HomeMy WebLinkAbout07060040 Application
City of Carmel/Clay Township Permit #: 0 7o~oo'O
RESIDENTIAL IMPROVEl\fENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX:
317-<;61<;;;"-2-1'" {
t.. PHONE: '? __
9" IIA:w,l.SS :r:-,.Jc-. .5 n ~ '7 Cf5>f aqs-
tJ: 100
NAME: Brtu~ c.;o~~e.A-
STREET ADDRESS:
2'~ g C4A/Pr. 'if.
BUILDER
OF
RECORD:
ZIP:
*,"2SO
CITY: STATE:
y:;,JIJI'I."'/tf'c..../;:; .L-,.J
iPEST METHOD OF CONTACT:
>Z>ttMo,;I.."-Y all 3/1-1/'1-':>192..
BUILDER'S EMAIl ADDRESS: L
"5"W1t>$ht\- ,,4brg.I)-v:( .eW<;' ..:0""-
FAX:
31"7 - S"'iS- -2.16
PHONE:
3i 1-5""4S'" -1OCC$"'
NAME:
PROPERTY
OWNER:
Mj)~o,.J ~ M4(.J I ~
ZIP:
STATE:
CITY:
STREET ADDRESS:
<;.t<.M~
o.bove-
a4
ZONING: fu b
E010N:
{ fUM8~^,.Yf"
CA-~ r,J ,,",,"2.-,2-
,
SUBDIVISION NAME:
{\.1o,..lo,J ~ MAt,u
LOT #:
ISA
LOCATION
& PROJECT
INFO:
SQUARE ,It
FOOTAGE: 2-( I 50 ~
ADDRESS OF CONSTRUCTION:
6~ P~(I;&r'G6 ~
EST1MATED COST OF CONSTRUcnON: ;./
(EXCLUDING LAND VALUE) -r ?o ., oe>
,
""IN') 12\(.Lj'\"ATl~ r~l> pe-z.,~ l)oCI'erlt"
bf A,,)>'; -t o*01.co3h b L\: ~o '7sz.
TAX MAP PARCEL #: 1(oo-<<1-Z.,-<>"l- -,,~ -o-z.q. coo
it> -<4_"2<)-0:,2-".7-0"2-1.","",
PLUMBING CONTRACTOR:
(l.1 e. Pl;vM,I?l,.>4
Plumber's Indiana State License #:
t~OOI")
WATER UTIUTY
PROVIDER: tA~t..--
SEWER UTILITY
PROVIDER: CII~eL.
NAME OF LfTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATEeS); AND/OR COUNTY WEll AND/OR SEPTIC PERM 'S~IF AP I
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
'1-D,J(;, H,>, ,. uns
TYPE OF IMPROVEMENT:
e::: NEW STRUCTURE
o 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
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Which plumbing codes will be applied to the construction:
~ International Residential Code w jIndiana Amendments
o Uniform Plumbing Code wjIndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Manufactured
Trusses: Kv _N
~S1'~tl
Early Release
Permit:
Lot Split:
Y ~N
Y~N
o CRAWLSPACE
BEAM ~PIER
o POST &
t!St SLAB 0 BASEMENT (WALKOUT:~Y_N)
For Single Family and T '~..s.s \'ttit\UqnW~ e !b~dJor accessory structures, this pennit is valid only if construction commences wi~hin 180
days of the date of issu _ tWiwrn:~\lfJf!!lM:,~_~ '~ofu.piA~Srtificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are su e6fevatQ.6Mlli\i~!f~~~8EQHJlk'~ill q{iJ.dian: (See 675 lAC 12) regarding expiration time frames for beginning and
r.r.MMUI"\ ~t4~structwn.
I, the undersigned, agree th~ltDrp1n~tf\1h~e~trp~ar~~ent, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this applicatiorJ..M1! cqp;t~YfW.i~l\8oohfdrrn.E~d:ll applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z'
289) and amendments, ad~C(Oid\JlUdr6nty of \.~9\Pd~e~, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat floor drams are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Occupanc as bee sue~ t~e 1k t of Community Services, cL;~an~. M~\t.e-IL " / ~'D 1
Signature of Owner Authorized Agent Print Date ,
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: Ig fq y 90
(upper F:~ Lower Footing nder Slab Base Inspections: if--.:J 1 ::;::. DO
Cert. of Occupancy:
~U9h I.9~ Site P.IU.F:. 11ev'1&~(:7ic[ Additional Fees
rl{(L~Cj I1J~ G-n.o7 ~~A:L 2-4Ji1(g)
Reviewed/Appk>ved: Dept. of Community Services (Date) -"") - r a -
S;PermitsjFormsjILPRESIDENTIAL - ~- ~ ~-
Fee ce y:
# Charged Re-
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