HomeMy WebLinkAbout07110109 Application0i5 or c?,ggf `? / / /D 6
City of CarmellClay Township Permit:
RESIDENTIAL BIPROVEMENT LOCATION PERMIT APPLICATION
a as / For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME r
. Y" 1 L ?- aCo PHONE: FAX:
?? / l 3 3 22
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
BUILDER'S EMAIL ADDR SS: BEST METHOD OF CONTACT:
p'p D_ r e: el P 1-i. ?
PROPERTY N E' PHONE: FAX:
1
OWNER: ')<J NC_ 2D DOVS
STREET ADDRESS:
33
Q CTIY'
? STATE:
I y? ZIP:
/033
V
1 c? O
LOCATION LOT? : SUBDIVISION NAME: SECTION: ZONING: C -?
& PROJECT )66 U l I c'^ yO^ ?1 J
INFO: ADDRESS OF CONSTRUCTION:
10-?>3_3
Or- SQUARE
FOOTAGE: 3
SEWER UTILITY WATER UTIL / ESTIMATED COST OF CONSTRUCTION:
PROVIDER:
C! PROVIDER: (EXCLUDING LAND VALUE) 1? OOp
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA i BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND!OR SEPTIC PERMIT S 'S (IF APPLICABLE): F@ qiF C
FLOOD ZONE AREA DESIGNATION(S) TAX MAP L X: UP U LC
FOR THIS PROPERTY:
1AH F!
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
At of units being
constructed at this
time:
J RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
O
n
?
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
PLUMBING CON k CTda? as 1 ( UVI L"J
B wly)?/ J
Plumber's Indlana
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
0 Uniform Plumbing Code w/Indiana Amendments
DEMOLITION PE
Early Release Manufactured
Permit: _Y??r+ /Trusses:
Lot Split: Y ?p? Sump PLtrtofl
???r? r
structure permits are subject to the General FOUNDATION TY
For Single Family and Two Family 10?At1,K?,ib n
days of the date of issuance of the ra, g Peti+"'r'&a?.-
construction area)
C ? g?J\at'Of% S 0 CRAWLSPAC
SLAB O
: (Check all that apply for the new
E O POST & BEAM -PIER
BASEMENT (WALKOUT:
i, this perndt is valid on
cupancy issued) within
675 IAC 12) regarjgqk?
QA within 180
date. Class I
beginning and
I ' 1V?r
I, the undersigned, agree that any tors[ ca n , elocation, or alteration of a sm ur range m the use of land or structures
requested by this application will rom t ? conform. n, p'cable laws of the State of Indiana, and c oning Ordinance of Catme! Indiana -1993" (Z-
289) and amendments, adopted under a .orut of LC36-7br seq, General Assembly of the State of Indiana, and all Acts a-nendatory thereto. I further certify that only
kitchen. bath, ant floc- drains are connected to the sanitary sewer. I further certify that the construction wil l not be used or occupied until a Cerdlirate of
Occupancvhas been issued by the Department of Community Services, Carmel, Indiana
Agent
Date
***********************s****************************?*ja Trig**?*-*y******************
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: Qr
Base Inspections: 2, -3 U. (5i ? # Charged Re-
Upper oo m Lower Footing nder SI Reviews'
Cert. of Occupancy: s -
Rough I Meter Base Final Site P.R.I.F.: Additional Fees
Reviewed/AOmr Ldr Dept. of Community Services (Date)
S:Permits1Fams11tP RES:DEN'FIAL