HomeMy WebLinkAbout08010104 ApplicationCity of Carmel/Clay Township Permit #: 0`z 1 GLCL4
RESIDENTIAL 13"ROVEMENT LOCATION PERMIT APPLICATION
Accessory Structures
,acuN? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, T
BUILDER
OF NAME -?A L ?t?11 S i i;Y P
/T-0 HONE: ` j -7 2-1 1 FAX:
5 1 `i-
RECORD: STREET ADDRESS: CI TY:
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CO
i
2 4
PROPERTY
OWNER: NAME: PH
l ?- ` 61'? KI ONE:
B FAX:
STREET ADDR S: CITY: STATE: ZIP:
LOCATION
& PROJECT LOT #: SUBDIVISION NAME:
.13L SECTION: Z NING:
INFO: ADDRESWNSRUCTIO
L _'( `??G Y? WL? l?
( r ?1 C L- SQUARE
FOOTAGE:
PROVIDER lr? UTOVIDER:ILITY ESTIMATED
VALUE) STRUCTIO '
(EXCLUDINGCLAND OST OF CON
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ir'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) L l
FOR THIS PROPERTY: If? A-
I TAX MAP PARCEL a:
TYPE OF JCONSTRUCTION:
g--gINGLE FAMILY
?O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
C RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION
Early Release
Permit:
Lot Split:
_Y "_N
_Y _N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
CK . ON(S
REMODEL DEL C-' N 4 T
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
C DEMOLITION /
Manufactured //
Trusses: _Y
Sump Pump: Y -N -
rwrroar?u?.vm[cn?.rvn: ,?
Plumber's Indiana State License #:
which plumbing codes will be applied to the construction:
? International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
that apply for the new
POST & BEAM -PIER
For Single Family and Two Family dwellings, additions, remodcls, and'or ?frlr txi; valib153fruction commences within 180
days of the date of issuance of the building permit, and must be compkte? Certifiati o eY r ) h' 8 months of the issuance date. Class 1
structure permits are subject to the General Administrative Rules of the State of 6 a?ding expiration time frames for beginning and
complctinjD?u
I, the undersigned, agree chat any construction, reconstruction, enlargement, reloc ter ation of ?tture, or any change in the use of land or structures
requested by this appl: ation will comply with, and confoan to, all applicable lax I he State of lydiana, and the "Zoning Ordinance of Carmel Irdiana -1993" (Z-
289) and amendme opted 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, angen,' oor rains are connected to the sanitary sewer. 1 further certify at the construction not be used or occupied until a Certificate of
Occupancy has d y e Department of Community Services, Carmel, diana. I ??
i k ClN C-S
Siannt ire okmTer or Authwiaed Anent Print [rate
***sss****s******sss**s******************************:** **s*x******************
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: o
Base Inspections: H5.0 b # Charged Re-
Upper Footing Lower Footing Under Slab Reviews
- - - Cert. of Occupancy: -95!5.5 . C,
F? Meter Base Inal Site
l P.R.I.F.:
-2_ 5_ oY'
Reviewed/Appro ed: Dept. of Community Services (Date)
S:PprmilsJFOrrnsJILP R DENTIAL
Additional Fees