HomeMy WebLinkAbout07090107 Application?tiV OU'C4`q'? tJ ?O
City of Carmel/Clay Township Permit:
RESIDENTIAL BUROVEMENT LOCATION PERXHT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE:
kY 6 %GZ FAX: Q
D Y6- Za y
OF
RECORD: STREET ADDRESS'
2 QTY:
t STATE
,cW6 : ZIP:
R/ y6 2-vi
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o .
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
HT? r
PROPERTY NAME! Subject to complia?a with an regulations D
OWNER
:
STREETADDRESS: DEPT OF C0iVI%TU1
- NITY SERVICES ZIP:
SEP 2 4 2007
r _ITY C
)r CI AV
LOCATION LOT n: SUBDIVISION NAME: INDIANA SECTION:
3 By
ZSj C/ ZONING:
PROJECT Ce * A
&
INFO: ADDRESS OF CONSTRUCTION:
3 /z
/ G SQUARE
FOOTAGE: y 7 L
C- , h t 4
SEWER UTILITY
PROVIDER: G A L(f o WATER UTILITY
PROVIDER: MATED COST OF CONSTRUCTION: O fl
(EXCLUDING LAND VALUE) 2ssa. U O
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABLE):
R COUNTY WELL AND
- J
NUMBERS; TAC DATE(S /
); AND(O e .C K
FLOOD ZONE AREA DESIGNATION(S) D7cqD' c)(p TAX MAP PARCEL
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
C3-'SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.)
TYPE OF IMPROVEMENT:
(?- NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
PLUMBING CONTRACTOR: Opf p/V9'VA
Plumber's Indiana State Licen
/n 5 yoy
Which plumbing codes wi li be applied to the construction:
Cs?mtemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION:
Early Release
Permit: _Y N
Lot Split: _Y _N
Manufactured
Trusses: YTTN
Sump Pump: ?S'-N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
?"S CCRAWLSPACE ? POST & _ BEAM _PIER
B 1. SEMENT 0VALKOUT:_Y [/IV )
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 18 months of the issuance daze. Class I
structure permits are subject to the General Adminiurative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, recorstruction, 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 -1991 (2-
239) ar_d amendments, adopted under authority of I.C. 35-7 et seq,General Assembly of the State of Indiana, and all Acts amendarorv theteta I further certify that only
kitchen, bath, and floor drains are cunaected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued the Department of Community Services, Carmel, Indiana.
et.,.ue.!".n car [fume. m AutMrized?nen Pri Dite
*********s*****************************************?*:.==0{.?=..+.++......??,.
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: y
Base Inspections: o?1, so « Reviews Charged Re
pper Footi o Footin Under Slab Reviews
Cert. of Occupancy:
ugh I Meter Base Final Site ?I
P.R.I.F.: olr? Additional Fees
-7
services (Date)
Fee Received bv: Date',