HomeMy WebLinkAbout08010004 Applicationrwn?r?:k
City of Carmel/Clay To%wW "?"
RESIDEN'T'IAL Il"ROVE I
For Single Family, Town Hans, a Two Faunft
?L Permit #:("",
PER ffr APPLICATION l
W Ren uxk&, & Accessory Structures
IL.DER
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NAME ?onac. Lea-
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RECORD: Srxffr ADDRESS:
APi4€ao j2ea c STATE'
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46
7
L L I 49
.11 4 SURMS EMAIL ADDRESS:
r?i r Iw /;&#*, c0.°' BEST mFniOD of r-wAcT:
Ants I 17? 5 - f
PROPERTY
NAME:
tj,- i V- g15- 6z?
riot
OWNER: a
STREET ADDRESS; r CIlI:
J7 C' STATE:
, ZIP.
LOCAMN LOT a: SUBDIYIONNAME-
2
Rif & ?
?
e>6 ? e SECTON:
/ ZONING:
S !r
aPROTECT .
-
- -
INFO; ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE JiA
SEWER UT TTY
PROYTD9t
- `, ? y WATER UT1LrrY _
PRO M' FSMATED COST OF NCO UCT
(El((lUO1NG LAND VALUE) IO!4; f
d ? r
NAME of uTn rr EXC.AvKTwm . PLAN commisSIoN f wA f BPW DOCKET
NUMBERS; TAC DA7E(5); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #^S (IF AFPIRA E):
FLOOD ZONE AREA DESIGiVION(S)
FOR THIS PROPERTY: TAX MAP PARCEL
C? ;
!
11
4
%
C
E
O SEWLE FAMILY
? To" HOME
O TWO FAMILY
# of mils being
omstrscted at tkis
tigr6:
RE3IDEIYTIAL(Fer
Addftons, Ri"a>,dels„ ELt.)
PEOMK INFORMATION
Early Release
Permit ?Y N
Lot Spit Y N
For Single Far lly wd Two
days of the dart of issuanc
structure permits are subje
of
OFFICE USE ONLT'F s?s?s?ksas acsa?acReaFasaRS:?::::
INSPECTIONS REQUIRED:
Upper Food" Lower Footing Under Slab
di n Meter Base final Si
Revi Approved Services (Date)
S-PwrnNRnrg1LP
TYPE Of IMPROWMEKT-,
0 NEW SrRUCTifIRE
O ROOM ADOMON(S)
0 PORCH ADDITION(S)
0 DNX ADDITION(S)
EI.
_ Basemeat Finish deft
O ACCESSORY BUDLDWS
O DETACY'lED GARAGE
ATTACHED GARAGE
? DEINOLMON
Manufactw"
Trume : Y N
SWRIP Pwp: Y N
PLUMBING COWR&M&L
6PlunfbWs Indiana State License #: F
wild, pwanislaq codes WIH he appYed to the CoaeatteeUooe
D
? U011hom Plumbing Code w/Infiena Amendments
FOUNDATIOM TYPE: (Check all that apply for the now
consbuction area)
? CRAWiSPACE O POST & _ BEW .PIER
? SLAB -BA tT (WALK0U7:,Y_N )
:tares, this permit is valid only if construction commences within 180
of Occupancy issued) within 10 months of the ismanee date. Glass I
(See 675 TAG 13) rewrdle g expiration time frames for beginning and
rdocatmn, or a1tzmtion of a snvctu re, or any enange in me ww os Jana or suvctures
laws of the State of Indiana, and the -Zoning Ordinance o[ Carmel Indiana -149 3" (Z-
tvembly of the State of Indiana, and all.Acts amendatory thereto. I further certify that only
certify that the construerion will not be used or occupied erntil a Cerdfi re of
armel, Wdlana.
Doti,
Filing Fees:
Base Inspections: ? # Charged Re-
Reviews
cert. of Occupancy:
P.RI.F.: i A,ddrboml Fees
09,oo
4 . Date
SCANNED