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HomeMy WebLinkAbout08010090 ApplicationCity of CarmellClay Township Permit # RESIDENTIAL IMPROVEMENT LOCATION PERAUT APPLICATION 4 ,NQ?ANx % For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME: / PHONE: ?+ _ FAX: 7- ?f f? 066 OF lfu? c J . RECORD: STREET ADDRESS: CITY: l d STATE: / ZIP: 7 [f C 2 2 U w i / - BUILDE 'S EMAIL ADDRESS: BEST MET"OD OF CONTACT: d ', 42- PROPERTY NAME:: PHO : Lin ?K I FAX: OWNER: I STREET ADDRESS: CITY: L L i SIAtt?? ZIP: LOCATION LOT SUBDIVIS :Z ?2 Y ZONING: & PROJECT o 4!", ' INFO: ADDRESS OF CONSTRUCTION: f O SQUARE FOOTAGE: d SEWER UTILITY PROVIDER: C 7-tr11J WATER UTILITY PROVIDER: r/ ESTIMATED COST OF CONSTRUCTION: ff a?` ¢ (EItCLUDING LAND VALUE) NAME OF LnILFTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET ^ 7' o l S C NUMBERS; TAC DATECS); AND/OR COUNTY WELL ANDJOR SEPTIC PERMIT 0'5 (IF APPLICABLE}: f + J 5 V FLOOD ZONE AREA DESIGNATION(S) ` TAX MAP PARCEL: FOR THIS PROPERTY: iT IfPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CQNTRACTOR: qv, P, K'?INGLE FAMILY MEW STRUCTURE C TOWN HOME O ROOM ADD]'I'ION(S) Plumber's Indiana License #: C] TWO FAMILY ? PORCH ADDITION (S) # of units being ? DECK ADDITION(S) ?,y5- constructed at this ? REMODEL Which plumbing codes will be applied to the construction: tithe: _ Basement Finish only w dlana Amendments id ti l C d I i l C ? RESIDENTIAL (For ? ACCESSORY BUILDING. o e f n ntemat ona en a Res Additions. Remodels. Etc.l ? DETACHED GARAGE 0 Uniform Plumbing Code wJlndiana Amendments ? ATTACHED GARAGE © DEMOLITION 6 EROJECT INFORMATION: t-A FOUNOATIODI TYPE: (Check all that apply for the new SJ `?() Early Release ? Manufactured FoNanstruction area) Permit: Y Trusses: y ,IY ,1 gip;; rr n ?L PACE O POST & _ BEAM PIER Lot Split: Y N Sump Pump: aflrr ?OCt r 56Ag?+L?E?+IENT {WALKOUT _J I rm5t For Single Family and Two Family dwellings, additions, remodels, andlo ! is valid ojty if construction commences wthin 180 days of the date of issuance of the building permit, and must be completed (Cc i tie c gpaitcy*q within is months of the issuance date. Class 1 structure permits are subject to the General Administrative Rules of the State of ?s? I ? expiration time frames for beginning, and 1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure; dr(ilf change in the use of land or structures requested by this application Kill comply with, and conform to, all appheable laws of the State of Indiana, and the 'Zoning Ordinance of Cannel Indiana - 1993' (Z- 289) and amendments, adopted under au tho: iry a[ 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 cocnected to the sanitary sewer- 1 further certify that the construction will not be used or occupied until a Certificate of Qccupancyhas en issue by th epartment of Community Services, el, Indiana. S' re of Le -. . , ient P / t pate OFFICE USE ONLY: ******************************************** Filing Fees: ,pry Base Inspections: +C? /, # Charged Re- Cert. of Or~cupancy: S,5.- 5 Reviews P.R.I.F.. J 00 Additional Fees Fee Recelved by' 7 17 V Date S: Perm 4IFormSil LP RESMEWIAL