HomeMy WebLinkAbout07030210 Application
City of Carmel/Clay Township "I\UnITRI\U A'1rmit #: 07~30~~O
RESIDENTIAL IMPROVEMEM~A>ff~~imf APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
I
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER lJTILITY
PROVIDER:
NA~,\Ve.-\\--o~ \\~ L\...(;HONE:
STREET ADDRESS: CITY:
\.9\,\.9\y h../'5~St"~4QJ:::> :-L--. Is.,
BUILDER'S EMAIl ADDR'(S,z '.
di"\~ oJ ,\~
NAME:
s.. ~ov-~ ~ L-u:....
STREET ADgRESS:
l"L,\o1..o :s I'S~ 5>\-, ~'1cr::,
~
LOT #:
,\~'ts
FAX:
S>4~-~~L,'Y
ZIP:
tfQ "'5D
STATE:
~N,
~.
BEST METHOD OF CONTACT: '\
-e~1
PHONE:
FAX:
~Lid-' \?:7 s-
CITY:
Tv
STATE:
Is.
'v'~'
SECTION:
\
SQUARE
FOOTAGE:
\'"'
1.0'-\3"
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LA 0 VALUE) \ '10\ em
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #"S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
\iSINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.l
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y/'N
_Y -0'
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
Sump Pump:
0_N
..LY_N
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I)J' ~'" :!~rf'rY~---:~~~M: :;-:;.-
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TAX MAP PARCEL #' r ----.,-~.~-~-.,,- II"
1''-")1 : i ','
J r\ '\ ! i U
PLUMBING CONTRAl1rlW: MAR 2 9 2007 ! II i Ii
S\~ (\.,..w~~S I~i
Plumber's Indi~na S:k; License #: - 'I' I
~(:tp't S' n, .J
WhicjrPlumbing codes will be applied to the construction:
ru/Intemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
I
FOUNDATION TYPE: (Check all that apply for the new
construction area) r
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~BASEMENT(WALKOUT:_y-0l
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 J8 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
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 LC 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 be issu y the Department of Community Services, Carmel, Indiana.
,k('o~. U\~
Agent Print '-
OFFICEUSEONLY:***************************************************~* ****************************
F"I' F ' 0 3;;' ~\
INSPECTIONS REQUIRED: ling ees. , ' 7U
~er FOO~ ~er FOO, Under Slab Base Inspections: ;;'1? ;; ()
e9 - ~ ~ Cert. of Occupancy: S). )
ough In ~ter Ba~ inal Sit / J. /,! 10 ' "
~ _ _ _ P.R.I.F.: _ _ ) -' ' Additional Fees
\... ./,//TO,T TAALL::,"., ~7~ ,ilict~?h~/ Yo
Rev, IAppr ,"Dept.ofcommumtyservlces (Date) ~~
S PermltsjFormsjlLP RESIDENTIAL Fee Received by: Date
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Date I
# Charged Re-
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