HomeMy WebLinkAbout07090079 Application,-i+oiCysb S
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City of Carmel/Clay Township RELEASED FOR CONSTRUCT190,it #:D70900 7
RESIDENTIAL IMPROVEN&W 'a 001 l t APPLICATION
?rouxp.? For Single Family, Town Home, & Two Famil?5 l(Jtr "??f4itiJnr 1? laQ0$ & Accessory Structures
BUILDER 7U7
NAME: CITY Vit / I -
FAX:
OF lrlfj 50t/ Goas ?uc-/Ox/ / IW NbL9 17 7e? G9/10
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
P,O. /30X so 39 z/aAISV/«E /V Y4 6 77
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
JA) 19L /'G? MAX S'O't//3 u/L.O • coH
PROPERTY NAME: Pf ONE:
5
I 317)x'49-25
r FAX:
OWNER: -
/UE/t_
MS. PG'GGY O
STREET ADDRESS: CITY: STATE: ZIP:
/2- 020 6 V G?Eti D/?/Ile cArtffec- fA/ YG03
LOCATION LOT SUBDIVISION NAME: SECTION: ZONING: ?J
PROJECT -33 p ?jV 61 FN
&
INFO: ADDRESS OF CONSTRUCTION: SQUARE u PORCH
FOOTAGE: 1 3q
/7-0 ZO 4r;Pe.I/ GLFU dR/!/F GL}-/fM EL /N• S`G0 37
SEWER UTILITY WATER UTILITY
ER
?
' ESTIMATED COST OF CONSTR
(EXCLUDING LAND VALUE) ON:
3 a+
PROVIDER: G• QAHEL PROVID
: GA
R HG
-
NAME OF LITILTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT A'S (IF APPLICABLE): M R X S O ti GOdJ .12 e.rJt
FR F'
FLOOD ZONE AREA DESIGN ON(S) TAX MAP PARCEL #: D I 5
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: P OF IMPROVEMENT: PLUMBING CONTRACTOR: Jl! SEP 16 LUU/ UI
]AIST-ALL. Eel SIDIN9
O SINGLE FAMILY NEW STRUCTURE A/ R-
O TOWN HOME O ROOM ADDITION(S) Plumber's Indiana State Licen }fE•i
O TWO FAMILY X PORCH ADDITION(S) AJ A-
t1 of units being b DECKADDITION(S)
Constructed at this O REMODEL Which plumbing codes will be applied to the construction:
time: _ Basement Finish only
RESIDENTIAL (For O ACCESSORY BUILDING O International Residential Code w/Indiana Amendments
Additions. Remodels, Etc.) O DETACHED GARAGE O Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
f?0 ECT INFORMATION: (!X DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
1
Early Release / Manufactured constr uction a pa)
Permit: _Y ? Trusses: _Y ?[J D WLSPACE O POST & _ BEAM PIER
Lot Split: _Y N Sump Pump: _Y N SLAB O 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 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, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z"
289) and amendmn:nts, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto- I further terrify 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 Certificate of
Occupancyh been iss by the Department of Community Services, Carmel, Indiana
_ voc H°GttJ r? ?o?
ignature d Owner or Au Agent Print
OFFICE USE ONLY:xxxxxxxxxxxxxx*xxxxxxxxxx**x**xxxxxxxxxxxxxxxxxx==a<.=:---------------------------
ECTIONS REQUIRED: Filing Fees: ZA' 42
ix
Base Inspections: Charged Re-
Lower Footing Under Slab Reviews
?-? Cert. of Occupancy: S:s- > o
In /Meter Base
Services (Date)
Fee RecelveC bY: Date