HomeMy WebLinkAbout07100106 ApplicationCity of Carmel/Clay Township Permit #: I U? I o?
RESIDENTIAL BUROVEMENT LOCATION PERMIT APPLICATION
xp p p. For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME,
72
C PHONE:
5
1121 FAX:
) 2 55 135)?
OF A.
e-r- '
RECORD: STREET ADDRES :
16 1 a :5, ?RY STATE:
l? A 4?-i' -.3 -Z? ZIP:
BUILDER's E
A
IL BEST METHOD OF CONTACT:
M?
I
/ ADDRESS:
fSZC14 MC 2 y fie A e rY
Cr, !A"-- C/ ?G? r ? /'? p 1
•?-k- l K? /???
PROPERTY NAM . PHONE:
3 51 3? 7S FAX:
OWNER: t P?
STREET AD DRESS:
1180'13 Cyr t ? ?_, CITY: STATE:
?? ?? rte" ZIP:
Vbo33
LOCATION LOT #: SUBDIVISION NAME:
ll? k
5- SECTION: ZONING:
&PROJECT r
-
INFO: ADDRESS OF CONSTRUCTION:
1 O ?t) SQUARE
FOOTAGE:
C...
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r c (?'
SEWER UTILITY
PROVIDER: WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) '' 009
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA! BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTIC PERMIT 75 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) J+ /t f
FOR THIS PROPERTY: x H G TAX MAP P VGA'.
?C L-r, (
f I!j (C
,
TYPE OF CONSTRUCION: TYPE OF IMPROVEMENT: PLUMBING CONTRX&M
O SINGLE FAMILY O NEW STRUCTURE jutj T 162007
[C
O TOWN HOME O ROOM ADDITION(S) .cam Plumbers Indiana a License
O TWO FAMILY (9 PORCH ADDITION(S) 1q)<
# of units being ffi DECK ADDITION(S2 1, ??u 1 V
constructed at this O REMODEL zp?L which plumbing codes will be applied to the construction:
time: Basement Finish only
RESIDENTIAL (For ACCESSORY BUILDING O International Residential Code w/Indiana Amendments
Additions. Remodels, Etc.) O DETACHED GARAGE
O ATTACHED GARAGE Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
Early Release / JJ Manufactured construction area)
-
V Pemit- -Y &
Lot Split: ( _Y?' N SumpePump Y €fi p,R OUIations ?BEAM PIER
T6E9(ffi r?`^ & . NT (WALKOUT: _Y_N)
For Single Family and Two Family dwellings, additions, remodels, andlor accessory str?uc ?.}(dItlYdhAtrrdt?ion cronurtences within 180
days of the date of issuance of the building permit, and must be completedt[?f'041ant^,r Is,/su-ttJ>Kt plfAl'?{Ft'e issuance daze. Class I
structure permits are subject to the General Administrative Rules of the State Ic I [{z OAR Jg?1p?,1 }[g_f: i)-at?io?n time frames for begu[ning and
corn leti o 6 c
ono e, any hange in the use o(land or structures
in I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterati iRlr1'idLY
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 -1995' (Z-
289) and amendments, adopted under authority of LC. 367 e[ seq j Assemnly of the State of Indiana, and all Acts amendatory [hereto. 1 further ce.tif}• that only
kitchen, bath, and floor drains are connected to tie sanitary sepp r. I furtb certify that the construction will not be used or occupied until a Cerrif'c re of
Occupancvhas been issued by the Department of ComS -ty Services, eh Indiana.
signatureof
OFFICE USE ONLY:*********************
INSPECTIONS REQUIRED:
a;
er Foohn Lower Footin lab
P
Rough In Meter Base Final Site
(",-- V,m,t4 hiseor loI -Q
Reviewed/App ved: Dept of Community Services (Date)
5:Poriujl rms,ILP RESIDENTIAL
Date
Filing Fees:
Base Inspections: Sd # Charged Re-
Reviews
Cert. of Occupancy: SS 5-0 -