HomeMy WebLinkAbout07040177 Application
City of Cam/ell Clay Township
~~n~~~~~~~~~~~!~~_~~C:~~~~~
BUILDER
OF
RECORD:
!
i
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME: ,J J .
/V~ TII''1''
STREET ADDRESS:
g/~
NAME:
STREET ADDRESS:
97
LOT #:
Permit #: fJ70t.fO/7'7
s..ypt
Lt?
PHONE:
f?K-.f.G>- 27M
FAX:
c,/s- .?2S- :z 70 I
4
P,i'6I
STATE:
//'1
:f
~
ZIP:
J111V/
LISq
'077
~e
SUBDIVISION NAME:
,e.,..
eI1Y:
~~nul
STATE:
-/I
SECTION:
ZONING:
ADDRESS OF CONSTRUCTION:
97 9
?/'",-I ...:tEl
SQUARE
FOOTAGE:
3'72.
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
SEWER lJTILITY
PROVIDER: C.,,,...wtc:
NAME OF UTlLITY EXCAVATION CO RACfOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
irr,", .
o SING~EFAMIL Y
o TOWN'HOME
o TWO~A~~Lr . ~?\\
# of',u,n'~\benig
constructed at this
time:\\ '0\
o RESIDENTIAL (For /
Additions. Remodels; EtC: )
L-----
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
bdfL-
Ii'
..:)/1'
1'."""/
ESTIMATED COST OF CQNSTRUcrrON:
(EXCLUDING LAND VALUE) / /I. t?c,~/ t, 0
<, I' I"
I ~ I ;:
.J fJJUI
TAX MAP PARCEL #:
.'
Plumber's Indiana State License #:
i
I
_n.J
TYPE':F,IMPROVEMENT:
.\ \\1
'\l ., NEW'STRUCTURE
'). b, 7Sj\J 0 \~"<?-OM,ADDITION(S)
o __PORCH, ADDITION(S)
,/0 DECKAODITION(S)
. 0 REMODEL
_-------- Basement Finish only
-- D/ACCESSORY BUILDING
~ DETACHED GARAGE.
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
Which plumbing codes will be applied to th.e construction:
o International Residential Code w {Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
FOUNDATION TYPE:
construction area)
(Check all that apply for the new
~OST l' /BEAM _PIER
Manufactured
Trusses:
Sump Pump:
./Y _N
_Y YN
o CRAWLSPACE
o
SLAB
o BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, andioT accessory structures, this pennit 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 amendments, adopted under authority of r.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 onnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of.
Occupancy been i"ued b D~ent of Community Sernm. c"1%:~7a. (1.0 It:?", r
Signature of Owner or Authorized Agent Print.
OFFICEUSEONlY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / J 9, ! 0
B I ct 1,;2 ) D # Charged Re-
Lower Footing Under Slab ase nspe ions: .I - ReViews
~ Cert. of Occupancy: ~ ~ . 5'"0
~al P.R.LF.:
l- / TOTAL: . ~ 3 6{" :("6
P #1<<~/K{J-~
S:Perm!tsjF
~
Additional Fees
Fee Received by;
Date