HomeMy WebLinkAbout04120082 Application
City of Carmel/Clay TownShJ1.JJi"~ / ~~ Permit #: tJ '-I rLOCT6'd...
,;RESIDENTl.~ I IMPROVEMENT LO~ATION PlSRMrT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME f31
RECORD:
13 tem~
tv, &4""" :J.Ii 11'''
PHONE
5() -t133f?
!rI:l; fs"hlJJlt
FAX
5tJ'1-t)~3
STATE
'AI
BUILDER'S EMAlL ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME
ItImm FimTS (.L.e
PHONE
5 - 92~2
tthlud/l:.~. 5k.f.;, ~ .
i$STA~
FAX
- 92'-/
ZIP
'~zm
ZONING:
PUP
LOCATION
& PROJECT
INFO:
CTlON
SQUARE
FOOTAGE:
tt?
SEWER UTIUTY
PROVIDER: t1I1tW])
EST1MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) / It t'l:t?
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUtfTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
~
o
o CON UCTION:
SINGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units: _~. ~ . I
MULTI-FAMILY / ~~
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
]X[ DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Pt. ?7,t)5Z 2' ~t1-tJ
PLUMBING CONTRACTOR:
Plu~~~~~Ebrlitfi!~STRUCtION
of ~t~'::.p"ance with all regufaflOl1S
IlJ::'D ar161 LO'-'dl COrles
Which Plu_"",~4SlWiI~~~UCtiOn:
o InJ;f/Itl6.QIRe-"'~o~~~~~~~~ft~nts
o Unifonn Plumbing Codll'mJ~Aa Amendm~~~H I P
(Multl~Family Construction Code)
PROJECT INFORMATION:
Early Release
. Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y )eN Trusses: _Y )0 N construction area)
V X'\ 0 CRAWLSPACE
Lot Split: _Y,P-N Sump Pump: _Y LY-N ))!:f SLAB
Does any part of the property lie within a special Flood designation area: _Y X-N
o POST & BEAM ".:
o BASEMENT
WALKOUT:_Y_N
For Single Family and Two Family dwellings, additions, remodels, aodlor accessory structures, this permit is valid only if construction com~ences
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 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" (2-289) and amendments, adopted under authority of l.c. 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~:7h;:;teof~;;.panCYhas bce=5;;;;t€~t;;::;:ity ;-;ces. Cannel. Iudiana. / il/o/ ~ 1/
Sl ature of Owner or Authorized ent print /114IJ 4" '.) ~/'7 r 51Jf _ '12 0." I 1-
OFFICE USE ONLY: ************ *****~*** ***** *************~******J'****"**************
) . Filin Fees: ~ /!3w.()U
..-INSPECTlONS REQUI D I ( /1 / ~ 7 tJ 0
~ ) : . if B e Inspections: u . # Charged Re-
~~r Footing Lower Footing Under Sla tJ ReVlews
Cert. of Occupancy: / () , 00
.
Rough In Meter Base Fina
C: 4TOTA
- l#k~';12
Fee,ReCeivea by:
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