HomeMy WebLinkAbout07050074 Application
City of Carmel/Clay Town[hfbE/\SED FOR CONSTRUCTION Permit #:-D'705oo1L.{
RESIDENTIAL IMPROVEMB~]/l\':'UG~6~i~RMIT APPLICATION
For Single Family, Town Home, & "(WOrFlin'lJlY:(J@1IYi~~~I/FJ:~/"'I5~~IE'~~emodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILnY
PROVIDER:
,... I
NAME"?" VE ~\D~c nO~tS U~IAN5'\I-213-200 FAX: 17- 21[P-mo~
STRqET<-l~~S:'\Sl-_---'Jt: o~'l. GulL\" C~o~LfSVllU ~P~
BEST METHOO OF ofJTACT:
iQTol-lcC\>S.CoW\ 311-21'3"/:2-<:>03
BUILDER'S EMAIl ADDRESS:
C.o~TES @..
M c-tJ.Af.L
STREET ADDRESS: .~
.~ "llo'3 (-f~ 13 LE"
NAME:
LOT #:
2.3
1\\
6
CITY:
KJl cL.L W #.c '(
SUBDNISION NAME:
--r\.\E" L~\tt= !,.:,
ADDRESS OF CONSTRUCTION:
p. '-\l."3 9~"BLt
lJ~
SECTION:
1-tb.7EL'lIELL ..1-
792-
O..\1"M. 0... TN <ll..P 3 :3
.. '" 0'-. 'c~'r"'" . ..';
ESTIMATED COSf:.i 9.F C;:9NSTRU ,N,:> :// J .~: ~~\ J
(EXCLUDING LAND,VA~UE)-== .-.-'-.-'.' :c'-.tfO (YI : '1'
,i! ,II - 'ill \1
'I 'I II11I1
NJri\1 MAY-92007 Ii il!
MAP prFiCE')L_qq'l_4_~~_tJl01
I
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERSi TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
\i{ RESIDENTIAL (For
/""". Additions. Remodels. Etc.)
PROJECT INFORMATION:
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 pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 am dm ts, a opted 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, ,an oar ins are connected to the sanitary"~r. I furthercertify that the construction will not be used or occupied until a Certificate of
Occup has en is ed e Department of ~bty le~es. (j~R.'1 Iv'. (;d 1C ?
Print
I
USEONLY:************ **********~~b***~*~****~***********::2~*~**~****************
INSPECTIONS REQUIRED: -j 0 .)'i'ing Fees. . -
F t. L F t. U d {S~Ii~ Base Inspections: ;2 3 0 - 0 0 # Charged Re'
r 00 I ower 00 mg n e.... ICI ReVIews
r- Cert. of Occupancy: 55, )0
er Base ~ S~
_' P.R.I.F.:
Early Release
Permit:
Lot Split:
_yX-N
_y.)LN
Ul1s~t{Je.d
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
;g.. ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
_yLN
-p--Y_N
,
PLUMBING CONTRACTOR:
,J \l Sw-.. 'T1-\ 7lLJw\~1 r\lG{
Plumber's Indiana State License #:
7c. \ q Y 60 I 2. ~
Which plumbing codes will be applied to the construction:
)1i International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
}:it CRAWlSPACE 0 POST & BEAM _PIER
o SLAB' 0 BASEMENT (WALKOUT:_Y_N)
5- '(-07
Date
Additional Fees
.5'-/7-"
(Date)
cJy
Date