HomeMy WebLinkAbout07040044 Application
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/C~'~'~C".:~~~_,- City_of Carmel/Clay Township I'
, ) RESIDENTIAL IMPROVEMEN':f
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SEWER lJTI
PROVIDER:
mit #:(Y1oYC09j/
APPLICATION
NAMEL _ J, SIt) ill:- G. - c
/IEE.I IV 6 A-t/E
PHONE:7/P>S "2?? fi!;IIfPCA:
CITY'/v{#;VC IE STJ1tj
Zll/13c1/
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
PHONE ~tj3 c;JS/
CITY ~lbL m
FPCA:
N1:}tld 0 tuGLL.- ~
s'
'y."MfJ 7 aD j)Q
PAAA:
LOT~
SUBD~ION NAME:
b-L-ttL ~j)
t:'/&o32
SEmON:
ZONING:
SQUARE /-<
FOOTAGE: ~ :2-
ESTlMATED COST OF-CONSTRUCTION:
(EXCLUDINGLAND,~A~~E) (ce," 1:'>1000
, ) Jr' --~,~--."- .-;: i
i; ;~\~ ) t;: i Ii
TAX MAP ipARCEL #: 007 ; r'll i n
111'1: "I
lLJ Ui ilG'.!
I .- . - ..- _0 _------J t
PLUMBING cor~~_~~~__'~_4~_J
Plumber's Indiana State License #:
NAME OF UTILITY EXCA ATION CONTRACTOR; PU\N COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE 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:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
[};( 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
_y _N------Trusses:
-y~
_Y--l,.d'J
Sump Pump:
-y~"
Which plumbing codes will be applied to the construction:
o
o
International Residential Code w/lndiana Amendments
Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
r!1' SLAB
o POST &
BEAM _PIER
o BASEMENT (WALKOLlT:_ Y _N )
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, this pennit is valid only if constrUction conunences 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 permits are subject to the Generil 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, reconstr~on. enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, ang.conform to, ;uappli~able laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana ~ 1993~ (Z~
289) and amendments, adopted under authonty,of I C 36~7 et seq, General-.8.ssembly of the State of Indiana, and all Acts amendatory thereto I further certIfy that only
kitchen, bath, and floor drams are connecte~.ro the "mrary sewer I furthe^ ertify that the construWon will not be u"d or occup"d until ~Z7
Occupancy has been issued b the Department of Conunuruty ServIces, C d, Indiana
'~ 0
D.
OFFICE USE ONLY: ********~***********":t7*'t** **********,***************'*?;*J*i*l'l*****************
INSPECTIONS R~UIRED/\ FIling Fees, / z.. 7-
U F t' L F t' d SI b Base Inspections: /'1;Z ,50 # Charged Re-
pper 00 In ower 00 I n er a . ".......-; ReViews
~r s9 Cert, of Occupancy: S':). ,) ~
Meter Base Final Site
P,R.I.F.: " Additional Fees
TOTAL: $0 f J.. J:I
Reviewed/Approved: Dept. of Community Services (Date)
5:Permits/Form5/ILP RESIDENTIAL
Fee Received by:
Date