HomeMy WebLinkAbout07110023 ApplicationCity of Carmel/Clay Township Permit #: o 7 / ?o cad. 3
RESIDENTIAL RVIPROVEMENT LOCATION PERMIT APPLICATION
For Single FamilYr Town Homer & Two Family: New Structuresr Additions, Remodels, & Accessory Structures
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BUILDER NAME: PHONE: FAX:
HE MACE 6ROW" 1???. 317-7Z'7- 8753 31 7-g Ys'-7993
OF
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
35-3 3-kAWc -TS' c 3- eRR0-'tEL -77:? `/'a 34
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
S/7//C'Eo9Jo IP46L. cow ;PAI?e 3i/-7z7- Df I-3
PROPERTY NAME. PHONE: FAX:
OWNER: To°%l siylr/h1i ? / - 7f•2-7/Y/ 3/7
/
Zql- 100
STREET ADDRESS: CITY: STATE: ZIP:
337 ifR' Pni%s er CARMEL Srf 444037-
LOCATION LOT .°: SUBDIVISION NAME: SECTION: ZONING:
& PROJECT Slo ESrf%TRk 9rw0
INFO: ADDRESS OF CONSTRUCTION:
'
' SQUARE
FOOTAGE:
s_
cAkmEL Ti .4ta03
7 TEI(RENTS c7-
33
SEWER UTILITY
PROVIDER: w/ WATER UTILITY
PROVIDER:
Af/ '? ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) F)
NAME OF UTILITY EXCAVATION CONTRACTOR; P, AN COMMISSION / BZA i SPW DOCKET
' L- V = v u
S (IF APPLICABLE):
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: A ,
t?tL
SED FO
Subject to c
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CFL 3:
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TYPE OF CONSTRUCTION:
CD SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL(For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release .?3?
Permit: Y?
Lot Split: Y X N
TYPE OF IMPROVEMERPT OF CEIAJ71Gt16A1 Ate- n Y
? NEW STRUCTUr? GNIMUNI t+?s
C
? ROOM ADDI TIO AY OF CA i r? Weir
? PORCH ADDITION(S) 1NDlAq?r-MWNSHIP
O DECK ADDITION(S)
O REMODEL Which plumbing codes will be applied to the construction:
_ Basement Finish only
O ACCESSORY BUILDING D International Residential Code w/Indiana Amendments
O DETACHED GARAGE D Uniform Plumbing Code w/Indiana Amendments
® ATTACHED GARAGE
O DEMOLITION , FOUNDATION TYPE: (Check all that apply for the new
Manufactured /?? construction area)
Trusses: Y X N O CRAWLSPACE O POST & _ BEAM -PIER
Sump Pump: Y X N ® SLAB O BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessoy 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 16 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that my ronsttvcion, recorstrucrioa, enlargement, relocation, or alteration of a s=ctim, or any change in the use of land or structures
requested by this application writ! cornply with, and conform to, all aoplicah!e laws of the State of Indiana, and :he "Zoning ordinance of Carmel Indiana -1993- (Z-
289) and amencimcnG, adopted under authority of LC. 36-7 et sec, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that orly
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cerdficare of
occupanc j etfissued by the Department of Community Services, Carmel, Indiana.
S//AWA/ MACC
Signatfre'of Owner or Authorized Agent Print Date
***************************************************t****************:***:*********
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: 17th . I?
Base Inspections: i 7al ?n # Charged Re-
pper ooting Lower Footing Under Slab F Renews
Meter Base Fina) St
If Dept. of Community Services _ (Date)
` SCANNED
Cert. of Occupancy: .5 k-.)
P.R.I.F.:
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Fee
Additional Fees