HomeMy WebLinkAbout04120029 Application
Carmel/Clay
~ I
Application for Permit No. 0 I.{ I J. ClO.J. 9
T L' D' Date
Hold#: .ImprOvement ocatlOn rermlt Roll File
TIus permit IS vabd only If construction is started withm 180 days of the date of Issuance for resIdentIal constru on; and for commercial projects, wlthm one (1)
ear afthe date of issuance of the State Commercial Desi Release. All construction must be com leted clo issued within 2 ears of the issuance date.
Township
NAME
PHONE
FAX
BUILDER
s
(3/' '.3'-1'7~7jW
STREET
CITY ,
STATE
,
ZIP I
'io:)'7't1
OWNER
STATE
LOT
SUBDIVISION
SECTION
LOCATION
J
d
ADDRESS OF CONSTRUCTION
BECKw'T Rlvt:
Do plans inclnde"i porch?
DYes Ill"No
F. TYPE ~ IMPROVEMENT
1. ~ New Structure
A. TYPEj')F CONSTRUCTION
1. B!' Single Family
2. 0 Two Family
3. 0 Multi-Family
4. 0 Commercial/Industrial
5. 0 OTHER
(Specify)
B. SEWE~
1. JljJ Public (Name ofsyste~iAy Tcw:Js/i;P)
2. 0 Private(Countypermit# ) G. Lot Split YES _ NO-L
C. WATEJl:: H. Flood Zones YES ----7NO~
1. Ii" Public (Name of system CARMEl) I. Sump Pump XES ~NO I
2. 0 Private (County permit # ) J. Manufactured Trusses //"YES --.L NO I
D. WNING: $-; K. PlumbingContractorfAui E. SMITH I
E. ESTIMATED COST O.f.CONSTRUCTION IRC Phll~mlI1R..Ql@t) fleJl'lj;J(!)m'I'"R~CT ~~
(Excluding Land Value) 'R JI.{L) DOn. {)() Indiame1J!JJOOil!1l €'6/11pliaJie M/lf'MF . '71
******************************~*******************************************~~~******~*~***.*A**** ** ** **
UI ;,lace anu Local vodes.
I, the undersigned, agree that any construction, reconstruction, enlargement, relOcation,~r ~~tt'!~ ~;PKi,1Ar fRW~:p1~riI\cthfiJ.)Sf.c.Ufmd or structures
requested by this application will comply with, and conform to, all applicable laws of the ate}Jftn..Qt'an3.? '1fu"d tKel"l'b11ii\k bfd~~ Indiana - 1993"
(Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assem lNhCBia&::.lfIibMlii!,. :mIDlIJ.tAYtsr~~eto. I further
certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the f~A will not be used or occupied until a
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
Type of Foundation
o /=rawlspace
~ Basement
o Slab
S~"
2.
3.
4.
5.
6.
7.
o
o
o
o
o
o
Addition: Porch Room
Remodel 0 Commercial Teuant Space
Foundation Only
Demolition
Accessory Building
Garage Detached
Attached .,/
,
,
~ INSPECTIONS NEEDED:
. ~nder Slab CRou~ &eterBasy
(Site F~ (fdcD D
9~7. 00 Sq.Ft.t23
1--faO ' () 0
Filing Fees:
E-Mail: I b'j RbSClt.lj@ DREES IiOMES. LOM
~ Commission/BZAlBPW Docket #'s; TAC Date(s)
'~.;~;'"
Base Inspections:
'"
P.R.I.F.:
Cert. of Occupancy:
v
onnsJILP5-02