HomeMy WebLinkAbout07100044 ApplicationCity of Carmel/Clay Township Permit #: 7 n?
RESIDENTIAL IMPROVEMENT LOTION PERMIT APPLICATION
%
xoir.>' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
? ( IC i
Pl PHONE: FAX:
S 5-7S-?3501? J--0
OF .
RECORD: STREET ADPRESS'
n
l El,90 mEFC? CITY:
??
STATE: zIP:4 (o
BlJQ 4 N ADDRESS S
,
1V1 ?? ?C I BEST METHOD ( OF CONTACT:
Oyyq E I? AIL-)
PROPERTY 1-11
NAME' PHONE: FAX:
OWNER:
STREET D S'!l CITY: STATE: ZIP:
LOCATION
& PROJECT LOT #: U3DIVI5jj*??N NAME:
S I` 1N
Tp f SECTION: ZONING:
S
INFO: ADDRES OF CONSTRUCTION: ?? 0 ?? SQUARE ?%
FOOTAGE:
SEWER UTI
PROVIDER:
r WATER UTILITY
PROVIDER:
l /(,!
?G ESTIMATED COST OF CONSTRUCTION: i
(EXCLUDING LAND VALUE)
NAME OF UTILnY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA / BPW DOCKET
OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TAC DATE
AND
S
S
NUMBER
;
( );
/ ---WWW
FLOOD ZONE AREA DESIGNATION(S) L( I l
FOR THIS PROPERTY: TAX MAP PARCEL C
-06 .C I ?S
- 1
) _
.
I
TYPE OF CONSTRUCTION:
Ck,SINGLE FAMILY
O TOWN HOME
C) TWO FAMILY
4 of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
CcC EW STRUCTURE
o ROOM ADDITION(S)
PORCH ADDITION(S)
Ci DECKADDITION(S)
O REMODEL
_ Basement Finis
O ACCESSORY BUILDI,
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release ? Manufactured r
Permit: Y _NN Trusses: _Y _N
Lot Split _Y Sump Pump: Lill--u
For Single Family and Two Family dwellings, additioniy.??8.hnd76t3c
days of the date of issuance of the building permit, anQ must be co{npIEttd'
structure Permits are subject to the General Administrative Rules of the Stai
I, the undersigned, agree that any consttncrion, reconstmctfon,epla,
requested by this application will comply with, and confor"!a8 al
289) and amendments, adopted ceder authority o:` LC. 36.7 et seq. G
kitchen, bath, and floor drains are connected to the sanitary sewer. I
Occupancy has been isoed1by the Department of Community Sol
ONLY:
LIN
PLUMBING CONTRACTOR:
4A1y) wl q- "R
Plumbers Indiana State License
0A 000 0 l
Mich plumbing codes will be applied to the construction:
nternational Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAYVL TjkCE O POST & _ BEAM -PIER
CONS
rVfitate of.occupancy,i"ssue'dj •vYthin IS month ' /he issuance date. Cfissg
ddhdiaha(S'c675 C.12);egar 11,,e7ardingexpiretio fr r ?? ning and
orss[ruetion. ;..5 •? dt?epp,??"_? nn77 i
[or'aliera[aon of a structure, or any change it -e use of land or stmcmOtES /
;tl?f (at2?l?indiana, and the 'Zoning Ordinanc - el Indiana-1993"(Z- `
r of the State of Indiana, and all Acts amendatory thereto. rtify that only
that the construction will not be used or occupied until a Cerm I
Indiana
U
Date
nFt?Fees: f/
Base Inspections: S? # Charged Re-
_ Reviews
Cert. of Occupancy:
P.R.I.F.:
Fee Received
Addibonal Fees
Date
INSPECTIONS REOUIREV,)/ ° / 1-;t-