HomeMy WebLinkAbout07080190 Applicationf - -
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BUILDER NAME' PHONE: J-5 FAX:
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RECORD: STREET ADDRESS: CRY:
BUILDER'S EMAIL 6PDRESS: BEST METHOD ACT?G -G rG
PROPERTY
OWNER NAME. PHONE: FAX:
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: STREET ADDRESS: CITY: STATE: ZIP:
LOCATION
R
ECT LOT #' qq-//
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b SUBDIVISION NAME: SECTION: A
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/2a L ZONING: /
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INFO:
ADDRESS OF CONSTRUCTION:
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FOOTAGE: b
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SEWER UTILITY
PROVIDER:
T / tv/.? WATER UTILITY /`
PROVIDER: ` z ?
O a e / ESTIMATED COST OF CONSTRUCTION:
CE(CLUDING LAND VALUE) 2 Y0 _ 000
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA ! BPW DOCKET ? ?
OR SEP [C PERMIT #'S (IF APPLICABLE):
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ND
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NUMBERS; TAC DAT OR COUNTY
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FLOOD ZONE AREA DESIGNA ON S) Syr- TAX MAP PARCEL A:
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FOR THIS PROPERTY: rlcL8
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TYPE OF CONSTRUCTION:
f3-91-NGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL(For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: 4 Y
Lot Split: _Y _N
TYPE Tu'60ROYEMEIiPTUON
? ?? ?ysT?d'vektlRra enoc with
=I'CJ'. OMM ?TrUGN(: 0 car
? REMODEL /? ?? CLAY
_BasemenYF LA
O ACCESSORY BUILDING
O DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: «_N
Sump Pump: _Y_N
Permit #:0701 4/90
State License #:
es will be applied to the construction:
Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE O POST & _ BEAM -PIER
G ,iSaLAB CB- I SEMENT (NJALKOUT:_Y _--Pfs
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 daze of issuance of the building permit, and most 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, ail applicable laws of the State of Indiana, and the-Zoning Ordinance of Carmel Indiana -199Y (2-
289) and amendments, adopted under authority of LC. 367 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further comfy that only
kitchen, bath, and fluor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued by the Department of community Services, C el, Indiana.
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OFFICE USE ONLY: s*:sss:asa<****ssas+a.s>ysa::stss:s**..»s:sxra:xa:xsssss*sz::::« ::.s:s?===..._.+-.,<
INSPECTIONS REQUIRED: Filing Fees:
p7 > U # Charged Re_
Base Inspections: O Reviews
Upper Footin ower Footing Under Slab
Cert. of Occupancy: SS" Sd
Rough in eter Final Site /?
P.R LF.: C/0 Additional Fees
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Reviewed/Approved: Dept. of Community Services (Date)
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
S:Permits(FamsJ[LP RE9OENTIIL Fee Received by: lute