HomeMy WebLinkAbout07100036 Application" City of CarmeUClay Township Permit #:?
r RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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' rkofA%N,i For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. -
NARLAND W I?/k R5 PHONE: FAX:
(3/7J 8g6-OB43
OF
RECORD: STREET ADDRESS: CITY: STATE:
1,0443 ORCHARD J1VD1/?,(/A POLLS /W ZIP:
geco 280
BUILDER'S EMAIL ADDRESS:
Mar-land- 07 er-SO Juno. C'Orn BEST METHOD OF CONTACT:
P,ya"
PROPERTY NAME,
41V0 w, e p / r14 A, MY,C'
V4RL PHONE: CISTRUCTION
(3l7J AWOEOR .
OWNER: I
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STREET ADDRESS: CITY: i
tl0/ A gofStat Local Co ZBU ,,
HARD p/r
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10446 OR
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LOCATION LOT rt: SUBDIVISION NAME:
O
? CITY 0PPE5AN'3;viEL i L0'NbV t§HIP
PROJECT ORCHARD l
/90?K
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INFO: ADDRESS OF CONSTRUCTION:
/6qt4s nRCN,gRD +Vk.15.DP,
{•,l'1DP45.fk ?0ZBo SQUARE
FOOTAGE: -406
SEWER UTILITY
PROVIDER: ,
CIQ WATER UTI
ROVIDE ESTIMATED COST OF CONSTRUCTION: p
(EXCLUDING LAND VALUE) B 0
NAME OF UTILITY EXCAVATION CONT CTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ND
S ?f^ t?
C
O \?
NUMBERS; TAC DATE( ); A
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FLOOD ZONE AREA DESIGNATION(S TAX MAP PARCEL #: `
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
4 RESIDENTIAL (For
Additions. Remodels, Etc.l
PROJECT INFORMATION:
Early Release
Permit:
-tlYl TLV` Y
Lot Split: ? _ _Y VN
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
u DECKADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
4 DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y ? N
Sump Pump: _Y !f N
PLUMBING CONTRACTOR:
NA
Plumber's Indiana state License y
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 CRAWISPACE O POST & _ BEAM -PIER
Cff 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 must 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 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construrion, reconstruction, enlargement, relocation, or altemori a a structure, or any change in the use of land or structures
requested by this application wd! comply with, and conform to, all applicable laws of the State of Inciana, son the "Zoning Ordinance of Carmel Indiana -199 (Z-
239) and amendments. adopted under authority of LC. 36-7 et sea, Generai Assembly of the State of Indiana, and all Ac's amendatory thereto. I Farther certify Char only
kitchen, bath, and floor drains are connected to the sanitary sever. I further certify, that the construction will not be used oroccupied until a Cera6inire of
Occiioncyhas been issued by the Department of Commtmity° ervices, -armel,Indiana.
VfhMD W. M
Owner
OFFICE USE ONLY: ******
IN ECTIONS REQI1IRED' Y /
Upper FDOti Lower Footm Under Slab 1
ough In Meter Base Fin t/
?U ?U7
R d/Approved: o munity Services (Date)
S:PermRa,TVrms/IID I EMAL
Fijltf Fees:
Ba Inspections:
rt. of Occupancy:
P.R.I.F.:
TOT
Fee Recelved by
S
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Dace
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# Charged Re-
Reviews
Additional Fees