NI)V\.'J
!S ~; H1)~EcnON:
STATE:
It--\
ZIP:
4 b ?BD
STREET ADDRESS:
\....'iD t 10"'-1)-1 'S1.
LOT #: 4 ~ISION NAME:]5a..'I!
ADDRESS OF CQNSTR ON:
141.; 0 e IOb-rl-l '5i.
\ 1:,:t ~l-
SEWER lJT1lITY ~' _
PRO lD R: ,-__&V'me-1
E OF UTILITY EXCAVATION CONTRACTOR; PLAN ISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COU"'" WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAN9 VALUE) - d) \ 2- 2. 51Y.' '35
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\t1\.S;~w!e.J.. )
TYPE OF IMPROVEMENT:
INGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
~ RESIDENTIAL (For
Additions. Remodels. Etc. J
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S).......,L
CJ... DECK ADD. ITIONc,sL....?.. A.;
Ci!' REMODEL ny<..-t(blurtu'
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATIOJ':!.: /" 0 DEMOUTION
Early Release c/ _!;Ianufactured /
Permit: _Y ":;-N ~irusse5: _Y.....Y:...N
Lot Split: _Y ~ Sump Pump: _Y../"N
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TAX MAP PARCEL #r t. 'i\
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PLUMBING CONTRACTOR:
I<:al..'r ?\l.>f"I).9.u,..G-------'
Plumber's Indiana State License #:
03
..>
-~-------
o International Residential Code w/Indiana Amendments
,
if Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
if SLAB 0 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
compIetiii'geonstruction.
I, the undersigned, agree that any construction, recons tion, enlargement, relocation)JI"~eration of a structure, or any change in the use of land or structures
requested by this application will comply with, and nform to, all applicable laws of the State,of Indiana, and the ~Zoning Ordinance of Cannellncliana - 1993n (Z~
289) and amendments, adopted under authority I.C 36-7 et seq, General Assembly of the Stat of Indiana, and all Acts amendatory thereto. I further certify that only
k1tch~n, b th, and floor drams are connected t he samtary sewer I further ;!lert that the c structlon WIll not be used or occupIed until a Certificate of
Dccu cyhas bee by he Depar r-of ommuruty SeIVIc~s ' ,Indiana
/ -;?; L' J/
/- -', 'J /Ob.L:! /7l9i<?64o ;'}.-'2.) -Q"J
Signature of OWner or Authorized As nt Print Date
OFFICE USE ONLY: *****************~'***.~********************i~3************************
INSPECTIONS REQUIRED: Filing Fees: , - ~ )'"" Gl
. . Base Inspections: 2 / /. () 0
Upper Footing Lower Footing Under SIabS3 ~
~ ~ Cert. of Occupancy: . J
C Rcrugh I;;) Meter Base Final Si
_../ _" P.R.I.F.:
J/t~1
(Date)
# Charged Re..
ReViews
Additional Fees
Revie