Loading...
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: t/