HomeMy WebLinkAbout07100105 ApplicationPease -1 E 527630 lw
Permit #: F ! O OS
City of Carmel/Clay Township Der t 9 up
RESIDENTIAL MIPROVEMEIVT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD NAM PHONE
S C31_' t" -\3 FAX
CJ?OIO 1 I
:
STREET ADDRE
339 r o _ CRY STATE
UI.`DC ?.1DU \nd \S . 1 ZIP
?11n2?
BUILDER'S EMAIL ADD SS
tar \1 (01 r
ectit`cA'W? BEST METHOD OF CO ACT:
emo??
PROPERTY
OWNER: NAME Sax,( \L
`\- QS Q PHONE
A- FAX
STREET ADDRESS CRY STATE ZIP
LOCATION
& PROJECT LOT SUBDMSION NAME??? ? SECTION ZONING: /? 1
"JS
INFO: ADDRESS OF CONSTRUCTION
((
-1 J f't eIO t r 1? ?J I` '?
/ 0 SQUARE
FOOTAGE: 32 1
SEWER UTILITY
PROVIDER: C\0. WATER IfrILRY
PROVIDER:
m I
-
t ESTIMATED COST OF CONNT U
(EXCLUDING LAND VALUE) N: ?-t
•J`
P1N
DOOCKET
NAME OF UTILITY EXCAVATION C CTOR; PLAN COMMISSION / BZA / B
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE) :
TYPE OF CONSTRUCTION:
SINGLE FAMILY
D TOWN HOME
O TWO FAMILY
# of units:
O MULTI-FAMILY
# of Units:
CD RESIDENTIAL (For
Additions, Remodels, Etc.)
PRO JECT INFORMATION:
TYPE OF IMPROVEMENT:
NEW STRUCTURE
O ROOM ADDITION(S)
D PORCH ADDITION(S)
O REMODEL
? ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release Manufactured
Permit: Y -N Trusses: Y -N
Lot Split: _Y ><N Sump Pump: Y -N
Does any part of the property lie withiM ggg¢?}IFj1"j
For Single Family and Two Family dwellin
within 180 days of the date of issuance of
issuance dace. Class I structure permits are
PLUMBING CONT CTOR:
al \ E . svaXNI 1
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
--,?-srlntemational Residential Code w/Indiana Amendments
!J Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
15ir CRAWLSPACE O POST & BEAM
? SLAB O BASEMENT
:KATMLY g vv N WALKOUT:_Y N
permit is valid only if construction commences
of Occupancy issued) within 18 months of the
of Indiana (See 675 IAC 12) regarding expiration
L the undersigned, agree that any wnstmctior('}T6Y.sUhib¢fafitllFlAW. I{62atfon! cYA?AarYort of a structure, or any change in the use of land or
structures requested by this application will comply with, and conforIT4D able laws of the State of Indiana, and the "Zoning Ordinance cf Carmel
Indiana -1993" (Z_--2S9) and amendments, adopted under authniin, of LC. 36.7 et seq, General Assembly of the Stare of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
us it a Crrrificato of Occupancy has been issued by the Department of Community Sen-ices, Carmel, Indiana.
S ?I a \ \eD.x-\J 1D 15 2W
9gna (owner or Authorigent Print Date
*******a**************************************:**y:1:*:**********s*s*****
FFIC`E USE ONLY:
Filing Fees: Z
INSPECTIONS REQUIRED:
Base Inspections: ? 3 d .ICJ # Charged Re-
pper Footin Lower Footing n Reviews
ert. of Occupancy: ? 0
Rou n eter Base Final Site^
P. R.I.F.: Additional Fees
Cyd_r n 1Ss",l X0-19-01
Reviewed/ roved: Dept. o Community Services (Date)
S:Pem'.imf O sl ,P RESIDENTIAL