HomeMy WebLinkAbout07110038 Applicationct? t° cK'Y?. ?V
City of Carmel/Clay Township Permit #:
RESIDENTIAL IlVIPROVEMENT LOCATION PERMIT APPLICATION
amae> For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAMEr r PHONE: (a17) /JJ^ /G/o
/ ROTiE35.o.aac- FAX:,317 V3/coca
RECORD: STREETADDRESS: av: STATE:
/o?SCY7 E kD ?Ae/nEL Ti.) ZIP:
a32
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: -Pho-vo-
L - 1(446 - Co oM
/Ylf+fL
PROPERTY N / PHONE:
?
` FAX:
OWNER iY1Ar`? 3/9 t5ca_
o 5
iCL h
: STREET ADDRESS: CITY: L STATE: ZIP:
/600 01C_Lf - IJ& J
LOCATION
& PROJECT LOT #. SUBDIVISION NAME: SECTION:
//S 00 hAkZ ZONNII G:
Z-5 _Pun
INFO: ADDRESS OF CONSTRUCTION:
/ o ec r? 0J. Dk). _Zw,p.. 1;,) SQUARE
FOOTAGE:
asp
SEWER UTILITY 7' WATER U1TL1T! 11 A .--/
f.
? ESTIMATED COST OF CONSTRUCTI N: e-,
PROVIDER: .(O.,j,
''
T
S ?? PROVIDER: ?LL (EXCLUDING LAND VALUE)
RACT
; PLAN COMMISSION / BZA / BPW DOCKET
ORR
NAME OF UTILITY EXCAVATION CONT
(•I
IF APPLICABLE): ?(
C PERMIT u'S
NUMBERS; TAC DATE(S t
/
(
); AND/OR COUNTY WELL AND/OR SEPTI
FLDOD ZONE AREA DESIGNATION(S) //?l
FOR THIS PROPERTY: A-. TAX MAP PARCEL aF: ?^
q 13 1 610-20 80 3a coo
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
SINGLE FAMILY N 6 O NEw STRUCTURE .f O
TOWN HOME Ier ,$
?
- ROOM ADDInON(S) cc
/
1
? TWO FAMILY L C_
- PORCH ADDITION(S)
+V
?
DITION
S
# of units being ?? (
DECK AD
) ?
constructed at this ,-? REMODEL
time: ? Basement Finish only
K RESIDENTIAL (For O ACCESSORY BUILDING
Additions, Remodels, Etc.) 'S O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
PROJECT INFORMATION :
Early Release Manufactured
Permit: _Y __X N Trusses:
Lot Split: _Y _)L_N Sump Pump:
Plumber's Indiana State
Which plumbing codes will be L d hthe mnstru
O International Residen 1 Code w/Indiana
O Uniform Plumbing Coc
FOUNDATION TYPE: (Check all that apply for the new
construction area) _^,A
_Y _N ?
_Y -)LN
- BEAM -PIER
:---Y--N )
?ev" f{.s ?`• ences within lBO
For Single Family' and Two Family dwellings, additions, remodels, andlor accessory structure
days of the date of issuance of the building permit, andmust be completed (Certificate Si3u issuance data Class 1
structure Permits are subject to the General Administrative Rules of the State of i•?p???yG?, G ?G11 xpj?r?tiddYune frames for beginning and
completing cons, p ? Ot 80',.(1 U^ •
1, the undersigned, agree that any corstruntion, reconstruction, enlargement. n07, ra[ion '1yttL ?Tt?y in the use of land orstrucmces
requested by this application will comply with, and conform m, all applicable laws of the State o ia?d and, ?yrQ nce of Carmel Indiana - 1993'
269) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the Sie K ld P,? enda[ory:hereto, I further certify that only
kitchen, batch, floor drains are connected to the sanitary sewer. I further certify that the c a ' M` ton will not be used or o tupied until a Certificate of
Occu cy been issu e D eat of Community Services, Carmel, IndianaU
suture of ovmer or AuthWized A9en Print Date
OFFICE USE ONLY:
I U 'iling Fees:
X##;XX#XXXXX#;i;###X####X####XXX##XXXX##X
/G c-
5 V ° Ch ed R-
INSPECTIONS REQUIRED: ( )
pper Footin
/f Base Inspections: -1 1 arg e
Lower Footing Under Slab ,q I --r Base Reviews
Cert. of Occupancy: SG
oug Meter Base Final Site
D R T F
Lq 11-IS-01
Reviewed/Ap oved: Dept. of Community Services (Date)
S:Pe.r:s!Fo,.s(IlP RESIDENTIAL
Additional Fees