HomeMy WebLinkAbout08010109 ApplicationCity of Carmel/Clay Township Permit #: ??? Ia IO
RESIDENTIAL HAPROVElVIENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE:
zz FAX:
$4 b `15 0
OF
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
1 -L-3 I S a. Cc-,Cte- 'Ell
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
My C t 22t 'I?• Ce,?v? 7(o q 7
PROPERTY NAME: PHONE : FAX:
OWNER: -Je_FF-
CITY:
STREET ADDRESS: STATE: ZIP:
_
t v 3-7.? ?.??v lei lc? C:Rti? bbr-` ? r Ll k2 C
LOCATION LOT *: SUBDIVISION NAME:
c SECTION: ZONING: /
& PROJECT w,-p
$
INFO: ADDRESS OF CONSTRUCTION: l SQUARE
FOOTAGE:
J
_ ,
(•
SEWER UTILITY
PROVIDER:
r WATER UTILITY _.,C
PROVIDER: ! / p ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) Z O
„ 2
r r
lit' I
NAME OF UTILITY EXCAVATIO C CTOR; PLAN COMMISSION I BZA / BPW DOCKET
PTIC PERMIT *'S
IF APPLICABLE): rY
NUMBERS; TAC DATE(S); (
AN OR LINTY WELL AND/OR SE
FLOOD ZONE AREA DESIGNATION(S)
TY TAX MAP PARCEL: i
FOR THIS PROPER
: I
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y ? N
Lot Split: Y
For Single Family and Two Family c
days of the date of issuance of the
structure permits are subject to the
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
MODEL
Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y I" N
Sump Pump:
I. the undersigned, agree that any construction., reconstrAXTYtl lMncr.t
requested by this application wiC comply with, and conform, to, all apphza'SG
269) and amendments, adopted under authority of I.C. 36.7 et seq, General A
kitchen, bath, and floor drains are connected to the sanitary- sewer. 1 further
uyen i ed by the Department of Community Servis
Sig tune of k>rrner or Author&M Agent Print
OFFICE USE ONLY:
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
=Rough-In. Meter Base Final 5
Reviewed/Approved: Dept. of Community ervices (Date)
S:PermWForms/ILP RESIDENTIAL
PLUMBING- CONTRACTOit:
4 -
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE POST & BEAM -PIER
? SLAB O BASEMENT (WALKOUT:_Y --N)
issuance date.
unes for begin
Filing Fees:
Base Inspections:
Cert. of Occupancy:
any change in the use of land or structures
It? ?{} Ordinance of Carmel Indiana - 1993" (Z-
d a, A` l 'its am. endatory thereto, 1 further certify that only
will not be used or occupied until a Certificate of
Date
/ l j, (i (. 4 Charged Re-
Reviews
P.R.I.F.: Additional Fees