HomeMy WebLinkAbout08010021 ApplicationCity of Carmel/Clay Township Permit #: ORDAD
RESIDENTIAL B1PROVEMENT LOCATION PERMIT APPLICATION
?MOiRe.? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
? ? /x i? k2- d'Yc-
OF
RECORD: STREET ADDRESS: STATE: ZIP:
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
i
PROPERTY NAME' PHomRELEASED FOR CO'NW.,UCTION
OWNER: Subject to comp; -a I -e „lotions
STREET ADDRESS: CITY: of Sta'.Q ":' SrATE I Ce J0 =. ZIP:
DEPT OF COr? t,i?; i!-Y SERVICES
LOCATION LOT *: SUBDIVISION N CITY OF C "c&L C?
1ND3NA
?f % T?dWhN S I P
& PROJECT au A4
INFO: ADDRESS OF CONSTRUCTION:
1 1
., SQUARE C '
FOOTAGE:
;
6 7
SEWER UTILITY
PROVIDER: C Tof t p WATER UTI
PROVIDER: ESTIMA COST O
(EXCLUDING LAND V
?
CI O
8
e- ^ ? `
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA J BPW DOCKET
/
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT :R'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PAR
]
FOR THIS PROPERTY: Bv
TYPE 015 CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit: _Y
Lot Split: _Y N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
J ROOM ADDITION(S)
O PORCH ADDITION(S)
G DECK ADDITION(S)
? REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: ?Y _N
Sump Pump: ?! Y _N
/c*- 4
'p A"?
Which plumbing codes will be applied to the construction:
Q-1ntemational Residential Code w/Indiana Amenc
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE O POST BEAM _PIEP
SLAB Ca-BASEMENT
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences withii
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. Cla
structure permits are subject to the General Administrative Rules of the State of Indiana (Sec 675 IAC 12) regarding expiration time frames for beginning
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 or structures
requested by &.is application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (::
289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto I further certify that
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
V
Date
OFFICE USE ONLY: *******s********s*********s::????????????{????.??„.t,
IN ONS RE U ED: Filing Fees:
Base Inspections: Charged Re
pper Footin wer Footin Under Slab Reviews
Cert. of Occupancy: '?J SU
Rough eter Sa inal Site G . 0
P.R.I.F.: Additlonal Fees
_ TOTAL: d' - ?C
Revie oved: De Community Services (Date)
S:PerftWFarms/1LP RESIDEN L FPP RPr-PivFr1 by Date