Loading...
HomeMy WebLinkAbout07120108 Applicationrc ` " Permit 07/ QO City of Carmel /Clay Township RESIDENTIAL IMYROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME: _ C1 C US:L + nay ?? c PHONE: FAX: _ (c7z a 41?-7(04? OF RECORD: 57REETADDRE55: ( ??? CITY: STATE: Il ?I. U AO BOIL -7 -ekc Wig U?Lid 1N BUILDER'S EMAIL ADDRESS:: BEST METHOD OF CONTACT: DEC 2 O p. 2007 PROPERTY NAME: PHONE: Ef? - CkS a 7C OWNER: -x' U . . STREET ADDRESS: C,R',4!la<T?Atl r9? Cm: STATE: ZIP: f.(Jf]iL}NVIYS /i(,? ?Z-ZJ LOCATION LOT A: SUBDMSION NAME: SECTION: ZONING: I.L Liu r4 op t Je7t3- i , ,Q qw. 3 PROJECT , , L & INFO: ADDRESS OF CONSTRUCTION: - ?:- *O 2 FOOTAGE: ! 3-IO N© J SEWER UTILITY PROVIDER: WATER UHbFY?r? ? PROVIDER: 6X ESTIMATED COST OF CON5TRUMON: (EXCLUDING LAND VALUE) ?Oqj) Qs7' iD IE1"_t_ NAME OF UTILITY EXCAVATION' CONTRACTOR; PLAN COMMISSION / BZA / BPW DOC KET 7 '?? r ' NUMBERS; TAC DAT U] E(S);AND/OR COUNTY WELL AND/CR SEPTIC PERMIT?r'S(IF APPLICABLE): GII J„) FLDOD ZONE AREA DESIGNATION(S) r TAX MAP PARCEL #: } FOR THIS PROPERTY: wnshac6k z TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: seg'SINGLE FAMILY ji4fNEW STRUCTURE SCLJAIL,-,#_ ?`u 6vt l°.?I•t/fs, D TOWN HOME ? ROOM ADDITION(S) Plumber's Indiana State License #: D TWO FAMILY - PORCH ADDITION(S) ~? S 10 ta ' # of units being ? DECK ADDITION(S) • constructed at this time: ? REMODEL I mhin' il 7 ' ? Q°?I?CI? ( codes will he applied to the construction: RESIDENTIAL (For Additions, Remodels. Etc.) ?p g7al Residential Code w/Indiana Amendments ? y t D A?i jvc? CiP Wlt• 111a Ions 0 DETAC Code w/Indiana Amendments form Plumbin J g gl arld l_GCal bdCL D ATTACHHEID ED PROJECT INFORMATION: 1PfT COMMUNITY UMM&TYPE: (Check all that apply for the new fl !(?A?T?V?/ f9ttureF CARM / CLAY TOWN"FFa) M Early Release Permit: Y-ZN anu Trusses: YIANA ? CRAWLSPACE C7 POST&_BEAM-PIER Lot Split: _Y I N Sump Pump: _Y iN C-3 5LAB ABASEMENT (WALKOUT: 'Y_N ) For Single Family and Two Family dwellings, additions, ttmadels, andlor accessory steuctures, this permit is valid only if construction commences within 380 days of the date of issuance of the building permit- and must be completed (Certificam of Occupancy mued) within IS months of the issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and completing Cousuucnon. 1, the undersigned, aaee chat any construction, reconstruction, enlargement, relocation, Dr alteration of a structure.. or any Change in dhe use of land or structures requested by this application will comply- with, and conform to. all applicable laws of the State of Indiana, and the 'Zoning Ordinance o: Cannel Indiana -.1993' (2- 289)and iemendmenrs, adoptedunderauthoriry of IC.36-7 at seq, General Assembly o 'the State of Indiana, and all Acts amendatory thereto. I Sather certifythat only ldshen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used ne occupied until a Cert&cate of occu cy has 5been issued by the Department of Community Services, Cannel, Indiana. Y Af-_ r•f 12- l? ?J 7 Signature' ovmer or Aptlruiied Age't Print Datu OFFICE USE ONLY: s*:rr**r*rw*****ww***xw**xssr*ssxs:*x**sss***x*sxx*ssss*x*s:**xsx.>xx+rs.xxxzxx*xx Filing Fees: O 5 u 6 n Charged Re- Base Inspections: . 3 `Y Cert. of Occupancy: al Site ?l? P.R.LF.: Additional Fees V77 AL: of Community Services (Date) 4 U Fee Received 6v: