HomeMy WebLinkAbout08010034 ApplicationCity of Carmel/Clay Township Permit #: 3
RESIDENTIAL DvIPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME:
Put- Tt- E ) S PHONE: FAX:
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5
RECORD:
STREET ADD
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DTY:
CITY:
I A J ,3 (, STATE:
ZIP:
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BUILDER'S EMAIL ADDRESS:
a41l?IJE.
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P BEST M r R
CONSTRUCTION
,_ - u?'luc r?itrro „rh a'I reguiauons
PROPERTY NAME: PHONE: ? •' .?:G,^,51 ..0 ?'S.
DEFT OF SERVICES
OWNER:
P:1 WNSH I
STREET ADDRESS: CITY: INDIANA
LOCATION LOT +r: SUBDIVISION NAME: ?ON: ZONIN
I
& PROJECT
INFO: ADDRESS CONSTRUCTION:
TI`
l' J\ Imo}
`JK.
(1n L V L SQUARE
FOOTAGE:
('0L434
SEWER UTILITY
PROVIDER: ?•` WATER UTILITY
K ? PROVIDER: ^ CC ' S
A??? ?(., ? ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) y r', r?
W
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA/ BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT *S (IF APPLICABLE): I f Q/?
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: 1L ?+ TAX MAP PARCEL 0:
C9--SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
Lot Split:
Y _N
y %-9
TYPE OF IMPROVEMENT:
NEW STRUCTURE
D ROOM ADDITION(S)
D PORCH ADDITION(S)
D DECK ADDITION(S)
D REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
D DETACHED GARAGE
C ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: ??_N
Sump Pump: ?f _N
Plumber's
which plumbing codes will fiedVi tWcdnstkA
CEIchInternational Reside gial Code w/Indiana
y-
Uniform Plumbing
;OUNDATION TYPE: (Check all that apply for the new
.:onstruction area)
? CRAWLSPACE ? POST & _ BEAM -PIER
? SLAB aKBASEMENT (WALKOUT:---Y- --N )
Z
01-7'
WC
For Single Family and Two Family dwellings, 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 beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or akeration of a structure, or any change in the use of land or structures
requested by this application v.ill 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 only
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 Cerdficate of
Occupancyhas been issued by the Department of Community Services, Carmel, Indiana.
Sanatur of Owner or Aithorized A nt Print Data
USE ONLY:
INSPECTIONS REQUIRED:
pper Footin er Footing Under Slab
ugh star Base Site
Review proved: PjWof Community Services (Date)
s:PernWFN-,V" RESIDENTM
Filing Fees:
Base Inspections: ?(y % -'> U # Charged Re-
Cert. of Occupancy: G Reviews