HomeMy WebLinkAbout07090153 ApplicationCity of Carmel/Clay Township Permit #:,D Z Y1
RESIDENTIAL Il"ROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME PHONE FAX
V V C' ll .? -?IaGO 30-ee6`1
RECORD:
STREET ADD SS CITY STATE ZIP l
`?1T X4\3 `ti.Y? lQ k4k
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
PROPERTY IdME PHONE FAX
M Woo L)e'
OWNER:
STREET ADDRESS CITY STATE ZIP
LOCATION
&PROJECT LOT # SUBDIVISION NAME SECTION
_C e, ZONING:
INFO: ADDRESS OF CONSTRUCTION FOOTAGE: ?Z
I ,
SEWER
LITY
WATER
UTILITY
CONSTR
ESTIMATED
COST
( CLU DING LA DO AL E Urn -
C? Ot
1
P OVID R OVID R
R
WA Q ; , `
0f
0,0
_ 1 Iliv-'
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND,'OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
CJ SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units:
O MULTI-FAMILY
# of Units:
? RESIDENTIAL (For
Additions, Remodels, Etc.)
PRO JECT INFORMATION:
Early Release
Permit: _Y ? N
TYPE OF IMPROVEMENT:
PLUMBING CONTRACTOR:
Plumber's Indiana State tense #: p J
A n ., m.,r r> , a it ALYe
113 NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
? REMODEL
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Trusses:
Lot Split: _Y ? N Sump
Does any part of the property lie with
Which plumbing codes will be applied to the cc [i"%
L?icIntemational Residential Code w/Indianna
? Uniform Plumbing Code w/Indiana Ament
(Multi-Family Construction Code)
area)
(Check all that apply for the new
,CE O POST & BEAM
? BASEMENT
N WALKOUT:_Y
For Single Family and Two Family dwellings, addition's, rIu iA} , -y4J sbt5i s permit is v c rf bt ornmences
within 180 days of the date of issuance of the building permit u??55tt}}??ee } Cerrifica of y?d 4iAS6 the of the
issuance date. Class I structure permits are subject to the Genergi?fnitt(?{ P?rate of 1 t?6731 12) regaefJ expiration
time frames for be n 0Wcodl ?fp Yp_t7s ion. - - ?rr--1I 1
I, the undersigned, agree that any construction., reconstruction, enla _ement, r?"e''Ib1ccation, or a stm , or :tnA I?Uduse d or
structures requested by this application will comply with, and conform to, all applicable laws of the, , e of In , and ,e Zoning Ordinance Carmel
Indiana -1993" (Z-239) and amendment., adopted under authority of I.C. 36-7 et seq, General Assembly of the. of Indiana, and all Acts amen toryy
thereto. I further certify t only kitchen, bath. and floor drains are connected to the sanitary sewer- 1 further mifv that the c of be
psc4 or eeupied until a Ce "care o(Oecupane a< been issued by the Department of Community Senile ana-
?.?c ?? ? r1V\?` ?O ?3 O-1
SI acid of Owner or horized Agent Print Date
OF USE ONLY:**********************************************e************************
Fees:
INSPECTIONS REQUIRED: ?j Filing
Inspections: ed Re-
Lower Footing Under Slab , Reviews
Cert. of Occupancy: 5 J
Rough Meter 8 e Final Sit /
? P.R.LF.: OZ-C?/ GG' Additional Fees
TOT
Reviewed/Approved: Dept of Community Services (Date) "- `?-
S:Pen i:%1F0nWILP RESIDENTIAL Fee Received ]Y: