HomeMy WebLinkAbout07080067 Application
Permit #: o1r:f3oo to'1
T APPLICATION
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT
For Single Family, Town Home, & Two Family: New
BUILDER
OF
RECORD:
NAME:
PHONE:-S I 7 -f\ IS -a h 7/,. FAX:
CITY: STATE:
C'.-MWl r:-.;L (N
I/<J/)L .12/-. CeM1
oW S\ll\u.D6lf\-
STRE5Z)RESS: {)J A-i1Lu I t!-{( ~
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
LOT.: 91
~
ZIP: YbO 3-
BEST METHOD OF CONTACT:
CLcL
PHONE:
FAX:
A 00U -
CITY:
STATE:
ZIP:
SUBDIVISION NAME:
CU06P6/lTE
SECTION:
GLk S
ZONING:
SEWER UTIlITY
PROVIDER: C#\/IZ-Vv1 c: L
WATER UTIlITY
PROVIDER: CtA-/L-W1. e-c
SQUARE ~.,
FOOTAGE: l!lililliiiJ '1/~
ESTIMATED COST OF CONSTRUCTION: "1'
(EXCLUDING LAND VALUE) c;I-,
'0
PLUMBING CONTRA OR:
By
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPUCABLE):
~~~~Q
TAX MAP PARC I>-UG 0 <<3 2007
FLOOD ZONE AREA DESIGNATION(s)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
9lf RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y"XN
TYPE OF IMPROVEMENT:
o 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
~ ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y"LN
_ Y ....i-N
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana 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
~ 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 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 Cannel 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 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 Cerrilica.te of
Occup yhasbe ~ dbYthe.Deputmentofcommunityservic""c';IS;;0 S7Auj)~ r! 7 /07
Signatu ner or u orized AGent Print Date '
OFFICE USE ONLY: ************* *****************~~*************** ****~/1*O*(~** 2./j * ~* *************
INSPECTIONS REQUIRED: Filing Fees: IL(J_Jf . ~
~e;Fo~ Lower Footing Under Slab Base Inspections: / '1 Z~ -0 # ~::~ee:;s Re-
~ ~) Cert, of Occupancy: S ,- J
~ Meter Base CFinal ~
- P,R,LF.: i Additional Fees
TOTAL: _1fit,y.2
Fee Received by:
Date