HomeMy WebLinkAbout07070202 Application
Please call 69:;-7630 for 701'
City of Carmel/Clay Township permit pick up Permit #: 0 Ol-OJ
RESIDENTIAL IMPROVEML 'C ~ LVLATlUN PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER LmUTY
PROVIDER: Co. ~
NAME:
Spivey Construction Inc.
STREET ADDRESS:
108 E. Epler Ave.
BUILDER'S EMAIL ADDRESS:
WHG /f e 46L- , COM
NAME:
STREET ADDRESS:
5922 Fife Trail
LOT#:
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
116-
WATER UTILITY
PROVIDER: c- '" 1'2 1'1 e- i-
PHONE:
FAX:
786 4337
STATE:
ZIP:
CITY:
Indiana oli
BEST METHOD OF CONTAcr:
(. ~ JUU11F
PHONE: L / fAx? (f ~'
(317) 848-0080 '<DO;
CITY:
Carmel
~.
STATE:
IN
,
, . ZIP: I
46'033. ,I
ZONING:. I
'-- I
~i
SQUARE I.J iF tV
,
FOOTAGE: &, (?
SECTION:
One
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
848.001
$71
NAME OF UTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION,
o SINGLE FAMIL V
o TOWN HOME
o TWO FAMIL V
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT,
~EW STRUCTURE
~ ~OOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORV BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
~
!>!viF, f<><GI'tVflr/A,.')
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
Pt.vIW/J'V"
7
M()rtnn Plnmninl']
Plumber's Indiana State License #:
I.JI!!
PC89200123
Which plumbing codes will be applied to the construction:
o International Residential Code ~~~ Amendments
o Unifonn Plumbing COde~ments
FOUNDA:nO . ~~~.~.\.~. .J....~ ....1 ~f'e new
constr: a S.\2>{\G c~,,-,~~~~
~~ \~~~ ~~~_~/BEAM _PIER
,<>~'O€l ~~w@~ \;I\lG~A"[K~UT:_V_N)
~ ,"'C.
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures ' 0 nstrUction c n 'tbin 180
days of tbe date of issuance of the building permit, and must be completed (Certificate of Dcc ~ witbi~ monmh. tJ.11:r\~" , ass I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 12) regarding ex . , 'iV \ 0 eginning and
completing construction. ~ I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a st~. . ~ ,u" of land ontructure'
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, an th , r inance of Carmel Indiana - I993~ (2-
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, a, Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
o.ccupancYh een is .d by th, Deparrmen of Community S,rvices. Carmel. Indiana. . 0 0
.lltf _Co-V' /}-I ~ ~c')C/-fC2G/A./LE>< /j:2-7o/
ignature of Owner or ALl rized Age Date
Early Release
Permit:
PROJECT INFORMATION:
OFFICE USE ONLY: ****;********** **** ***********~~******************~)*****6 *t~******* ****** * ******
INSPECTIONS REQUIRED: FIling Fees: os:!id. .
C!!pper FO~ Lower Footing Under Slab Base Inspections: ,/17;2. S-O
Cert. of Occupancy: S5- S?J
.A>(ju~ Meter Base ....,i~.1 Si
~ ~ P.R.I.F.: Additional Fees
~2~Yo.6jj
Fee Received by:
Lot Split:
_VLN
_V.;LN
Manufactured
Trusses:
_VLN
_V1N
Sump Pump:
'6-
Dept. of Community Services (Date)
b
S:Permits/Forms/ILP RESIDENTIAL
# Charged Re-
Reviews
Date