HomeMy WebLinkAbout07110105 Application1'O I O5
- v City of Carmel/Clay Township Permit #: 1
l _ RESIDENTIAL IlVIPROVEMEl`? fOT APPLICATION
t' ,;rmm? j For Single Family, Town Home, & Two Family: New Structures, Additions, Remo a s, & Accessory Structures
BUILDER
OF NAME,
L E`TYLE I?ol,(T TIME PHONE: r FAX:
3JZ-9OZZ Z- b4
RECORD: STREET ADDRESS:
W,36 Sou e4sTo }L ? STATE: T?
f L/?j J
2-6 7
I
II BUILDER'S EMAIL ADDRE '
k'Mor-?-or1 ?'I?-?es fe?ror.? BEST METHOD OF CONTACT:
.CoriC P??l 1
PROPERTY
OWNER: NAME:
TGrn + CF4MM ,,4FF_iSCAA/ PHONE: FAX:
5 " -8 b b 0
STREET ADDRESS:
-77 .IK-L-N>) CT CITY: STATE:
iW L =ti ZIP:
&03Z
LOCATION
PROJECT LOT k SUBDIVISION NAME:
335 LL, (sC OF SECTION:
P_mEL_ ZONING: ?- ^
v(`
&
INFO: ADDRESS OF CONSTRUCTION:
LAKGL? ND L'7-
FOOTA
SQUARGE: -7 I
SEWER UTILITY ,??.,('
PROVIDER: T r 1 WATER Ul'fLTTY
PROYIDER: C ESTIMATED COST OF CONSTRUCT"
(EXCLUDING LAND VALUE) Z? 0,96
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA! BPW DOCKET
PPLICABLE):
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (1F A
(
FLOOD ZONE AREA DESIGNATION(S) I
'
AX MAP PARCEL s:
T CD
FOR THIS PROPERTY: ^^ 1y( ?{ CD
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release ?/
Permit: _Y _N
Lot Split: _Y _N1
TYPE OFIMPRbVEMENT:
? NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECK ADDITION(S)
*-RET}ODEL
?/ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y /N
? Y -N
PLUMBING CONTRACTOR: I cn
0
aCP1000oI f
Plumbers Indiana State License
Fir- )-f F-ES? LE ?ZOtC7? !il
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
xUniforTn Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST &BEAM-PIER
O SLAB -k- BASEMENT (WALKOUT:_Y ?N )
°J
In1it
In?7iT
O
Fil?
For Single Family and Two Family dwellings, additions, remodels, and/or accessory 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 IS 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 any construction, reconstruction, enlargement, relocation, cr alteration of a structure, orany change in the use of laid or strnewres
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-199Y (,I-
289) and amendments, adopted under authority of LC. 36.7 et wq, Gertral Assemblyof the State of Indiana, and all Acts amendatory thereto. I Eunher certify chat only
kitchen, bath, and floor drains are connected to the sanitary smT_ I further certify that the construction will not be used or occupied until a Certificate of
Occ?u/v?p cyhas been issued by the pat went of Community Services, of, Indiana
?11 f 7i d?-rY?a? pus r??i n?ox?N ,I 5 0
Signa re of Owner A.Wwoed A t Prin Date/
OFFICE USE ONLY: ************************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
ough In Meter Base Final Site
Sri*****fififififififififiiiifiFFiiit++r+. +.+.+ ''
Fling Fees: S?
Base Inspections: I 1151 00
Cert. of Occupancy:
P.R.I.F.: --?
Reviewed/Appkved: Dept. 6F mm6ni ,/ vervic (D e)
5: Per.M1Fwms/1t RESIDEfR1AL v i l1a 7 07
Fee Received by:
# Charged Re-
Reviews
Additional Fees