HomeMy WebLinkAbout07110124 Applicationl0
, City of Carmel/Clay Township Permit xr 11 _11?
RESIDENTIAL 1WROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
OFILDER NAME'
` PHONE: FAX:
5 5 '2350 X
RECORD: EET DRESSi
rMgQ J W)iEk D7A ST CTY: STATE: f ro ZIP: .
CAQ-MC-L
BUILDERS EMAIL ADDRESS:
Ar1n1ESNEf'NEF? ? fur. BEST METHOD OF CONTACT:
)om EmAll,
PROPERTY NAME. PHONE: FAX:
OWNER
:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION - LOT:; SUBDIVISION NAME: S ON: ZONING:(
? -1
PROJECT `
&
INFO: ADDRESS OF CONSTRUCTION:
i3 13 FOSS IL_ DQ?Vt; FOOTAGE ??/`„
?t?
SEWER UTILITY
PROVIDER: fl?
R U051 • WATER LMLTFY L9 V
PROVIDER: 1 . I 'u? U ESTIMATED COST OF CONSTRUCTI N; J
(EXCLUDING LAND VALUE) / ,t
W
NAME OF UTILrfY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA / BPW DOCKE=T F'-
S ULA(?'G P_A?
COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): A-1
NUMBERS; TAC DATE(S ); ANDJOR I
ROOD ZONE AREA DESIGNATION(S) \% 11
FOR THIS PROPERTY: TAX MAP PARCEL #:
' Q '
-
TYPE OF CONSTRUOTION:
C? SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y _N
Lot Split: _Y t4
TYPE OF IMPROVEMENT:
c"EW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish ?-`-
O ACCESSORY BUILD'
O DETACHED GARAG
O ATTACHED GARAG
O DEMOLITION
IYl w- Nu y RI ?• III
Plumbe))'s Indiana State Licen
t? • 1 ono) O NOV 2 6 2007
Which plumbing codes will be app % the construction:
-Antemational Residential Code w lart?
?tVniform Plumbing Code w/Indiana Amendments
Manufactured ? Q? comp
Trusses: N C/Ae'OT Of
Sump Pump: ? _N YOB /?`•/
(Check all that apply for the new
O POST & _ BEAM -PIER
MENT (WALKOUT:Y N )
For Single Family and Two Family dwellings, additions, remodels, anchor accessory structutvsytlusycrnutis%alid Only cvnstnetion commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupdncy is;ued)=within;i8 tnQrt4u of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (Seeb7?AC-M i,gardfng ezFSr ?/?rr?me frames for beginning and
completing construction. 'V^,
I, the undersigned, agree chat any construc-non, reconstruction, enlargement, relocation, or alteration of aq'+ t i . nge ofts"9u?s1E of land or stncvares
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, an he'Z -gee of Carmel Indiana - 1993" (Z-
289) and amendments, adopted under authority of I C. 36-7 et seq,Geneal Assembly of the State of Indiana, and all Ac Hereto. I further certify that only
kitchen, bath, and floor drains am connected to the sanitary sewer. I further certify that the construction will not be us .ied until a Certificate of
/p
Oceupan has been issu by the Department of mmunityServices, Carmel, Indiana
? u_ l?e,?,? \Jnprl ]rJE lsk%pr4E-0_13 t . -o 07
Print wce
ONLY:****s***ss*******************************************ay?**sx** *********.:******
11 ?( 3
INSPECTIONS REQUIRED: Filing Fees ?epO
?? Base Inspections: {l ? Charged Re-
Base Inspections:
Lower Footing • Under Slab Reviews
/ Cert. of Occupancy: Sx SQ
T Final Site )
,. Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:Per WFO.,,NLP RESIDENTIAL
U
Fee Received by: v Date