HomeMy WebLinkAbout07080206 Application°r e
City of Carmel/Clay To wship
RESIDENTIAL RAFROVEME
`.?xoi.pa For Single Family, Town Home, & Two Family:
BUILDER wI
NAME:
F
NSHIP? 7S- 98l
CAS ??
OF
6
y
i
RECORD: STREET ADDRESS: CITY:
k rNMANA
STATE:
ZIP:
$,
oo `t A (o Q 3 Z
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
t' Cill V u1'. - 7bz
PROPERTY NAME: PHONE: FAX:
OWNER: -ad
STREET ADDRESS: CITY: STATE: ZIP:
:5 3 ck
?vt
4153 2
LOCATION LOT #: SUBDIVISION NAME: SECTION: J
Q NING
Esfate
& PROJECT 0, i6q -e or k7•t): o( .
INFO: ADDRESS OF CONSTRUCTION: Are
2 i 5 3 s lclN v>a- SQUARE ?J
FOOTAGE: ( y
SEVIER UTILITY
PROVIDER ATER IITILCfY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) l 3 W
: r e?
NAME OF UTILITY EXCAV ON CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERh11T 3'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: D I lY I? I? (Y) r
C
t
FOR THIS PROPERTY: lJ L'
U ?
f LC
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
f? TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y -? N
Lot Split: _Y -t-N
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:/, AM AUG 2 3 2007
o NEW STRUCTURE
1 ROOM ADDITION(S)
Za P: F CH ADDITION(S)
Q DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y N
Sump Pump: Y jN
Plumbers Indiana State
Permit #: o
P,D&PLICATION
els, & Accessory Structures
Which plumbing codes will be applied to the construction:
? International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE $ POST & BEAM -PIER
O SLAB O BASEMENT(WALKOUT:_YN)
For Single Family and Two Family dwellings, additions, remodels, andlor 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 Occupan y 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 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that my construction, reconstruction, enlargemtnt, relocation, or alteration of a stricture, or any change in the use of lane 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 arrmciments, adopted under authority of EC. 36-7 et sec., General Assembly of the State of Inciana, and all Acts amendatory thereto. I further certify, that only
kitchen, bath, aid floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Or?has been issuedssue by the De ent of Community Services, CI ?el, Indiana.
cy
< e ?(Y?,? ??ryin Z3 0
5 areture of Owner nPATUsotied Aa PoJt Date
neerP'e uee ^R11 V.
####X#######X#?k#X#X#X#X#XXXX#i###XX###
SPECTIONS REQUIRED:
Upper Footi Lower Footing Under Slab
Rough I Meter Ba ?Finite
Revi o/Co unity Services (Date)
s: itsJFOrtrs/1LP ftE EN L
Filing Fees:
Base Inspections:
Cert. of Occupancy,
P.R.I.F.:
T
F slued bv:
/?15 -ley
?? • 0
9 Charged Re-
Reviews
Additional Fees
J ";'O
Date