HomeMy WebLinkAbout08010078 Application-70
City of Carmel/Clay Township Permit #: 00 (S
RESIDENTIAL RAPROVEMENT LOCATION PERNUT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
BU NAME. / PHONE: FAX:
Y? ?? G 2 Y?- t_?Zz
2
OF
_
RECORD: STREET ADDRESS: STATE: ZIP:
`
3 BUILDER'S EMAIL ADDRESS: D OF CONTACT:
ROPERTY NAME:
? FAX:
OWNER: + +
' 1
STREET ADDRESS: Q1Y: ?
10, _ STATE: ZIP:
LOCATION LOT *:.` y SUBDIVISION NAME: C/
SECTION:
ZONING: `
S
& PROJECT [ a
INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE: y ? YZ
SEWER UTI
OVIDER: LILY
PR r7
C ` t) 2M2
PROVIDER: UTILITY ,1-_'N
ES11MATED OF
(E)(CLUDI GCLAND VALU CONSTRUCTION:
U, Q
? K
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
AND/OR COUNTY WELL ANWOR SEPTIC PERMIT S'S (IF APPLICABLE):
S
C D
TE r
);
NUMBERS; TA
A
(
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCELS:
FOR THIS PROPERTY: ?€ •.?/
3--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
Lot Split _Y _N
For Single Family and
structure permits are subject to
TYPE ROVEMENT, ` C+ `V : A
a4
`
O?EW STRUCTURE
O ADQIfION(S) p}wpbers Indiana State Licen #: TO
(LT ? was
D H ADDITION(S) ,t ,?
O REMODEL
'1N1?iL? ? hales will be applied to the construction:
_ Basement Fir1>I{d?f
D ACCESSORY BUILDING 3`5temational Residential Code w/Indiana Amendments
D DETACHED GARAGE Uniform Plumbing Code w/Indiana Amendments
? ATTACHED GARAGE
? DEMOLITION FOUNDATION TYPE: (Chedc all that apply for the new
Manufactured construction area)
Trusses: _Y _N C CRAWLSPACE O POST & _ BEAM -PIER
Sump Pump: -"?'Y N SLAB :D- ASEMENT (WALKOUT:_Y
I, the undersigned, agree that any construction, reconstruction, enla
requested by this application will comply with, and conform to, all al
289) and amendments, adopted under authority of I.C. 367 et seq, G,
kitchen, bath, and floor drains are connected to the sanitary sewer. I
occupancyhas been issued by the Department of Community Sa
OFFICE USE ONLY:
andlor accessory structures, this permit is valid only if construction commences within 180
ompleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class
of the State of Indiana (See 675 I AC 12) regarding expiration time frames for beginning and
completing construction.
;ement, relocation, or alteration o- a structure, or any change in the use of land or structures
)licable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z
ieral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
urther certify that the construction will not be used or occupied until a Certificate of
ices. Carmel, Indiana.
Date
Filing Fees:
S.-PermUE/Fonns,7LP RESIDENTIAL
Base Inspections: og g /. 5-0 # Charged Re-
Cert. of Occupancy: 55t 50 Reviews
P.R.I.F.: 1 -A ( f i 00 Additional Fees