HomeMy WebLinkAbout05090001-ApplicationCity of Carmd /Clay Townshit~ Permit
$ ENTIAL IMPRO LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
OWNER:
LOCATZON
& PRO3ECT
ZNFO:
PROVIDER:
NAMEwill Wright Building Corp. (31P~N~44-5499
TADDRESS CITY
t4 Gradle Drive Carmel
BUILDER'S EMAIL ADDRESS
smiller @willwrightbuildingcorp. eom
NAHETom and Jeanette Nasser
PHONE
1320 Helford Lane Carmel
ADDRESS OF CONSTRUCTION
1320 Helford Lane Carmel, IN 46032
(3~) 843-2835
IN 46032
email or call (3171 844-5499
FAX
46032
--
I Squ~
NAME OF UTiUTY EXCAVATION CONTRACTOR; PLAN COMMissION / BZA / BPW ~
~PPLICABLE):
Paul E. Smith
[] TOWN HOME
[~] TWO FAMILY
# of units:__
E3 MULTI-FAMILY
# of Units:
x~x RESIDENI'IA~ (For
Additions, Remodels, Etc.)
- -FZM R ' ' - ':
[] NEW STRUCTURE
[] ROOM ADDITION(S}
[] PORCH ADDITION(S)
~ REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] AT-rACHED GARAGE
[] DEMOLITION
Paul E. Smith Co.
Plumbers Zndiana State License #:
1001777
Which plumbin~
~ Zntemafiona
Manufactured
Permit: Y ×× N construction area)
[] CRAW[SPACE 'g )
LotSplit: Y XXN [] SLAB [] BASEMENT
Y XXN WALKOUT: y xx N
Does any pair of the property lie within a special Flood designation area:
For single Family and Two Family dwellings, additions, remodels, and/or accessory srtucrures, this permit is valid onl
within 180 days of the dare of issuance of the building permk, and must be completed (Cerrifica[e of Occupancy issued) within 18 months of the
issuance daxe. C~assIst;ruc~urePesmitsaresubject~theGeneralAdminisrt~riveRu~es~ftheSr~e~fIndiana(See675IAC~2)regaxdingex~ira~n
rime frames for beginning and completing consrrucrion.
I, the undersigned, agree rhax any consrrucrinn, reconstruction, enlaxgeman~, relocation, or alrerarion of a structure, or any ch. ange in the use of land or
stxucrures requested by this apphca~ion will comply with, and confonu to, all applicable laws o£ the Stare of indiana, and the Zoning Ordinance o£ C axmel
indiana - 1993' (Z-289) and arnendmanrs, adopted under authority of LC. 36-7 er seq, General Assembly of thc Stare of indiana, and all Acrs amendarory
rhexero. I~rher cerriiy rhar only kkchan, bark and floor drains axe connecred ro the sankaxy sewax. I further certify that the construcrion will not be
,sea or~c~pied undl ~ C~ert~cate o£Occu~ancxhas ~n issued by three--ant of Co~uniry S~m,-ic~s. C,~tm~¢L Indiana.
8/9_/O5
SignatuYe of Ownerbr Authorized Agent Print Date
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Filing Fees. / ~
Under Slab
Meter Base
Base Inspections:
Charged Re-
Reviews
AdditiOnal Fees