HomeMy WebLinkAbout07060111 Application
City of Carmel! Clay Township Permit #: 0'70617 11/
RESIDENTIAL IMPROVEMEN'I':::I:OeA-TilQN:::PERMIT APPLICATION
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For Single Family, Town Home, & Two Fal'1!I~i Iii~Strua.uresd\lI!Iiti!~rsn~emodels, & Accessory Structures
I~. I III )11
PHONE' .
Ir\\ JUN 1 '3'~7 i3y!P II
IU L\l . Cl1Y: Jl'::::;'1
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME:
f. -..TR '-Obe
STREET ADDRESS:
14300
0/1.
BUILDER'S EMAIL ADDRESS:
NAME:
STREET ADDRESS:
LOT #:
cX8
(0 6~ . /Ie r
f::-s rR' be.
SUBDIVISION NAME: . J
& I(I1"'D IN
Iid/
IM/
ADDRESS OF CONSTRUCTION:
6RM(JIA
FAX:
5'6z- J.'1S3
{ARmel
WATER UTILITY
PROVIDER: {. A R ITI (
STATE:
/tJ
ZIP:
,
BEST_METHOD.OF-CONTACf:
6 1- fislo
PHONE:
FAX:
Cl1Y:
STATE:
ZIP:
'Ib03 z
LIlf?noeJ
/tJ
SECTION:
I
ZONING:
"5 -I
U~c-/f
SQUARE
FOOTAGE: 7"7 2. (P
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ltL/oO CIOO
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA J BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPT1C PERMIT #'5 (IF APPUCABLE):
fLOOD ZONE AREA DESIGN
FOR THIS PROPERTY:
TYPE OF CONSTRU
1$ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Earfy Release
Permit:
Lot Split:
_v ')(N
_V.:j..N
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
'i. V_N
~V_N
'1t 07()(,o 109
Sump Pump:
PLUMBING CONTRACTOR:
R.r: fY)aOlJ.e
Plumber's Indiana State License #:
tf~JtJD"5Z.0'5
Which plumbing codes will be applied to the construction:
[j,. International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
CONS~\Jlt'fl\OJt BASEMENT (WALKOlJT:_V~N )
For Single Family and Two Family dwellings, additions, re e s,;W4/.Q~~~EnlCw1 ~'t is valid only if construction commences within 180
days of the date of issuance of the building pennit, and mSUQittbthp'tffjf;.l l~tJi~~at~fth'i issue~hin 18 months of the issuance date. class I
structure pennirs are subject to the General Administrative ~~e~:;:i~l~lAtro~.rrYS 'O\^,=~eXPiration time frames for beginning and
I, the undersigned, agree that any construction, reconstruction,~tg~t,.r.:eJ..~WIE.r 1t(iJt.jA "f l~Hure, or any change in the use of land or structures
requesred by thjs application will comply with. and conform rsi~pljJ;ltl~t'q'e:"~aj.:~ elf. ilJ(iiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly ~lf1hdiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, an or dra' s are connected to the sanitary sewer. ffurther certify that the construction will not be used Dr occupied until a Certificate of
Occupancyh I u a hy the Department of CQnununity Suvice" carmjt1::a. if U,"'''''CRf ~ /'-/"7
Signature r r Authorized Agent Print Date 0/11..
OFFICE USE ONLY: *************** *********** ****************************************** ** ******** ** *
INSPEcnONS REQUIRED: Filing Fees: /1 ' J 16. ::: ()
(!1Pper FO~9~ ~wer Footin~nder Slab Base Inspections: r:2!; ';ff
Cert of Occupancy: , )
~OU9h!E> C!!eter~B~ Qnal ~- /c2
P,R.I.F.: 0/- (JO
~ TOT~i # o? 7 7"'0. ~ cJ
- _~/U^/ &lrdh0
Fee ece;ved by, .. ... - ;l tate t
c
(Date)
# Charged Re-
ReVIews
Additional Fees