HomeMy WebLinkAbout07100013 Applicationcr; Permit #: b 7?
City of Cannel/Clay Township
RESIDENTIAL M'ROVEMENT LOCATI N PERMIT APPLICATION
?(xornA? ;'I For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NW, E' PHONE:
7f3l
- l FAX:
- b 3 5
OF e L lr o
v
RECORD: STREET ADDRES
?2(}SJK4 w v0p e. STATE:
5 l ZIP:
c??o 3
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
& a-7 -a:
7 -7
lcqh
PROPERTY NAME:
?k PHONE:
- 357 1 FAX:
OWNER
:
STREET ADDRESS:
32,65 -E vat6 . W CITY: STATE:
C 1.16.E 1 ZIP:
4b 033
LOCATION
& PROJECT LOT #: SUBDIVISION NAME: i
I IT R\ SECTION: ZONING:
N:
ADDRESS OF CONSTRUC
TIIO SQUARE
INFO: ?
? FOOTAGE: 4 fJ `T
SEWER UTILITY
PROVIDER: ?"'
CtX f4G 1 WATER UTILITY
PROVIDER: e4a 41cjl ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) l S ('
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DAT E(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAX MAP PARCEL #:
(G - 10- 19-
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
La' RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y) N
Lot Split: _Y XN
TYPE OF IMPROVEMENT:
O NEW STRUCTURE N cY.2
O ROOM ADDITION(S) O Plumber's Indiana State Li
? PORCH ADDITION(S)
? DECKADDITION(S)
REMODEL U tAIclt lu cP mbin * 'g
r _ Lodes will I.
_ Basement Finni ?ly "
? ACCESS QRYBILD NG.cz ^•''?-lnternatiopaTt3esidenl
? D 11C71ED GARAG '" "
? A WED GARAGE r - O,(Uitifbrml?m?fMy Cod
? DELITION'
U?DATION TYPE:
Manufactured-:) r- C,,,,?`:rr?nstruction area)
Code w/Indiana Amendments
Amendments
(Check all that apply for the new
Trusses: ,W( ? Y ? CRAWLSPACE ? POST & _ BEAM -PIER
Sump Pump: 29'--Y _N K SLAB ? 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 Administra_ Live Rules of the State of Indiana (See 675 IAC 12) regarding expiration time francs for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land orstructnres
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 - 1993" (Z-
2V Nd am endments, adopted under autherin of LG 36-7 et seq. Gene_ d Assembly of the State of Indiana, and all Acts am endatory cnereto. I further certify that only
kkchesq bath, and floc: drains am connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a C d6care of
ecuI cyh a issued by the Department of Community Senicrs, Carmel, Indiana..
-- k: Tom( (rlc f o -2-07
Agent
OFFICE USE ONLY ***************
INSPECTIONS REQUIRED: D
pper Foo m Lower Footing Under Sta
rake
Fees: Vy ) //1
Inspections: /--z Charged Re-
__ Reviews
Cert. of Occupancy: ' Q
u h In et Base Final - • ,
P.R.I.F.: Additional Fees
/ ????- ?d
(o?A . ? OTAL: 7
Reviewed/Appr . of Community Services (D [e
S:PamttslFomeJrLP RESIDENTIAL Fee R2c rved by. Date