HomeMy WebLinkAbout07110031 ApplicationAML
City of Carmel/Clay Ta"iship ReWpLiCATION
RESIDENTIAL 1WROVEMENT A 'afSxa, j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: ?J PHONE: FAX:
'`,,LAIN A 1--etr-er 3t7-S?-3-,177'?
OF
RECORD, STREET ADDR£a5: c1TY: STATE: P: .
b Fn s L? C?t,?c-,. c? ,, 0 3 3
r
Imo,/f j l cc,
I? BUILDER'S EMAIL ADOR`c55: BEST METHOD OF CONTACT:
k 317-69?- v?1?
l
P
f
6
i
A-
-
a
a
c.
r e ?rC s
P OPE
WNER NAME: PHONE: FAX:
5:A t•-
:
O
STREET ADDRESS: CfTY: STATE: ZIP:
LOCATION
PROJECT LOT,:: SUBDIVISION NAME! SECTION:
Sru,vk l ZONING:
?
I
&
INFO:
ADDRESS OFCONSTRUCHON: ??
r¢
[['
SQUARE
FOOTAGE: SLI.__7
SEWER LTIUTY
PROVIDER: Cke' V"A,? WATER UTILITY (
PROVIDER: C ? ESTIMATED COST OF CONSTRUCTION
f7V
(EXCLUDING LAND VALUE) YAP
,l "
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION 13ZA! EPW DOCKET /I J
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE). , v ! F
FLOOD ZONE AREA DESIGNA ON(s)
PERTY TAX MAP PARCEL #: ?.I
PT'
FOR THIS PRO
:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR
=
? SINGLE FAMILY ? ?IEW STRUCTUU ®W k)
-.
rll'
71 TOWN HOME nl €5- ROOM ADDITION(S) Pfumbet's Indiana State Lice
? TWO FAMILY anF"
?h ?
#of units being, ??
constructed at thi Pis' ?
/time: 6-1
l RESEDEMIAL (For Ge ?
Additions. Remodels, Etc.) 4
PROJECT INFORMATION: ?
Early Release
Permit: _Y V N
Lot Split: ---y -vf?
PORCH ADDITION(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses:
Sump Pump:
/Y
? Y _N
Which plumbing codes WII€ be applied
?nternat€onal Residential Code wJIndiana Amendments
Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
W€-5PACE ? POST& BEAM I PIER
ow- -
0 SLAB HASEMFNT (WALKOUT:---YXN )
For Single Family and Two Family dwellings, additions, remodels, and/ar accessary;tr.KQtes, t Mt valid only if construction commences Within 180
days of the date of issuance of the building penaut, and most be completed (Certificate of Occupancy issued) Within IS months of the issuance dace. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See ?5 IAC 12) regarding expiration time frames Far beginn€ag and
completing eonstructfon-
I, the undersigned, agree that any construcr;on, reconstruction, enlargement, relocation, or alter tion of a st:nxture, or any change in the use o€ Tar c or. structures
requested by this apphcauon wlil comply wir, and conform to, all applicable laws of. the State o[ Indiana, and the "Zoning Ordinance of Carmel 1rdima - 1993" (7-
2391ofd ameneme¢ts,adopted under au[horic}-of LG 36-f et s Cl' General Assembly of the State of inchma, and all Acts emendatory therem. I further certify that only
kixhcn,'oath, and floordrains are caunerted to Lh. szr_kzry sewer I fif'ther certify that the construction will not be used or occupied until a Certificate of
Occu has been i pw-Tment of Community5crv cps, Cannel, indfana t
?C'?r•Itwr.1 Le I'r2r 115 -07
Si are of Owaeru AVthanzed Agent Pint Date
OFFICE USE ONLY: "`:.***a*********sx*:***s**sc***********x*sr::*******? s***:.*?s?***sss*****ss*****
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: I I ?, U (J * Charged Re-
Upper Footing Lower Footing Under Slab Reviews
Cert. of Occupancy: ,
Rough In Meter Base Final Si ,?
R.R.I.F.: Add tonal Fees
TOTAL: , I
Revue WedfAppmved: ept. of Community Services (Date) - -T
S: PerautslrarmslR.p nESOenTTAL Fee Re ived by: ' Date