HomeMy WebLinkAbout07120046 ApplicationP
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TYPE OF IMPROVEMENT:
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
? TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y
Lot Split: _Y _LA
O
?
?
O
1r1
O
O
PLUMBING CONTRA ?..AA
NEW STRUCTURE
ROOM ADDITION(S) .? Plumber's-Indiana State License #: f t?
PORCH ADDITION(S) p 2a o 3 `} 3
DECKADDITION(S)
REMODEL U' which plumbing odes will be applied to the construction:
_ Basement Finish only
ACCESSORY BUILDING .Ca International Residential Code w/Indiana Amendments
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses: _Y I?N
Sump Pump: ?Y _N
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAW LSPACE O POST & _ BEAM -PIER
If"N
)
D SLAB )E?- BASEMENT (WALKOUT:Y
For Single Family and Two Family dwellings, additions, remodels, miior accessory structures, this permit is valid only ?f 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 1
structure permim are subject to the General Administrative Rules of the Staff of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any cons=lion, reconstrr cdon, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this aaalicaticn will comply with, and conform to, all applicable laws of the State of Indiana, and the -Zoning Ordinance of Catrul Indiana -1993' (2-
289) and amendments, adcptee urderauthadry a_ I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I funhS r ce: ify ,at only
kitchen, bath, and floe-- drains are corrected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu c been issued by the Deparnttent of Community Services, Carmel, IInndiana,
S o
int5 P(Sf ^ errN ?N=`tt- }-}oAn? h ?pS19'? Mm
t Print
City of Carmel/Clay TownshipCONDI T IONAL Permit #:0 ?1,-204 Y(0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER FAX
NAMI PONE. .
C 317 22$-ooS g C3i f 224C'oa S
I
OF r1
S
RECORD: 1j
STREET ADDRESS: CM:
Z3 g kJ. 6 S -i. eljic?c
STATE:
t;s A/
ZIP'
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l r `
d BUILDER'S EMAIL ADDRESS: BEST METHOD Of CONTACT:
1
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2 I?? er S 3 ,11?r.Lo>r Mob ?e kr?e o
3+7-95
PROPERTY
OWNER; NAME: PHONc
TeFF s<Sl ell' (?'??D?.al? C3) ( 133-139o FAX:
STREET ADDRESS: , I /CITY: STATE:
3520 TTln+oG)fc-'s ?(r?l? l?rrtiG ?? ZIP:
?{?032
LOCATION
PROJECT LOT#: SUBDIVIS1ION NAME:
/ r)q?2 SECTION: ZONING:
d1
&
INFO:
ADDRESSS 29 ? o cks
3 1r?}9
FOOTAG
E: I ` I 1
SEWER UTILITY
PROVIDER: ?e UJ'D WATER UTILITY I
PROVIDER: Gr.-.e_I U-y-t {-1e? ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)n7
/ I
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET L
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): I
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL / t;
EL, 1 1 ?tf'?-7
FOR THIS PROPERTY:
xx*xxxxxxxxxxxxxxxxxxx*xxxxxxxxxxsxxxxxxxx**xxxxxxxxxxxxx xxxxxxxxxxx:....=:s=?==
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: 13 SD ? ? ? (JQ # Charged Re-
t
Upper Footing Lower Footing Under Slab Base Inspections: Reviews
Cert. of Occupancy: S 5 O
ough Meter Base al Si
R /Approv Dept. of Community Services (Date)
S: avts/FOrmsl - ESloermAL
P.R.I.F.: Additional Fees