HomeMy WebLinkAbout07090050 Application?y cr CaAa\ 01 D 0050
;'er•,u??. Permit #:
City of Carmel /Clay Township
RESIDENTIAL MOROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME:
ST?vC- Lc"s PHONE: FAX:
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RECORD.: STREET ADDRESS:
74y S. rlEla AO J`La CT CTTY: STATE:
1J7+7 PA LIC sTI l? ZIP:
?Ici(p3
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
Sir ke.t,ys taizy @ a h-o. Cf,nt CELL- PJAC*-M LlLjC) to?S
PROPERTY NAME PHONE FAX.
OWNER -?F_rV a- LAAZA R oAD &{T{-(o50-L
:
STREET ADDRESS: CITY: STATE: ZIP:
C A-
1\s?'Z C_vI- 6SvT 7 Ch>ZNEL tti` E1(d?33
LOCATION LOT A: SUBDIVISION NAME: SECTION: ZONWG: I
& PROJEC %S eo?-? 6scA'*-5 0
INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE:
SEWER UTILITY ` WATER UTILITY ESTIMATED COST OF CONSTRUcno '
EXCLUDING LAND VALUE)
\
PROVIDER: G(j-T't'1 e_1 I OVIDER: Red ( Z3,C ?.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDJOR SEPTIC PERMIT p'S (IF APPLICABLE): \`77
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: jtv TAX MAP PARCEL a': ` 1 '1??
1
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
12?- SINGLE FAMILY ? NEW STRUCTURE Y.F-yltJ jpeATLt 1- >-
? TOWN HOME I& ROOM ADDITION(S) Plumber's Indiana State License #:
? TWO FAMILY ? PORCH ADDITION(S)
Pc 600 66
#of units being D DECKADDITION(S)
constructed at this D REMODEL Which plumbing codes will be applied to the construction:
time: Basement Finish only
0 RESIDENTIAL (For _
? ACCESSORY BUILDING O International Residential Code w/Indiana Amendments
Additions, Remodels, Etc.) ?.- DETACHED GARAGE O Uniform Plumbing Code w/Indiana Amendments
ATTACHED GARAGE
-' DEMOLITION ?y
f
the new
r
PROJECT INFORMATION: or
?
FOUNDATION TYPE: (Chec(p
Early Release
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I
Permit: Manufactured
Trusses: _Y `?N construction area) ta9?.y On
v`j`??LtA M -PIER
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?Ge _t
0
YN
Lot Split !N
Sump Pump: _Y ?
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory structis 4his 1011niacM W?? claYn commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occu 't 14 t'h6 the of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (Se C ````ei 'tune frames for beginning and
completingconstruction. Q ?,v
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alter s structure, or any caige in the use o:land or strucrures
requested by this app)icstion will comply with, and conform to, all applicable laws of the Stare of Indiana, and the -Zoning Ordinance of Cannel Indiana - 1993' (Z-
239) 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 on)y
kitchen, bath, and Door drains are connected to the sanitari sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Oc issued by the Depa tot of ContmmtityServices, Carmel, Indiana.
JTIE LF? ?tS 4\?01
Signature of Owner udwriud Agent Print
**********************s::***s*
OFFICE USE ONLY:
REQUIRED:
;INSPEMCT-IONS
ng Lower Footing Under Slab
eter Base Final Sit
c jzAlq MiSA2 9-13-ol
Reviewed/Approved: Dept. of Community Services (Date)
S:Perm1t5/Foo s(ILP RESIDENTIAL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
) (% It Charged Re-
Reviews
P.R.I.F.: Additional Fees
C_ _Z' /> ' 3 80 ,90
Fee Received
Date