HomeMy WebLinkAbout07120112 ApplicationPermit :7 IAO1 JA,
City of Carmel/Clay Township
RESIDENTIAL I R(V iME1V I1,15e- XLMN PERMIT APPLICATION
ry:.oi! 1Ur? 14'Ith :II TFOII?gII r
??HOL.a0.i For Single Family, Town Home, &vTWS Family: I New Silr11C'tllrPS, ?d?itions, Remodels, & Accessory Structures
BUILDER
?r t_•Ir U-Ulvi(OUNI'Yp F,,%II ES FAX: 3i7
NAME:
B S75 oYgZ 57
- 9 /
Y
OF rrc?tn SI 5
RECORD: STREET ADDRESS: N DIANA cm: STATE:
ll c4ovZ1
? q
n
Z ZIP:
116032
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-
BUILDER'S EMAIL ADDRESS:
?G CIrc?-Xp BEST METHOD OF CONTA ' e V : eN
St,tmahA41 ,-007 CN7J 5 3d4 - 702
PROPERTY
OWNER: NAME: PHONE: FAX:
d- 3)
STREET ADDRESS: CITY. STATE:
i Lf 2 76 e PAC/
ZIP
LOCATION -
& PROJECT LOT #: SUBDIVISION NAME:
320 CA erv SECTION:
eStdte? 6 A- ZONING:
K
INFO: ADDRESS OF CONSTRUCTIQQfU/N?: _ ,
C
/ SQUARE
FOOTAGE: 14/0
!? t
114 2 70 f` ` owe
SEWER UTILITY /?? WATER UTILITY
PROVIDER: ? ESTIMATED COST OF CONSTRUCTION' O e
(EXCLUDING LAND VALUE) 1-7 Goo
???
PROVIDER: t-.oN w I CaJ Z
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IF APPLICABLE) :
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: t
f
FOR THIS PROPER TY: I
TYPE OF CONSTRUCTION:
lid SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: -Y -N
Lot Split: Y N
TYPE OF IMPROVEMENT:
? NEW STRUCTURE
O ROOM ADDITION(S)
A PORCH ADDITION(S)
O DECK ADDMON(S)
O REMODEL
Basement Finish only
_
O CESSORY BUILDING
AC
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: Y N
Sump Pump: _Y _N
PLUMBING CONTRACTOR: LIU vl
5L
Plumbers IBX Indiana State Licens
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE ? POST & _ BEAM -PIER
SLAB ? BASEMENT (WALKOUT:--Y--N )
For Single Family and Two Familydwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 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 begirmang and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land orstrucmres
requested be this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -19gr (Z-
289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the Stare of Indiana, and all Acts amendatory thereto. I fnrt}:er certify that only
kitchen, bath, and Boor drins are connected to the sanitary sewer. I further certify that the construction will not he used or occupied until a CertlBrare of
Ocrupancyhas been i ued by the Department of Community Services, el, Indiana.
v1?I l ?rwarn /2-31-07
[i nature of dwow or AuthaU d t print Date
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OFFICE USE ONLY:
IN CTIONS REQUIRED: Filing Fees: Itt 5 r
Base Inspections: 1 ? : • ( * charged Re-
pper Foot Lower Footing Under Slab F Reviews
Cert. of Occupancy. ( 5 5 : 0 Rough I Meter Base Inal S'
Additional Fees
Review d/Approved: t. of Community Services (Date)
S:PeouiuiFormsf:U` RESIDENTIAL Fee ReCelveC by:
?l
Date