HomeMy WebLinkAbout07100137 ApplicationCity of Carmel/Clay Township Permit #: oM6037
jg? Z
RESIDENTIAL HVIPROVEMENT ATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER -7
NAME: /1 6? / V
PHONE: FAX:
0
CC
&
L
6 7 3
U-
&
OF Ue
k
I
er i 5C .
i
RECORD: STREET ADDRESS: CITY: STATE: .? ZIP:
ZA V
-2
j
0 v? 0
-A-)
/u u
BUILDER'S EMAIL ADDRESS: BEST METHOD OF COK
CT:
TTA
e / /
''
/
AM ;/-A-1 .,., yC,-/3'+ ?- r
PROPERTY NAME:
"" PHONE: FAX:
7/
71 - f2
OWNER: c
!! ,
STREET ADDRESS: y7 r- { CITY: l ZJ vlSv' DATE: ZIP: 077
LOCATION LOT #. SUBDIVISION NAME: SECTION: ZONING: r
?
& PR07ECT `
INFO:
ADDRESS OF CONSTRUCTION:
d ,
SQUARE {??
FOOTAGE: X ' C
O W CJ
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
9d
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE)
rd. ovv-
NAME OF UTILITY EX ATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABLE):
OR
NTY WE
L AND
NUMBERS; TAC DATE(S); AND/
COU
L
/
ROOD ZONE AREA DES[GNA ONIS) TAX MAP PARCE fl M
t
FOR THIS PROPERTY: lUi V
TYPE F CONSTRUCTION;
SINGLE FAMILY
? TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels, Etc)
Early Release /
Permit: _Y
Lot Split: I / Y _N
For Single Family and Two Family c
days of the date of issuance of the
structure permits are subject to the
TYPE OF IMPROVEMENT:
? EW STRUCTURE
ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
O DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: _Y _N
permit,
PLUMBING CONTRA :?CT 2 Q 2 &4144
k/oc /h n, cnS ? Plumbers Indiana State tense
l 0 a 0/ o/ y ?'tD?a
Which plumbing codes will be applied to the construction:
Q ntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
na?
( wi-SPACE ? POST & _ BEAM -PIER
Q SLAB ? BASEMENT (VJALKOUT:_Y ?N )
,nit is valid only if construction commences within 180
issued) within i8 months of the issuance date. Class 1
12) regarding expiration time frames for beginning and
1, the undersigned, agree that a .y cons cq ¢t? ?gte?}[ Qoi?oledJUAW,FmFTstructure, or any change in the use of land orstructures
requested by this application will comply wrt , d c for d.o, n . SIiM?!e I:ae he'Zoning Ordinance of Cartrel lndiza -1993 ( -
289) and amendments, adopted under authority of I C. 367 et seq, ly cf the State o, n .ana, 2 all Acts amendatorythereto. I further cerdfy that only
kitchen, bah, and floor drains are connected to tie sanitary sewer. e e • that the construction will not be used or occupied until a Certificate Df
Occ`upanc/yhhas been issued by t e Department of Community Senices, Carmel, Indiana.
X Sg rea ed A9em Data
Filing Fees:
# Charged Re-
Base Inspections: J
O Reviews
Cert. of Occupancy: ?t S
P.R.I.F.: °drtional Fees
TOTAL: 3
Fee Recelvee by: v j Date
5:PennltVFO s/ILP RESIDENRAL