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HomeMy WebLinkAbout08010059 ApplicationCity of CartndlClay Township Permit #: RESIDENTIAL A PROVEMENT LOCATION PERMIT APPLI( For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory 5-7 BUILDER NAME: PHONE: FAX: OF RECORD: STREET AD DRESS: 1 CITY: STATE: F < -A) ZIP: -7 ?J - r7 ?3i 7 ?/V BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT- A" JAf 0, hw O" eo PROPERTY NAME: _ PHONE: FAX: OWNER: -T? - 4?-) STREET ADDRESS: CITY: STATE: ZIP: LOCATION LOT SUBDIVISION NAME: 2 SECTION: ZONING: ? - 2 & PR03ECT ! - INFO: ADDRESS OF CONSTRUCTION: SQUARE FOOTAGE: Z © ! SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION: PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) ? NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET ' S (IF APPLICABLE):/J NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # FLOOD ZONE AREA FOR TH S PROP RTY: DESIGNATION(S) TAX MAP PARCEL TYPE OF IMPROVEMENT: SINGLE FAMILY O TOWN HOME O TWO FAMILY # of units being constructed at this time: W RESIDENTIAL (For Additions, Remodels. Etc.) pROJECT INFORMATION: Early Release Permit: Y XN Lot Split: y N O NEW STRUCTURE ROOM ADDITION(S) O PORCH ADDITION(S) 0 DECK ADDITION(S) 0 REMODEL _ Basement Finish only D ACCESSORY BUILDING 0 DETACHED GARAGE C] ATTACHED GARAGE ? DEMOLITION Manufactured Trusses: _Y Sump Pump: ?Y ? International Residential Code w/Indiana FOUNDATION TYPE: (check all that apply for the new construction area) D CRAWLSPACE PQsr & BEAM ,PI 19 SLAM C ° BASEMENT (WALKOUT: Y N r For Single Family and Two Family dwellings, additions, remodels, andlor aocessory structures, this pcj?„ifcis val d stay construction commences within days of the date of issuance of the building permit, and must be completed (Certificate of Occ upaucy i %utd) within 18 months of the issuance date. Clas structure permits are subject to the General Administrative Rules of the State of Indiana (&ec M IAC 12) regarding expiration time frames for beginning 1, the undersigned, agree that any earstmrtion, reconstruction, eniargernent, relocation, a Of a structure, or any change m the use of land or structures requested by this application will comply with, and conform to, all applicable laws of the of Indiana, and the "Zoning Ordinance of Cannel Indiana -1993" {?- 289) and amendmitnts, adopted under authority 0f I.C_ 36-7 et seq, General Assembly of the State of Indiana, and al] Acts amendatory thereto. I further certify Char only kitchen, bath, and floor drains are connected to the sar_ita y sewer. I further certify that the construction will not be used or occupied until a Cerdficarc of Ocegpawcy_lm been issued by the Department of Community Services, Carmel, Indiana, Signature OFFICE USE Print pper Footing wer Footing Under Slab 5Rough In Meter Base (t!7Site5 CAC 4 Reviewed/App red; pt. of ommunity Services (Date) s:PernVWFarmsrILP RESIDENTIAL ijo f Gate Base Inspections: Cert. of Occupancy P.R.T,F.: f r 3 VC .?_ S- C # Charged Re- Reviews Additional Fees ? Uniform Plumbing Code wJIndiana Amendments