HomeMy WebLinkAbout07120091 Applicationcis u°&?'. Permit #: ?? ?? /!
City of Carmel/Clay Township
RESIDENTIAL Il"ROVEMENT LOCATION PERMIT APPLICATION
r „ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
.[xa¢axP.?',
BUILDER NAME: ! / PHONE:
r!J FAX:
G ?/7
OF
RECORD: STREETADDR C/ITY: STATE:
4w
CSC. U?• fVt. d( -
,
BUILDEWSEMAILADDRESS:
r BEST METHOD OF CONTACT: /
rn_ .-r Fit CrD
A / AA ,
PROPERTY NAME: PHONE; FAX'.
OWNER
: _
STREET ADDRESS: CITY.
EASE? M?(,-GNSTE'i ii
REL
with all f69"llauons
r`
naGa
r 'C
LOCATION LOTS SUBDNIb10N NAME:
22-
-? ? nmcn2 an'I LO
`
Ui
i a479NING `.
Ty 5ER?1 S
& PROJECT 1
1 a v
I
P7 O F: i
CApMEL I A
?
INFO: ADDRE55 OF_CONSTRL=i ON; / CITY OF ?{?
"OTAGE ?7
i
Y> 7 oC ( ?l
_
d GF NDI?-, Pi
!!!
SEWER UTILITY r/
PROVIDER: /` W F>
WATER tmLrry l C/
PROVIDER: L,ei E .MATED CO5T OF CONSTRUCTION,
(EXCLUDING. LAND VALUE) -??(f 08 V, U
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION 1 BZA / Ili DOCKET
OR COUNTY WELL AND(OR SEPTIC PERMIT :'S (IF APPLICABLE): r ly7 T'-?
f I
NUMBERS: TAC DATE(S ); AND/ ?T
ROOD ZONE AREA DESIGNATION(S) TAX MA CEff
FOR THIS PROPERTY: 7 '
!/ /
TYPE DECONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
9 of units being
constructed at this
time-
71 RESIDENTIAL (For
Additions, Remodels. li
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
PE OF IMPROVEMENT:
;_N STRUCTURE
? ROOM ADDERON(S)
? PORCH ADDTrION(SJ
DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses:
/
_Y
/ry
_Y " N
Sump Pump:
i
N
Y N
PLUMBING CO CTDR:
ITT 'Qfc 29 '?? a
?F K SOS
Plumber's Indiana State Licens #:
r s?- ?a 9 ?r'??s
Which plumbing codes will be applied to the construction:
nternational Residential Code w /Indiana Amendments
? Uniform Ptumbing Code w/ Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE ? POST &_ BEAM `PIER
G4`5'LAS LL-BASEMENT (WALKOUT Y,===jPo-)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if eoustwaion commenres within 180
days of the date of issuance of the building Permit, and must be completed (Certificate of Occupancy issued) wTfhiu IS months of the issuanre date. Class I
structure permits are subject to the General AdmimstraUve Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any constrection, remnstroction, enlargement, relocation, or altrration of a structure, or ar_y change is the use of lard or strut=es
requested by -.is ar2Gcation will compiy with, and conform to,all applicable laws of the State of Indiana, and the -Zonigg Ordinance of Carmel Indiana -1993" (Z-
211 and amer.dmen[s, adopted under authority c€ I.C. 36-7 et s,q, Generat.kwmbly of the State of lndiana, and ad Acts amendatory thereto- E further certify that only
ki[cher., bath, and Hoar drains a.e connected to the sanitary serer- f further certify that the construction w-ill not be used or occupied until a Certf£t'tate of
Occupancyhas been issu by the Department of Community Services, Carmel, indiam,
Pr at Date
OFFICE USE ONLY:********x**********xr**>«:.***********x************* *************x**************?
INSPECTIONS REQUIRED: Filing Fees: h. -70
Base Inspections: A-67. 5Q charged Re-
r Footi- ower Footi Under Slab Reviews
Cert. of Occupancy: 5. 56
h In 1 eter B mal S"
P.R.LF.:? • Additional Fees
io O
Review wed: . o un1Y Services (Date)
s:Pe rai i .511l RLSIDENPAL
Fee Received N: Oate