HomeMy WebLinkAbout07090097 ApplicationCity of Carmel/Clay Township Permit #:
RESIDENTIAL HVIPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME. PHONE: FAX:
? A.a i- ^GYPflr 3I? - 3!7 b4&-22(6 0
RECORD' STREET ADDRESS: CITY: SATE:
100. w. G rst? ?- 'Ok' Gi4Rrn ..-1 ZIP:
#e? 03
BUILDER's EMAIL ADDRESS: BEST METHOD OF CONTACT:
F-,-L ( v5 ,Co. 3/7 S -3799 '-'0 31Cf
PROPERTY NAME' PHONE:
`
R FAX:
OWNER: D^xAL if_ L
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION - LOT #. ^ SUBDIVISION NAME: SECTION:
? ZONIjQG?
„f
PROJECT v /vI l LL S7? t
' " S t
&
INFO:
ADDRESS OF CONSTRUCTION:
r2-C??? p??O? Ii/t.--I LYtYS^lefi f- J SQUARE
FOOTAGE:
SEINER UTILITY
PROVIDER:
l WATER UTILITY
PROVIDER:
?
/
4 P ESTIMATED COS OF CONSTRUC
(EXCLUDING LAND VALUE) TION;[
lfi C' ?D
4 1
1
-11.1
( W J
/ BZA I BPW DOCKET I?
NAME OF UTILITY EXCAVATION CONTRACT ; PLAN COMMISSION
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND,'OR SEPTIC PERMIT #'S (IF APPLICABLE): rr" j rl JO A'-1
ROOD ZONE AREA DESIGNATION(S) ` /
:
FOR THIS PROPERTY A
,,,,t x I TAX MAP PARCEL #: D }
I?L]
,
TYPE OF CONSTRUCTION:
0 SINGLE FAMILY
Ei TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions, Remodels, Etc.1
PROIECT INFORMATION:
TYPE OF IMPROVEMENT:
0 NEW STRUCTURE
O ROOM ADDITION(S)
0 PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
>T DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release nufactured
Permit _Y VN (l?/Y(?53r4sses:
Lot Split: _Y ? N ump Pump:
??Y ` N
?YN
PLUMBING CONTRALTO LJH SEP 2 1'2001 U,
Plumber's Indiana State Lic
PC, 1 n-70 l CCU 0 l
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
'A Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE:
construction area)
the new
-PIER
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pe ME }' 'Ad&n co`m'mences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Oc,e..?'-??,„,?-t-• {B o of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See?75'fAGfIlt?i ne frames for beginning and
completing construction. ?f+^??? BUTT??VtVJ ??'
I, the undersigned, agree that any constuction, mconscriction, enlargement, mlocation, or alteraddi of a structure, or any change it,, 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 Camel Indiana -1993" (2-
239) and amendments, adopted under authodry of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendator;thereto - I further certify that only
kitchen, bath, and floor drains am connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Occupan/cyhas/?en issu d by the Department of Community Services, Carmel, Indiana.
^ I/.L., R, J F..1,?[ e.-(e? 5 l 2 ( e9
M AuQ-mixed Agent
OFFICE USE ONLY: *****
?INSEICTIONS REQUIRED:
(Upper?Fooot!Itnag Lower Footing Under Slab
Rough In Meter Base nal? S?i
Reviewed/Atproved: Dept. of Community Services (Date)
s:rermrs/rom,sntr' RESIDENTIAL
Date
Filing xx****xz**xx**z***zz
70
Filing Fees:
Base Inspections: '72. Sa a Charged Re-
Reviews
Cert. of Occupancy:
Fee Received Irv:
,5T- SO
P.R.I.F.: Additional Fees