HomeMy WebLinkAbout07090113 ApplicationCity of Carmel/Clay Township Permit #:07090 11
RESIDENTIAL IMPROVEMENT LO TION PERMIT APPLICATION
. ?aolpn?->.' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME.
J¢4 FAY a?7 ors PHONE:
21 -So7-sad l FAX:
21-7- 70-139
RECORD: STREET ADDRESS:
?0 9s CTY:
-"e 01 STATE:
:57"1 ZIP:
1160 7
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
/?ltore fu:6F ..gam-?- zz
PROPERTY NAME: PHONE: FAXy??
OWNER: Cre k -°2O
STREET ADDRESS:
tl
1 CITY: STATE:
1? ZIP: ('R9
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a o ios
LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
& PROTECT 14fle m 5- Np, k Lod- S
1,2 -7 0
7-
INFO: ADDRESS OF CONSTRUCTION:
l? / ??//
J U
-- SQUARE
FOOTAGE: /D8O
i
lcwe 'F .5j, c1,5 ,CU `YFC
-
SEWER UTILITY
PROVIDER: C' WATER UTILITY
PROVIDER: C)/f ? ///??r
7?L ESTIMATED COST
(EXCLUDING LAN I
/"?
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
'
- `
I
NUMBERS; TAC DATE(S);
AND)OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IF APPLICABLE): 9
;
P r
FLOOD ZONE AREA DESIGNATION(S) TAX MAP P # .
:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions. Remodels. Etc.l
PRO]ECTINFORMATION:
Early Release
Permit: Y V N
Lot Split: _Y ?N
-TYPE OF IMPROVEMENT:
G 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 CONT y
YX ?/lly??fti4 L OM D6N )L,
at ' t icense #:
Plumber's Indiana Sta
Which plumbing codes will be applied to the construction:
Intemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
Manufactured
Trusses: _Y N
Sump Pump: ?Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or aca
days of the date of issuance of the building permit, and must be completed ((
structure permits are subject to the General Administrative Rules-o_f the State
1, the undersigned, agree that any construction, reconstruction, enlargement
requested by this application will comply with, and conform to, all applicable
289) and amendments, adopted under authority of I.C. 367 et seq, General As
kitchen, ba:h, and floor drains are connected ?to the sanitary sewer. I further
Occupaacyhas been issued be the Dep ent of ?o I uni/5{ Services, C
Signature of Owner or AUthotved Agent ?? )print
FOUNDATION TYPE: (Check all that apply for the new
construction area)
je-CRAWLSPACE C. POST & _ BEAM -PIER
? SLAB ? BASEMENT (WALKOUT:_Y_N )
this ?ermif,is rslid•oolyifCtinS?n7cffe?.?ttuuences within I80
upaney issued) within IS months of,dunissuance date. Class I
75 LACI2) regarding expiration time frames for beginning and
or alterafion of a structure, or any change in the use of d or structures
A ateof Indiana, and the "Zoning Ordinance of Carrncl,141 ma -1993" (
v 5
tcte of Indiana, and all Acts'amerdztorytfterero. (futt{ta certify that only
S'ta
'fpe i dnst tc r6n will not be used or occupied until a Cerab"re of
me. iii:.- ... .
9d/-o7
Date
Filing Fees: 6 ?O
Base Inspections: l ?a. SD k Charged Re -
Reviews
Cert. of Occupancy:
P.R.I.F.: Additional Fees
e`? TOTAL: ?6 r l U
Fee
OFFICE USE ONLY:*******
****************Jfi
INSPECTIONS QUIRED: A