HomeMy WebLinkAbout07110067 ApplicationPermit #:??
'°? `. City of Carmel /Clay Township
°LESIDENTIAL MYROVEMENT LOCATION PERMIT APPLICATION
HeIEp? %' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
1.9 b51o
( 95z ay52
OF s 0
RECORD: STREET ADDRESS: CITY: STATE:
'i
d ZIP:
S?GD3Z
IV3oc UA ?AAfwf 314a. Ste ZOO /
LAR/r)
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
/Na/t R f.S rRrOpC Ale r l (ofO S - 65/O
PROPERTY NAME:
D
` ? FAX:
OWNER I
.5r-Rio ae Il
:
STREET ADDRESS:
140 STATE:
VCAk 2001
/117 ZIP:
LOCATION LOT #: SUBDIVISION NAME: By - f SECTION: ZONING:
PROJECT Z7 b'VcolrJ<HrRC 1 SI
& _
INFO: ADDRESS OF CONSTRUCTION: _
SQUARE
?3Z`?
crR?le
IgL7t0 mu r
SEVIER UTILITY WATER UTILITY alb U0o6( ESTIMATED COST OF CONSTRUCTION:
PROVIDER: UA- PROVIDER: ?NQMG I ? (EXCLUDING LAND VALUE) ''' ?00
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BF1V DOCKET
COUNTY WELL AND)OR SEPTIC PERMIT #'S (IF APPLICABL
E): ?
p rte„?.,?N t
P I ?•w?
NUMBERS; TAC DATE(S); AND/OR . al
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL
O
FOR THIS PROPERTY: '
Ofs
TYPE OF CONSTRUCTION:
(A SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
9 NEW STRUCTURE
D ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDrrION(S)
D REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
D ATTACHED GARAGE
D o"L
,ITION
.A
r
a
o
Manuf
cttt
edtf
(
Tru s: Of,
C
PLUMBING CONTRACTOR: / we, W .'
L /D
Plumber's Indiana State License #: Y
P '- 6/0(0 v540
PROIECTINFORMATION:
Early Release
Permit:
Which plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
D CRAWLSPACE D POST & _ BEAM -PIER
I P, ?UCTV0(?gLAS 94, BASEMENT (WALKOUT:_Y-&-N )
?a' () t r. N h'' '?'
Lot Split: _Y C N S an F -) ? ca
?7? r n/
For Single Family and Two Family dwellings, additions, rtditfOa 3Q,•s?-oi?acerys?sory?
days of the daze of issuance of the building permit, and must be fAampl ?tnfi ii
structure permits are subject to the General Administrative Rules p??ika?ToT rndom
„o.
Mures, this permit is valid only if construction commences within 180
?1?lancy issued) within IB months of the issuance due. Class I
?e_ e`B7S,aC 12) regarding expiration time frames for beginning and
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration tracture, or any change in the use of land o; structures
requested by this application will comply with, and tonfom to, all applicable laws of the State of Indiana, and the-Zoning Otdirance of Cannel Indiana-1993' (2-
289) and amendmenu, adopted under authority of LC. 367 et seq, Gene: I Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that oily
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 Certificate of
Occupancyhas beym issued q the D//arment of Community Services, Carmel, Indiana.
Owner or Aut)fp iced Agent
,e?6o a-7-0,7
r-fa Date
xxx****xxxx*x*xxx*****x**xxx***xx****xxx***xx**xxxxxx**xxx***x:x***x*.**xx**x*xxx
OFFICE USE ONLY:
ySPECTI RED: Filing Fees:
a?,7
C , # Charged Re-
I Base Inspections:
Upper Faotjn wer Footin Under Slab Reviews
Cert. of Occupancy:
ough In Meter Final _ Site ?? Additional Fees
i n ) I n P.R.LF.: / ?? o r: r .:
if, n
RevieweV/1pproved: DTpt. of Community Services (Date)
S:Perminf O S/RP RESIDENTIAL Fee
Date