HomeMy WebLinkAbout07090054 Applicationb? Permit #: 07
. City of Carmel/Clay Township
RESIDENTIAL BIPRO APPLICATION
ko„a, j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME'
hT
tM PHONE:
3/ -?f FAX:
RECORD: STREET ADDRESS:
L 15 _ 4d25
/6E CITY:
a STATE:
1- /& ZIP:
?? 3 Z
BUILDER'S EMAIL ADDRESS:
c/lY BEST METHOD OF CONTACT:
70
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a z
•. s i? a
PROPERTY
OWNER: NAME: pD
Dbz- ? T
F PHONE: FAX:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
PROJECT
&
INFO: ADDRESS OF CONSTRUCTION:
-
X& FOOTAGSQUARE
E:
l r
SEWER UTILITY
"- WATER LffILLTY
PROVIDER
- ESTIMATED COST OF CONSTRUCT
(EXCLUDING LAND VALUE) IONS
z
PROVIDER: :
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / 87A / SPIN DOCKET D
NUMBERS; TAC OATE(5); ANDJOR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
I TAX MAP PARCEL #: SE P 1 1 2007
IN
FOR THIS PROPERTY:
i
TY F C NSTRUCTION:
S
INGLE FAMILY
TOWN HOME
Lt TWO FAMILY
/ it of units being
/ constructed at this
time:
RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION,
Early Release
Permit: _Y _N
Lot Split: _Y _N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
-)Ed.' DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses: Y _N
Sump Pump: _Y _N
PLUMBING CONTRACTOR: IBy
lo/A
Plumber's Indiana State License #:
which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM -PIER
O SLAB O BASEMENT (VJALKOUT:_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 IS months of the issuance date. Class 1
structure pemdts 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 any corstmctlon.. reconstmcuon, enlargement, relocation, or alteration of astricture, or any change in the use o= 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'
289) and amendments, adopted under authority of I.C. 3,&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. If then ceit' v thaTth'e construction will not be used or occupied until a Cemak2te of
/Jcnriuocvhas Keen issueAv the Department of CommunitV•Sen?ces„Carmel, Indiana /
Agent
OFFICE USE ONLY*************
**
** **i, 7
- INSPECTIONS REQUIRE
pper o i g Lower Footing Under Slal
Rough In eter Ba sz?Final Site
p70-. DegfC of Community Services (Date)
RESrDVN
Filing Fees:'
Base nInI spections:
Cert. of Occupancy:
0
S S J c'
# Charged Re-
Reviews
P R T F • Additional Fees