HomeMy WebLinkAbout07050237 Application
;.\
~\
':'("!.~,!,~~1'/'
~OJ-llf)+ /B4D i!JUa;/-u .lW.;OhDI} ll-
City ofCarmeI/Clay Township Permit #: fJ 7 () ~() "J.31
~~n~~~~~ ~~~~~~~~~~~~J~~;, ~!~~~~u~~~~
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME;
NAME:
STREET ADDRESS:
LOT #:
/ J
FAX:
STATE:
ZIP:
BEST METHOD OF CONTACT:
(I
PHONE:
FAX:
CITY:
STATE:
ZIP:
--,.-
/
ZONING:
NAME OF UTILITY EXCAVATION CONTRACTOR; PIAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
JklJu_~-A
SQUARE I) 11/ . II
FOOTAGE: O'tO,UJ '-t
o o.&L
/fUnM If)
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
)iI( TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y XN
_Y-4-N
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
1sIf NEW STRUCTURE '--I1T LlrYJDJ.t..L
BROOM ADDITION(SlAE:l.. r:- PlumbJ;'s Ind'ia~d';;"te License #:
o PORCH ADDmON(~ <..-A.SE:O a~{]() -7
o ~~CKADDmON(S) lJbjecllo '0 ~~a :J
o MODEL F'J:>,,- Of srt!lil,h1i>l\lJ!!lljn :!i,(&.r'/ljlt}C'PPlied to the const,uction:
o ACC:sa;~;:~~~ OF ~3 . ffl't. erO~3?ili flte_i!lj{jr,7;Afi>>Je w IIndiana Amendments
o DETACHED GARAt'EY OF v, 1,1.J, Co,,,, EiliOn
o ATTACHED GARAGE C4~", hiroi1l}'~blnlfcode wrfi1diana Amendments
o DEMOLITION C'-_ SWJ- I/IQ
I'!!lN Oft,. E~ ~ck all that apply for the new
Manufactured V co on are NSHIP
Trusses: ~Y _N 0 CRAWLSPACE 0 POST & BEAM PIER
Sump Pump: _Y llN ~ SLAB 0 BASEMENT (WALKOUT:_Y - N )
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 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the Stat~ of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
t. 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 I.c. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify thatbnly
kitchen, bath, and Ooor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of I
Occupancyhas been issued by.the Department of Community Services, Cannel, Indiana. .
s~21!!)[!2iJJ1!A(10fljjJ ~J!!!ltJtJOtJ flINJI//JIA/
5j)~-(}7
o.le
OFfICfUSEONlY:******************************~~****************************j*'~****************
PECTIONS REQUIRED' Filing Fees: (P3(), ~
. . Base Inspections: '2.~ 0 ~'5 0
Upper Footing Lower Footln Under Slab L, ~O
Cert. of Occupancy: ,:) '-..)
P.R.I.F.: 5;;, 1 () 0
~;rlac;JSOO ,
# Cha'ged Re-
ReViews
Additional Fees
~
Reviewed/Approved: Dept. of Community Servl es
S:Permlts/Forms/ILP RESIDENTIAL
(Date)
Iff) t//b/Ol
D~e ,